Nokea
The health care provider prescribes paroxetine to a client with depression. What statement by the client indicates proper understanding of the medication?
- A. I can stop taking the medication once my symptoms improve
- B. I must eat a healthy diet and exercise regularly to reduce weight gain
- C. I should feel better within 1 week after starting this medication
- D. I will experience improved sexual performance with this medication
Correct Answer: B
Rationale: Paroxetine may cause weight gain, so a healthy diet and exercise are appropriate. Stopping abruptly risks withdrawal, full effects take weeks, and sexual dysfunction is a common side effect.
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The nurse checks the lab values of a newly admitted client. RBC: 4.0 million/mm³, WBC: 1500/mm³, Platelets: 40,000/mm³. What nursing actions are indicated because of these lab values?
- A. Keep the client on bed rest and protective isolation.
- B. Plan for protective isolation and do not give injections.
- C. Keep the client on bed rest and avoid trauma.
- D. There are no special nursing actions indicated.
Correct Answer: B
Rationale: Low WBC (neutropenia) requires protective isolation, and low platelets (thrombocytopenia) contraindicate injections to prevent bleeding and infection.
Which of the following drugs should the nurse anticipate administering to a client before they are to receive electroconvulsive therapy?
- A. Benzodiazepines
- B. Chlorpromazine (Thorazine)
- C. Succinylcholine (Anectine)
Correct Answer: C
Rationale: Succinylcholine (Anectine). Succinylcholine is given intravenously to promote skeletal muscle relaxation.
The nurse is teaching the parent of a 7-year-old client with celiac disease. Which statement by the parent would require follow-up?
- A. My child can consume small amounts of barley
- B. My child is allowed to eat rice, corn, and potatoes
- C. My child needs to be on a gluten-free diet for life
- D. My child should avoid eating processed foods
Correct Answer: A
Rationale: Barley contains gluten, which is harmful in celiac disease, indicating a need for further teaching. Rice, corn, potatoes, lifelong gluten-free diet, and avoiding processed foods are correct.
For a 6 year-old child hospitalized with moderate edema and mild hypertension associated with acute glomerulonephritis (AGN), which one of the following nursing interventions would be appropriate?
- A. Institute seizure precautions
- B. Weigh the child twice per shift
- C. Encourage the child to eat protein-rich foods
- D. Relieve boredom through physical activity
Correct Answer: A
Rationale: Institute seizure precautions. The severity of AGN is unpredictable, and complications like seizures may occur due to hypertension.
The nurse is talking with a client who has human immunodeficiency virus (HIV). Which of the following statements by the client would indicate a correct understanding of the condition? Select all that apply.
- A. I should receive the influenza vaccine every year
- B. I will ask my roommate to clean the cat litter box for me
- C. I should ask for my steak to be cooked thoroughly with no pink inside
- D. I can eat the raw vegetables I grew in my garden if my HIV viral load is undetectable
- E. I will use bottled water when brushing my teeth if I travel to an area with poor sanitation
Correct Answer: A,B,C,E
Rationale: Flu vaccine, avoiding cat litter (toxoplasmosis risk), thorough cooking, and bottled water in unsanitary areas reduce infection risk in HIV. Raw vegetables pose a risk, even with undetectable viral load.