The greatest risk to the child who has ADHD is injury from impulsive behavior

The greatest risk to the child who has adhd is injury

This preview shows page 11 - 12 out of 13 pages.

The greatest risk to the child who has ADHD is injury from impulsive behavior and the decreased ability to perceive self-harm. Therefore, the priority intervention is to remove unnecessary equipment from the child's surroundings. 49) A nurse is planning care for a client who is to undergo electroconvulsive therapy (ECT). Which of the following actions should the nurse include in the plan? Administer phenytoin 30 min prior to the procedure. The nurse should not plan to administer phenytoin, an anticonvulsant medication, to a client prior to ECT. The purpose of ECT is to induce a short seizure by stimulating the brain with an electrical current. Instruct the client to expect a headache following the procedure. The nurse should instruct the client about adverse effects to expect following ECT such as temporary disorientation and confusion as well as possible memory deficits. Headaches are not an expected adverse effect of ECT. Place the client in four point restraints prior to the procedure. The nurse should not place the client in restraints during the procedure. The client will receive anesthetic and paralytic medications immediately prior to the procedure to prevent severe muscle contractions induced by the seizure. Monitor the client's cardiac rhythm during the procedure. The seizure induced during ECT can stress that client's heart. Therefore, the nurse should plan to monitor the client's cardiac rhythm during ECT via an electrocardiogram. 50) A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan of care? Encourage the client to participate in group therapy. The nurse should maintain a low stimuli environment for a client who is experiencing mania. The nurse should dim the lights, decrease noise, and limit the number of people the client is around. Instruct the client to avoid napping during the day. The nurse should encourage the client to take frequent rest periods throughout the day. Clients experiencing mania are at risk of exhaustion that can be life threatening Offer the client high-calorie finger foods frequently. The nurse should frequently offer the client, high-calorie foods that can be eaten while the client is on the go. Clients experiencing mania might be unable to sit down for meals and can experience weight loss and dehydration. Decrease the client's daily fiber intake. The nurse should encourage the client to eat foods and snacks that are high in fiber. Clients experiencing mania can experience dehydration and nutritional deficiencies from decreased intake, which can lead to constipation. 51) A nurse in a mental health clinic is planning care for a client who has a new prescription for olanzapine. Which of the following interventions should the nurse identify as the priority?
Image of page 11
Image of page 12

You've reached the end of your free preview.

Want to read all 13 pages?

  • Summer '20
  • Borderline personality disorder, Major depressive disorder, Histrionic personality disorder, Avoidant personality disorder

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture