Nokea
What are the common side effects of the anticonvulsant Divalproex (Depakote)?
- A. GI upset
- B. Headache
- C. Dizziness
- D. Weight gain
Correct Answer: A
Rationale: The correct answer is A: GI upset. Divalproex is known to cause gastrointestinal (GI) upset as a common side effect, including symptoms like nausea, vomiting, and diarrhea. This is due to its irritant effect on the stomach lining.
B: Headache - While headache can be a side effect of some medications, it is not a common side effect of Divalproex.
C: Dizziness - Dizziness can occur as a side effect of Divalproex, but it is less common compared to GI upset.
D: Weight gain - Weight gain is a known side effect of Divalproex, but it is not as common as GI upset. Weight gain typically occurs over time with long-term use.
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A patient who was admitted for a heroin overdose received naloxone (Narcan), which improved the breathing pattern. Two hours later, the patient reports muscle aches, abdominal cramps, gooseflesh and says, 'I feel terrible.' Which analysis is correct?
- A. The patient is exhibiting a prodromal symptom of seizures.
- B. An idiosyncratic reaction to naloxone is occurring.
- C. Symptoms of opiate withdrawal are present.
- D. The patient is experiencing a relapse.
Correct Answer: C
Rationale: The correct analysis is C: Symptoms of opiate withdrawal are present. The patient's presentation of muscle aches, abdominal cramps, gooseflesh, and feeling terrible are classic symptoms of opiate withdrawal. Naloxone, as an opioid antagonist, reversed the effects of heroin leading to withdrawal symptoms. This is a typical response seen in patients who have been given naloxone to counteract opioid overdose. Choices A and B are incorrect as they do not align with the patient's clinical presentation and pharmacological understanding. Choice D is also incorrect as there is no indication that the patient has resumed heroin use.
A -..---disorder is when the quality of the voice changes as it travels through the different-shaped spaces of the throat, nose, and mouth:
- A. Speech sound disorder
- B. Speech disorder
- C. Voice disorder
- D. Resonance Disorders
Correct Answer: D
Rationale: Resonance disorders affect voice quality due to nasal or oral cavity issues.
The limitation of psychoanalytic theory is
- A. Time consuming
- B. Lack of scientific evidence
- C. Difficult to test
- D. All of these
Correct Answer: D
Rationale: Psychoanalysis (Freud) is critiqued for all these reasons.
In order to best evaluate the achievement of goals of individual stress management group members, the nurse leading the group:
- A. Has each member at the last meeting write a short description of how the sessions helped him or her manage stress more effectively.
- B. Asks each member at each session to demonstrate a stress management technique he or she has learned while attending the sessions.
- C. Periodically asks the members to rate their ability to manage stress using the techniques learned in the group sessions on a Likert scale.
- D. Has each member's ability to manage stress evaluated by the group at the final session.
Correct Answer: C
Rationale: The correct answer is C because using a Likert scale to periodically ask group members to rate their ability to manage stress with the techniques learned provides quantitative data for evaluating progress. This method allows for tracking changes over time and identifying trends in stress management improvement.
A is incorrect because it relies on subjective self-reporting at the last meeting only, which may not capture ongoing progress. B is incorrect as it focuses on individual demonstrations at each session, which may not reflect overall stress management improvement. D is incorrect as it relies on group evaluation at the final session, which may not provide consistent and individualized feedback throughout the program.
The nurse is monitoring a patient with AIDS. Which manifestation should the nurse expect to observe in this patient?
- A. Diarrhea
- B. Chest pain
- C. Hypertension
- D. Pustular skin lesions
Correct Answer: A
Rationale: The correct answer is A: Diarrhea. Patients with AIDS commonly experience diarrhea due to opportunistic infections or medications. This can lead to dehydration and malnutrition. Choice B is incorrect because chest pain is not a typical manifestation of AIDS. Choice C is incorrect as hypertension is not a common symptom of AIDS. Choice D is incorrect as pustular skin lesions are not typically associated with AIDS. Monitoring for diarrhea is crucial to prevent complications in AIDS patients.