The nurse in a geriatric clinic states, "We have so many more clients with major depressive disorder in the practice than we had two years ago." How should the clinic nurse manager respond?
1. "Most clients are diagnosed between the ages of 20 and 50."
2. "Actually, most people with MDD are younger than 40."
3. "The mean age of onset is 65."
4. "Statistics show that more older adults are presenting with symptoms of MDD across the nation."
4
Rationale 1: This is true, but it does not speak to the nurse's statement.
Rationale 2: MDD is possible from childhood to old age.
Rationale 3: The mean age of onset is 40.
Rationale 4: There is recent evidence of increased incidence of onset in those over 65.
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The nurse manager of a medical-surgical unit is completing assignments for the day shift staff. The client with which electrolyte laboratory value is assigned to the LPN/LVN?
A. Calcium level of 9.5 mg/dL B. Magnesium level of 4.1 mEq/L C. Potassium level of 6.0 mEq/L D. Sodium level of 120 mEq/L
Karen, a G2, P1, experienced a precipitous birth 90 minutes ago. Her infant is 4200 grams and a repair of a second-degree laceration was needed following the birth
As part of the nursing assessment, the nurse discovers that Karen's uterus is boggy. Furthermore, it is noted that Karen's vaginal bleeding has increased. The nurse's most appropriate first action is to: a. Assess vital signs including blood pressure and pulse. b. Massage the uterine fundus with continual lower segment support. c. Measure and document each perineal pad changed in order to assess blood loss. d. Ensure appropriate lighting for a perineal repair if it is needed.
The nurse is caring for a patient taking trovafloxacin (Trovan) for an infection. The nurse understands that the greatest concern with using trovafloxacin and alatrofloxacin is the develop-ment of
a. hepatotoxicity. b. weight loss. c. visual disturbances. d. anemia.
A client diagnosed with left-sided cardiac failure would be most comfortable in which sleeping position?
1. Lying on either side with the head of the bed elevated 30° 2. Seated in a recliner with 2–3 pillows under head 3. Lying on the left side with the head of the bed elevated 30° 4. Seated in a recliner with 2–3 pillow under feet