The nurse is assessing a client's affect while discussing common issues such as the weather and family. The client appears sad with a slow speech pattern
The nurse considers that this may be a sign of depression but understands that the physician will want to rule out which medical condition first? A) Mania
B) Hypothyroidism
C) A pituitary deficiency
D) A cerebral vascular accident
B
Feedback:
When a nurse identifies that a client is experiencing symptoms of depression, it is essential that other conditions, which may produce similar symptoms, be ruled out. One condition that mimics depression is hypothyroidism. Mania increases and exaggerates actions and speech patterns. Common symptoms of a pituitary deficiency include a deficiency is hormones such a luteinizing hormone (LH) and follicle-stimulating hormone (FSH) and growth hormones. A cerebrovascular accident exhibits physical and mental changes.
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A patient with heart failure who has been taking an ACE inhibitor, a thiazide diuretic, and a beta blocker for several months comes to the clinic for evaluation
As part of the ongoing assessment of this patient, the nurse will expect the provider to evaluate: a. complete blood count. b. ejection fraction. c. maximal exercise capacity. d. serum electrolyte levels.
A client with a history of heart failure is being discharged home. What discharge instructions will assist the client in the prevention of complications associated with heart failure?
A. Drink at least 2 L of fluids daily. B. Eat six small meals daily instead of three larger meals. C. When you feel short of breath, take an additional diuretic. D. Weigh yourself daily wearing the same amount of clothing.
While preparing for the discharge of an elderly, terminally ill patient, the family asks for information concerning the most appropriate time to become involved with a hospice agency. Which action by the nurse is most appropriate?
1. Assist the family in making contact with a hospice agency at this time. 2. Estimate the patient's life expectancy to gauge when contact with hospice should be made. 3. Encourage the family to "hold off" making the contact until death is very close. 4. Determine what expectations the family has of the hospice agency.
When therapeutically communicating with a client who has just found out he is HIV- positive, the nurse should focus on
a. professional needs. b. an unlimited time frame for communication. c. verbal communication only between the client and the nurse. d. achieving identified health-related goals.