A nurse in a primary care provider’s office is caring for a client.
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Nurses’ Notes
Today, 0900: Client returns for a follow-up examination after new onset of symptoms; client reports loss of appetite; reports sleeping most of the day; became teary when asked about plans for activities; questions reason to live if not working; auscultated lungs for a dry, nonproductive cough; breath sounds present bilaterally; experiences occasional muscle “aches and pains”; reports having no energy.
Client returns for a follow-up examination after new onset of symptoms
loss of appetite
sleeping most of the day
became teary when asked about plans for activities
questions reason to live if not working
experiences occasional muscle “aches and pains”
having no energy
The Correct Answer is ["A","B","C","D","E","F","G"]
The client’s return for a follow-up examination after new onset of symptoms indicates a change in their health status that requires immediate attention.
Loss of appetite can be a sign of various health issues, including depression and other mental health disorders1. It’s important to address this symptom promptly to ensure the client is receiving proper nutrition.
Excessive sleepiness can be a symptom of several conditions, including depression, sleep disorders, and certain medical conditions1. It’s important to investigate this symptom further to determine its cause.
Becoming teary when asked about plans for activities could indicate emotional distress or depression. Mental health is a critical aspect of overall health, and this symptom should be addressed promptly.
Questioning the reason to live if not working is a serious symptom that could indicate suicidal ideation
This requires immediate attention and intervention.
While a dry, nonproductive cough can be a symptom of a respiratory condition, since breath sounds are present bilaterally, it may not require immediate attention. However, any persistent cough should be evaluated.
Occasional muscle aches and pains can be a symptom of various conditions, including fibromyalgia, influenza, and other infections1. It’s important to investigate this symptom further to determine its cause.
Reporting no energy could be a symptom of conditions such as depression, chronic fatigue syndrome, or anemia. This symptom should be addressed promptly to determine its cause and appropriate treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
The statement "Disulfiram" is not appropriate for managing acute alcohol withdrawal. Disulfiram is used as a deterrent for alcohol consumption by causing unpleasant effects when alcohol is ingested. It is not effective in treating the symptoms of acute withdrawal.
Choice B reason:
The statement "Chlordiazepoxide" is the correct response. Chlordiazepoxide is a benzodiazepine commonly used to manage acute alcohol withdrawal symptoms. It helps reduce the risk of seizures and provides sedation to alleviate withdrawal symptoms.
Choice C reason:
The statement "Bupropion" is not suitable for treating acute alcohol withdrawal. Bupropion is an antidepressant and smoking cessation aid. It does not address the symptoms of alcohol withdrawal and is not used in this context.
Choice D reason:
The statement "Buprenorphine" is not appropriate for managing acute alcohol withdrawal. Buprenorphine is used to treat opioid dependence and pain management. It does not address the symptoms of alcohol withdrawal.
Correct Answer is D
Explanation
Choice A reason:
The statement "Provide the client with a timeline for grieving" is not appropriate. Grieving is a highly individual process, and there is no set timeline for how long it should take. Providing a timeline can create unrealistic expectations and additional stress for the client.
Choice B reason:
The statement "Share personal stories of grief with the client" is not recommended. While sharing personal experiences can sometimes help build rapport, it can also shift the focus away from the client's needs and feelings. The primary goal should be to support the client in expressing their own emotions³.
Choice C reason:
The statement "Show sympathy for the client when discussing their condition" is well-intentioned but not the most effective approach. While showing sympathy is important, it is more beneficial to provide empathetic support that encourages the client to talk about their feelings and experiences.
Choice D reason:
The statement "Encourage the client to express their feelings" is the correct response. Encouraging the client to express their feelings helps them process their grief and can provide emotional relief. It is important to create a safe and supportive environment where the client feels comfortable sharing their emotions.
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