A client with major depression frequently is irritable, abrasive, and uncooperative and
refuses to participate in group activities. When working with this client, the nurse
should use which approach?
A. Firmness
B. Cheerfulness
C. Humor
D. Aloofness
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A. Firmness
The nurse is caring for a client with primary polycythemia. Which data obtained by the
nurse should be immediately reported to the primary care provider?
A. Dry cough
B. Increase in urine output
,C. Report of no bowel movement for 2 days
D. Pain in the calf
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D. Pain in the calf
A client taking warfarin sodium (Coumadin) for anticoagulation therapy has an
increased INR with bleeding and hemorrhage. Which medication should the nurse
anticipate administering?
A. An antibiotic
B. Protamine sulfate
C. Heparin sodium
D. IM vitamin K
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D. IM vitamin K
A client who has been taking imipramine, 125 mg P.O. daily, for 1 week wants to stop
taking the medication because the client still feels depressed. Which response by the
nurse would be most appropriate at this time?
A. "This medicine may not be the most effective one for you. Let’s call your health
care provider for further evaluation."
B. "Imipramine must build up to a therapeutic level; it may take 3 to 4 weeks to reduce
depression."
C. "The primary care provider may need to adjust the dosage for you to get the
medication's maximum benefit."
D. "Don't stop taking the medication abruptly because you may develop serious side
effects."
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, B. "Imipramine must build up to a therapeutic level; it may take 3 to 4 weeks
to reduce depression."
A client taking antidepressants for major depression for about 3 weeks now states "
I'm feeling better." Which complication should the client be monitored for?
A. manic depression
B. potential for violence
C. substance abuse
D. suicidal ideation
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D. suicidal ideation
A client has been prescribed venlafaxine extended-release capsules by mouth, once
daily, for major depression following a stroke. The client has difficulty swallowing pills
since the stroke. How should the nurse intervene?
A. Crush the capsule and dissolve in water.
B. Place the capsule in water, allow it to dissolve, and then administer it to the client.
C. Sprinkle the contents of the capsule over applesauce and administer it to the client.
D. Tell the client to chew the capsule after placing it in their mouth.
Give this one a try later!
C. Sprinkle the contents of the capsule over applesauce and administer it
to the client.
The nurse is assisting a frail adult with an impaired swallowing mechanism to eat a
nutritious meal. Which nursing intervention would be appropriate for this client?
A. Have the client lie on their side for meals.
, B. Cut the food into large pieces so the client can bite off pieces.
C. Suggest that the client bend the chin toward the chest when swallowing.
D. Provide larger, less frequent, meals of semisolid foods.
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C. Suggest that the client bend the chin toward the chest when swallowing.
The spouse of a client diagnosed with vascular dementia asks the nurse if this is the
same as having Alzheimer’s disease (AD). Which response by the nurse is most
appropriate?
A. “Vascular dementia is another term for Alzheimer’s disease.”
B. “There are similarities in the conditions but they are not the same condition.”
C. “Vascular dementia is much more severe than Alzheimer’s disease.”
D. “No, they are not the same condition as Alzheimer’s disease can be treated more
successfully.”
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B. "There are similarities in the conditions but they are not the same
condition."
An adolescent who's depressed and reported by the parents as having difficulty in
school is brought to the community mental health center to be evaluated. Which
other health problem would the nurse suspect?
A. anxiety disorder
B. behavioral difficulties
C. cognitive impairment
D. labile moods
Give this one a try later!
refuses to participate in group activities. When working with this client, the nurse
should use which approach?
A. Firmness
B. Cheerfulness
C. Humor
D. Aloofness
Give this one a try later!
A. Firmness
The nurse is caring for a client with primary polycythemia. Which data obtained by the
nurse should be immediately reported to the primary care provider?
A. Dry cough
B. Increase in urine output
,C. Report of no bowel movement for 2 days
D. Pain in the calf
Give this one a try later!
D. Pain in the calf
A client taking warfarin sodium (Coumadin) for anticoagulation therapy has an
increased INR with bleeding and hemorrhage. Which medication should the nurse
anticipate administering?
A. An antibiotic
B. Protamine sulfate
C. Heparin sodium
D. IM vitamin K
Give this one a try later!
D. IM vitamin K
A client who has been taking imipramine, 125 mg P.O. daily, for 1 week wants to stop
taking the medication because the client still feels depressed. Which response by the
nurse would be most appropriate at this time?
A. "This medicine may not be the most effective one for you. Let’s call your health
care provider for further evaluation."
B. "Imipramine must build up to a therapeutic level; it may take 3 to 4 weeks to reduce
depression."
C. "The primary care provider may need to adjust the dosage for you to get the
medication's maximum benefit."
D. "Don't stop taking the medication abruptly because you may develop serious side
effects."
Give this one a try later!
, B. "Imipramine must build up to a therapeutic level; it may take 3 to 4 weeks
to reduce depression."
A client taking antidepressants for major depression for about 3 weeks now states "
I'm feeling better." Which complication should the client be monitored for?
A. manic depression
B. potential for violence
C. substance abuse
D. suicidal ideation
Give this one a try later!
D. suicidal ideation
A client has been prescribed venlafaxine extended-release capsules by mouth, once
daily, for major depression following a stroke. The client has difficulty swallowing pills
since the stroke. How should the nurse intervene?
A. Crush the capsule and dissolve in water.
B. Place the capsule in water, allow it to dissolve, and then administer it to the client.
C. Sprinkle the contents of the capsule over applesauce and administer it to the client.
D. Tell the client to chew the capsule after placing it in their mouth.
Give this one a try later!
C. Sprinkle the contents of the capsule over applesauce and administer it
to the client.
The nurse is assisting a frail adult with an impaired swallowing mechanism to eat a
nutritious meal. Which nursing intervention would be appropriate for this client?
A. Have the client lie on their side for meals.
, B. Cut the food into large pieces so the client can bite off pieces.
C. Suggest that the client bend the chin toward the chest when swallowing.
D. Provide larger, less frequent, meals of semisolid foods.
Give this one a try later!
C. Suggest that the client bend the chin toward the chest when swallowing.
The spouse of a client diagnosed with vascular dementia asks the nurse if this is the
same as having Alzheimer’s disease (AD). Which response by the nurse is most
appropriate?
A. “Vascular dementia is another term for Alzheimer’s disease.”
B. “There are similarities in the conditions but they are not the same condition.”
C. “Vascular dementia is much more severe than Alzheimer’s disease.”
D. “No, they are not the same condition as Alzheimer’s disease can be treated more
successfully.”
Give this one a try later!
B. "There are similarities in the conditions but they are not the same
condition."
An adolescent who's depressed and reported by the parents as having difficulty in
school is brought to the community mental health center to be evaluated. Which
other health problem would the nurse suspect?
A. anxiety disorder
B. behavioral difficulties
C. cognitive impairment
D. labile moods
Give this one a try later!
