A nurse is caring for a client who has a spinal cord injury and is at risk for depression. Which of the following findings should the nurse identify as an indication that the client is developing depression?

Difficulty concentrating

Paranoia

Feelings of grandeur

Flight of ideas

Answer and Explanation

The Correct Answer is A

Choice A reason: Difficulty concentrating is a common symptom of depression, particularly in individuals with a spinal cord injury, where the change in lifestyle and physical abilities can lead to cognitive overload and reduced focus.

Choice B reason: While paranoia can be associated with other mental health conditions, it is not a typical sign of depression. Depression is more commonly associated with symptoms like hopelessness and low self-esteem.

Choice C reason: Feelings of grandeur are not typically associated with depression. This symptom is more indicative of mania or other psychiatric conditions such as bipolar disorder.

Choice D reason: Flight of ideas is a symptom often seen in manic episodes and is characterized by rapidly changing or disjointed thoughts. It is not a common symptom of depression.

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Correct Answer is C

Explanation

Choice A Reason:Thrombolytic agents (clot-dissolving drugs) are indeed used to dissolve blood clots that block coronary artery flow during a heart attack. These medications help restore blood flow and prevent further damage to the heart muscle.

Choice B Reason:Bedrest is commonly recommended after a myocardial infarction (heart attack) to reduce the workload on the heart. It allows the heart to heal and minimizes strain during the recovery phase.

Choice C Reason:Timely diagnosis of myocardial infarction is crucial because early intervention can significantly impact the extent of muscle damage. Rapid treatment helps preserve heart tissue and prevent complications.

Choice D Reason:Percutaneous coronary intervention (PCI) involves using a stent to reopen a blocked coronary artery. This procedure restores blood flow and improves outcomes for patients with myocardial infarction.

A. Measure the client's apical pulse. B. Offer the client a light snack. C. Check the client's blood pressure. D. Weigh the client.

Correct Answer is A

Explanation

Choice A reason:Monitoring the apical pulse helps ensure safety and effectiveness of digoxin therapy.

Choice B reason:Offering a light snack is not relevant to digoxin administration.

Choice C reason:While checking the client's blood pressure is important, it is not directly related to digoxin administration.

Choice D reason:Weighing the client is not a specific action related to digoxin administration.

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A nurse is caring for a client who has a spinal cord injury and is at risk for depression. Which of the following findings should the nurse identify as an indication that the client is developing depression?

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Naxlex Comprehensive Predictor Exams

Which statement regarding the treatment of a myocardial infarction is incorrect?

Correct Answer is C

Explanation

A nurse is preparing to administer digoxin to a client who has heart failure. Before administering this medication, which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a client who has bipolar disorder and states that his latest computer project is "revolutionizing the industry." Which of the following behaviors is the client exhibiting?

A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following actions should the nurse take first?

A nurse is caring for a client who has a spinal cord injury and is at risk for depression. Which of the following findings should the nurse identify as an indication that the client is developing depression?

The healthcare provider (HCP) informs the licensed practical nurse/licensed vocational nurse (LPN/LVN) that the patient has cor pulmonale. The patient asks what this means. Which explanation by the nurse is most appropriate?

A nurse is reviewing the plan of care for a client who has depression. Which of the following actions should the nurse plan to take?

Your patient with major depressive disorder isolates herself in her room for the whole day. You find her sitting and staring out the window. What is your best therapeutic response when you walk into her room?

A nurse is caring for a hospitalized client who has bipolar disorder and is disturbing other clients with incessant talking. Which of the following actions should the nurse take?