Of the following clients on a medical-surgical unit, which one should be observed most closely by
staff for symptoms of depression?
a. L, age 36 years, married, diagnosis of laparoscopic cholecystectomy
b. M, age 42 years, single, diagnosis of postoperative bilateral vein ligation
c. T, age 24 years, married, diagnosis of infectious hepatitis
d. C, age 38 years, divorced, diagnosis of testicular carcinoma
D
This client has an illness with a high component of associated loss and is likely to be at greatest risk
for depression and suicidal ideation.
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An adult patient with long-standing obesity has been deemed an appropriate candidate for treatment with phentermine. When teaching the patient to safely and effectively administer the drug, the nurse should convey what message to the patient?
A) Take phentermine with food, preferably at mealtimes. B) Take the medication on an empty stomach. C) Take the medication 15 minutes after meals to reduce fat absorption. D) Take an increased dose of phentermine if a large meal is anticipated.
The patient has been in the critical care unit for 3 weeks and has been on the intra-aortic balloon pump for the past 3 days
The patient's condition has been serious, and hourly assessments and vital signs have been necessary. The nursing staff has noted that the patient has been unable to achieve sleep for more than 30 minutes at a time. The patient has been given diazepam (Valium) prn. Which techniques may assist in assessing the patient's sleep pattern? a. Correlating sleep time with vital signs b. Documenting sleep periods of more than 90 minutes c. Assessing degree of arousal on hourly checks d. Observing the length of NREM sleep periods
Which care plan modification would be the most beneficial for a 62-year-old woman who is suffering from a flare in her rheumatoid arthritis?
a. Increase fluid intake b. Schedule several rest periods to balance activity c. Reduce salt in the diet d. Assist with rigorous finger extension exercises
A patient's chart contains an assessment of tophi and podagr
a. What medication does the nurse plan to educate the patient on? a. Allopurinol (Zyloprim) b. Colchicine (Colcrys) c. Levadopa-carbidopa (Sinemet) d. Ibuprofen (Motrin)