A nurse is assessing a client who takes diazepam for anxiety and hydromorphone for severe pain. Which of the following is the priority finding that the nurse should report to the provider?

Urinary retention

Blurred vision

Headache

Bradypnea

Answer and Explanation

The Correct Answer is D

Choice A reason:

Urinary retention can be a side effect of both diazepam and hydromorphone, but it is not typically life-threatening. While it should be monitored and addressed, it is not the most urgent concern compared to respiratory issues.

Choice B reason:

Blurred vision can occur with the use of diazepam and hydromorphone, but it is generally not an immediate threat to the client’s life. It should be reported and managed, but it is not the highest priority.

Choice C reason:

Headache is a common side effect of many medications, including diazepam and hydromorphone. While it can be uncomfortable and may need treatment, it is not usually a sign of a life-threatening condition.

Choice D reason:

Bradypnea, or slow breathing, is a serious side effect that can occur with the use of both diazepam and hydromorphone, as both medications depress the central nervous system. This can lead to respiratory depression, which is potentially life-threatening and requires immediate medical attention.

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Correct Answer is A

Explanation

Choice A reason: Serotonin deficiency is a well-known risk factor for major depressive disorder. Serotonin is a neurotransmitter that plays a crucial role in mood regulation, and its deficiency can lead to symptoms of depression. This is why many antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs), aim to increase serotonin levels in the brain.

Choice B reason: Acute bronchitis is a respiratory condition that involves inflammation of the bronchial tubes. While it can cause significant discomfort and health issues, it is not directly linked to major depressive disorder. However, chronic illnesses can sometimes contribute to depressive symptoms due to the ongoing stress and physical limitations they impose.

Choice C reason: Elevated calcium levels, or hypercalcemia, can cause a variety of symptoms, including fatigue, confusion, and depression-like symptoms. However, it is not a primary risk factor for major depressive disorder. Hypercalcemia is usually related to other underlying conditions such as hyperparathyroidism or certain cancers.

Choice D reason: Being an only child is not considered a risk factor for major depressive disorder. While family dynamics and social relationships can influence mental health, there is no direct evidence linking being an only child to an increased risk of developing major depressive disorder.

A. Use detailed explanations when providing education to the client. B. Maintain a stimulating environment for the client. C. Provide the client with a structured schedule of daily activities. D. Limit time for rituals to 30 minutes each day.

Correct Answer is C

Explanation

Choice A reason:

While detailed explanations can be helpful, they are not the primary intervention for managing OCD. The focus should be on structured activities and behavioral interventions.

Choice B reason:

Maintaining a stimulating environment is not appropriate for clients with OCD as it may increase anxiety and compulsive behaviors. A calm and structured environment is more beneficial.

Choice C reason:

Providing a structured schedule of daily activities helps clients with OCD manage their time and reduce the frequency of compulsive behaviors. It promotes routine and predictability, which can alleviate anxiety.

Choice D reason:

Limiting time for rituals to 30 minutes each day is not a practical intervention. Instead, the focus should be on gradually reducing the time spent on rituals through behavioral therapy techniques.

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A nurse is assessing a client who takes diazepam for anxiety and hydromorphone for severe pain. Which of the following is the priority finding that the nurse should report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a newly admitted client who has major depressive disorder. Which of the following findings should the nurse identify as a risk factor for this condition?

Correct Answer is A

Explanation

A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following interventions should the nurse include?

Correct Answer is C

Explanation

A nurse is assessing a client who takes diazepam for anxiety and hydromorphone for severe pain. Which of the following is the priority finding that the nurse should report to the provider?

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