Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is preparing to administer olanzapine 20 mg PO daily. Available is olanzapine 10 mg orally disintegrating tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
This question is an excerpt from Nurse Dive's nursing test bank - ATI Mental Health Proctored Exam. Take the full exam now
Full Explanation
The nurse should administer 2 tablets of olanzapine 10 mg orally-disintegrating tablets per dose.
Here's the calculation:
20 mg (desired dose) ÷ 10 mg (strength of each tablet) = 2 tablets
So, the nurse should administer 2 tablets of olanzapine 10 mg orally-disintegrating tablets per dose.
Similar Questions
A nurse is planning care for a client newly admitted with major depressive disorder. Which of the following actions should the nurse plan to take?
A. Ask the client to create her own schedule of daily activities.
Asking the client to create their own schedule of daily activities may overwhelm them and exacerbate feelings of hopelessness or indecisiveness commonly experienced with depression. The nurse should provide structure and guidance in establishing a manageable routine
B. Teach the client to use passive communication when interacting with others.
Teaching passive communication is not appropriate, as assertive communication is typically encouraged to help the client express her needs and feelings effectively.
C. Determine the client's need for assistance with grooming.
Major depressive disorder can significantly impact a person's ability to carry out activities of daily living, including grooming and self-care.Assessing the client's need for assistance with grooming is essential to ensure their basic needs are met and to promote their physical well-being. Helping the client maintain hygiene and grooming routines can contribute to their sense of dignity and self-esteem, which may be compromised due to depression.
D. Limit the client's involvement in unit activities.
Limiting involvement in unit activities could further isolate the client and exacerbate her symptoms. Encouraging participation and engagement is generally more beneficial.
Full Explanation
A. Asking the client to create their own schedule of daily activities may overwhelm them and exacerbate feelings of hopelessness or indecisiveness commonly experienced with depression. The nurse should provide structure and guidance in establishing a manageable routine.
The other options do not align with best practices for caring for a client with major depressive disorder:
B. Teaching passive communication is not appropriate, as assertive communication is typically encouraged to help the client express her needs and feelings effectively.
C. Asking the client to create their own schedule of daily activities may overwhelm them and exacerbate feelings of hopelessness or indecisiveness commonly experienced with depression. The nurse should provide structure and guidance in establishing a manageable routine
D. Limiting involvement in unit activities could further isolate the client and exacerbate her symptoms. Encouraging participation and engagement is generally more beneficial.
A client commits suicide in an acute mental health facility. Which of the following is the priority intervention for staff following this incident?
A. Change policies for staff observation of clients who are suicidal.
Change policies for staff observation of clients who are suicidal.While reviewing and updating policies is important for improving patient safety, this is not the immediate priority following a client's suicide. Staff members' emotional well-being and psychological support take precedence initially.
B. Identify cues in the client's behavior that might have warned them that he was contemplating suicide.
This is a crucial intervention. Conducting a thorough assessment and review of the client's behavior, including any cues or warning signs that may have indicated suicidal ideation, can help identify gaps in care and improve risk assessment and management for future clients.
C. Provide professional counseling for staff members.
This intervention is also important but may not be the immediate priority. Staff members may experience a range of emotional reactions, including guilt, grief, and trauma, following a client's suicide. Providing professional counseling and support services for staff is essential for addressing their emotional well-being and promoting coping strategies.
D. Give the family an opportunity to talk about their feelings.
Give the family an opportunity to talk about their feelings.While supporting the family is important, the priority in this scenario is to address the needs and emotional well-being of the staff who directly witnessed the incident. Providing staff members with counseling and support is the first step in managing the aftermath of the event.
A nurse is teaching a newly-admitted client about the possible physical effects of alcohol withdrawal. Which of the following manifestation should the nurse include in the reaching? (Select all that apply.)
A. Nystagmus
Nystagmus is not a typical manifestation of alcohol withdrawal. It is more commonly associated with intoxication or neurological conditions. Therefore, it is not included in the effects of alcohol withdrawal.
B. Illusions
Illusions (misinterpretations of external stimuli) are common during alcohol withdrawal, especially in severe cases such as withdrawal delirium (delirium tremens). Clients may misinterpret shadows or objects as threatening.
C. Polyphagia
Polyphagia (excessive eating) is not a recognized manifestation of alcohol withdrawal. Clients with withdrawal may experience nausea or a lack of appetite rather than an increased appetite.
D. Tremors
Tremors, often called "the shakes," are one of the most common early signs of alcohol withdrawal. They usually begin within hours after alcohol cessation.
E. Seizures
Seizures, specifically generalized tonic-clonic seizures, are a serious complication of alcohol withdrawal. They can occur within 6–48 hours after the last drink and are part of alcohol withdrawal syndrome.
Full Explanation
A. Nystagmus: Nystagmus is not a typical manifestation of alcohol withdrawal. It is more commonly associated with intoxication or neurological conditions. Therefore, it is not included in the effects of alcohol withdrawal.
B. Illusions: Illusions (misinterpretations of external stimuli) are common during alcohol withdrawal, especially in severe cases such as withdrawal delirium (delirium tremens). Clients may misinterpret shadows or objects as threatening.
C. Polyphagia: Polyphagia (excessive eating) is not a recognized manifestation of alcohol withdrawal. Clients with withdrawal may experience nausea or a lack of appetite rather than an increased appetite.
D. Tremors: Tremors, often called "the shakes," are one of the most common early signs of alcohol withdrawal. They usually begin within hours after alcohol cessation.
E. Seizures: Seizures, specifically generalized tonic-clonic seizures, are a serious complication of alcohol withdrawal. They can occur within 6–48 hours after the last drink and are part of alcohol withdrawal syndrome.