The nurse administering an antidepressant to a suicidal patient understands that the brain abnormality the medication addresses is:
a. Atrophy of the brain
b. Enlarged lateral ventricles
c. Irregularities in the serotonin system
d. Abnormal electroencephalogram (EEG) readings
ANS: C
Antidepressants regulate serotonin levels, which is a chemical that is involved the develop-ment of depression. There is no research to support brain atrophy or enlarged lateral ventricles as being related to the development of depression. EEG readings are designed to assess the electrical activity of the brain.
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The nurse is caring for a 41-weeks'-gestation infant born yesterday. Her hematocrit is 75%. The best action by the nurse based on this finding is to:
1. Inform the parents that their baby has an abnormal lab value. 2. Call the physician and report the hematocrit level. 3. Notify the blood bank that a transfusion will be required. 4. Increase breastfeeding frequency, and supplement between feedings.
The nurse auscultates fetal heart tones on a woman in her third trimester of pregnancy and counts a heart rate of 92 beats/minute. Which action by the nurse is best?
A. Apply oxygen at 6 L/minute. B. Assess the maternal heart rate. C. Document the findings in the chart. D. Turn the woman on her left side.
The nurse is collecting a health history on a middle-aged African American male. The nurse asks about past blood pressure screening because the incidence of hypertension is higher in this ethnic group than in others. This is an example of
a. a generalization based on the nurse's limited experience with African Americans. b. bias, and the nurse should not question the client about blood pressure screening. c. stereotyping the client based on the client's ethnic/racial group. d. using valid research data to focus questions on the client's specific risks.
A client who had extensive oral surgery 5 days earlier has the nursing diagnosis of Imbalanced Nutrition: Less than Body Requirements related to altered oral mucosa and surgical procedure
The most appropriate caution by the nurse when the client resumes oral feedings is a. "It will be painful to eat for some time." b. "Often clients lose their sense of taste following surgery." c. "The capacity of your mouth will be smaller." d. "You may have difficulty feeling the food in your mouth."