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A nurse is assessing a client who has a new diagnosis of major depressive disorder.

Which of the following client statements should the nurse expect?

"I feel like my mood has been all over the place."

"I recently started hearing voices in my head."

“I cannot trust you enough to tell you how I feel."

"just don't feel like doing things I usually enjoy."

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Rapid mood swings are not a defining characteristic of major depressive disorder.

Choice B rationale:

Hearing voices is a symptom more commonly associated with conditions like schizophrenia.

Choice C rationale:

Expressing mistrust of the nurse is not a specific symptom of major depressive disorder.

Choice D rationale:

A hallmark symptom of major depressive disorder is anhedonia, which is the diminished ability to experience pleasure or interest in previously enjoyed activities.

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Correct Answer is D

Explanation

Choice A rationale:

Monitoring for hearing loss is not a specific action for primary syphilis. Hearing loss can occur in later stages of syphilis.

Choice B rationale:

Contact precautions are not typically required for primary syphilis, as it is primarily transmitted through sexual contact.

Choice C rationale:

Antiviral medications are not used to treat syphilis. Antibiotics are the primary treatment.

Choice D rationale:

Syphilis is a sexually transmitted infection that is required to be reported to the public health department for tracking and control.

A. Check cervical dilation every 2 hr. B. Initiate an IV with an 18-gauge catheter. C. Monitor FHR hourly. D. Obtain vital signs every 4 hr.

Correct Answer is B

Explanation

Choice A rationale:

Frequent cervical examinations may increase the risk of introducing infection or causing additional bleeding. Cervical examinations are not a priority in managing placental abruption.

Choice B rationale:

Placental abruption can lead to significant blood loss, and the client may require intravenous fluids and blood products to maintain hemodynamic stability. Initiating an IV with an 18-gauge catheter allows for rapid administration of fluids and blood products if needed.

Choice C rationale:

Monitoring fetal heart rate hourly is important, but addressing the mother's hemodynamic stability with IV fluids takes priority.

Choice D rationale:

Vital signs should be obtained more frequently than every 4 hours due to the risk of ongoing blood loss.

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A nurse is assessing a client who has a new diagnosis of major depressive disorder. Which of the following client statements should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has primary syphilis. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is planning care for a client who is experiencing moderate vaginal bleeding due to a placental abruption. Which of the following interventions should the nurse include in the plan?

Correct Answer is B

Explanation

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A nurse is assessing a client who has a new diagnosis of major depressive disorder. Which of the following client statements should the nurse expect?

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A nurse is assessing a client who has a new diagnosis of major depressive disorder.

Which of the following client statements should the nurse expect?