A nurse is caring for a 45-year-old female client in a clinic setting. The client has returned for a follow-up visit after experiencing insomnia, anxiety, and weight loss despite an increased appetite over the past several weeks. Below are the exhibits that detail the client’s condition and clinical findings. Select the 4 findings that indicate an improvement in the client's condition.

Exhibits

Select the 4 findings that indicate an improvement in the client's condition.

Temperature

Mood

Weight

Sleep pattern

Heart rate

Abdominal findings

Answer and Explanation

Correct Answer : B,C,D,E

Choice A rationale:
The client’s temperature has decreased from 37.8°C (100°F) to 37.2°C (99°F). While this is a slight reduction, it indicates a move towards a more normal body temperature. Elevated temperatures can be associated with stress, anxiety, or other underlying conditions. A decrease in temperature suggests that the client’s body is stabilizing and that any potential underlying issues causing the elevated temperature are being managed effectively.

Choice B rationale:
The client’s mood has improved as she appears less anxious and more composed during the physical examination. Anxiety can significantly impact a person’s overall well-being, and a reduction in anxiety levels is a positive indicator of improvement. The client also expresses optimism about her recovery, which is a good sign of mental health improvement.
Choice C rationale:
The client has gained weight, increasing from 53 kg (117 lb) to 55 kg (121 lb). Weight gain in this context is a positive sign, indicating that the client’s body is responding well to treatment and that her nutritional status is improving. Unintentional weight loss can be a symptom of underlying health issues, so reversing this trend is a good indicator of recovery.
Choice D rationale:
The client reports better sleep, which is a significant improvement from her previous insomnia. Sleep is crucial for physical and mental health, and improved sleep patterns can lead to better overall health outcomes. Insomnia can exacerbate anxiety and other health issues, so better sleep is a positive sign.
Choice E rationale:
The client’s heart rate has decreased from 120/min to 95/min. A high heart rate can be a sign of anxiety, stress, or other health issues. A reduction in heart rate indicates that the client’s anxiety levels are decreasing and that her cardiovascular system is stabilizing. This is a positive sign of improvement in her overall health.

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Correct Answer is C

Explanation

Choice A rationale

Metoclopramide is not used to suppress cough. It is primarily used to treat nausea, vomiting, and gastroparesis.

Choice B rationale

Metoclopramide does not have a primary effect on muscle relaxation. Its main action is to increase gastrointestinal motility.

Choice C rationale

Reduced nausea is a primary outcome for evaluating the effectiveness of metoclopramide. It is commonly prescribed to manage nausea and vomiting.

Choice D rationale

Metoclopramide is not typically used to decrease pain. Its primary indications are related to gastrointestinal symptoms.

A. “Folic acid is important for stimulating the immune system.”. B. “Folic acid is given to increase the absorption of other medications.”. C. “Folic acid is administered to minimize the manifestations of benign prostatic hyperplasia.”. D. “Folic acid is important for the building of blood cells.”.

Correct Answer is D

Explanation

Choice A rationale
Folic acid is not primarily used to stimulate the immune system. Its main role is in the production of red blood cells and DNA synthesis.
Choice B rationale
Folic acid does not increase the absorption of other medications. It is used to prevent and treat folate deficiency.
Choice C rationale
Folic acid is not used to treat benign prostatic hyperplasia. It is important for cell growth and the production of red blood cells.
Choice D rationale
Folic acid is crucial for the building of blood cells and is especially important during periods of rapid cell division, such as pregnancy.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for metoclopramide. Which of the following outcomes should the nurse use to evaluate the effectiveness of this medication?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who has a new prescription for folic acid. The client states, “I thought that was only given during pregnancy.”. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is caring for a client who is experiencing respiratory depression after taking an excessive dose of oxycodone. Which of the following medications should the nurse expect to administer?

A nurse is caring for a client following a bronchoscopy with moderate sedation. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is preparing to administer mannitol IV to a client. The nurse should monitor the client for which of the following manifestations as an expected outcome of this medication?

A nurse is providing teaching to a client who has a duodenal ulcer and is starting to take sucralfate. Which of the following instructions should the nurse include in the teaching?

A nurse is providing teaching to a client who has a new prescription for methimazole for the treatment of hyperthyroidism. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who requires a transfusion of one unit of packed RBCs. The nurse receives the following prescription: “Diphenhydramine 50 mg by mouth once, one hour prior to transfusion.”. The nurse should identify this as which of the following types of prescription?

A nurse is teaching a group of newly licensed nurses about the prevention of medication errors. Which of the following factors should the nurse identify as the most frequent cause of fatal medication errors?