Answer to Question 1
Answer: D
Monitoring for neuroleptic syndrome is a priority nursing consideration for a client taking risperidone (Risperdal). The nurse must monitor for signs and symptoms of neuroleptic malignant syndrome and tardive dyskinesia and immediately report signs and symptoms of these conditions. Monitoring for increased agitation and assessing for drowsiness are nursing considerations for clients taking Risperdal, but they are not the priority diagnosis. Assessing blood pressure and heart rate would be a priority nursing consideration for the client taking Inderal.
Answer to Question 2
Answer: C
Eating disorders can impact individuals at any age. Adolescents and young adults are among the group most often diagnosed with eating disorders. In the United States, among adolescents and teens between the ages of 13 and 17, an estimated 2.7 of these individuals have an eating disorder. Anorexia nervosa is most prevalent among non-Hispanic Caucasian adolescents. Bulimia nervosa is most prevalent among Hispanic adolescents.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
Testing the Achilles tendon reflex with client in a sitting position
Client positioned and draped
The client is positioned for the examination
Approaching the client for the ophthalmoscopic exam
Client is positioned