A nurse is caring for a client who is exhibiting a depressed mood one week before the start of their menstrual cycle. The nurse should identify that the client is exhibiting manifestations consistent with which of the following disorders?

Postpartum depression

Bipolar disorder

Premenstrual dysphoric disorder

Cyclothymic disorder

Answer and Explanation

The Correct Answer is C

A. Postpartum depression: Postpartum depression occurs after childbirth, not before menstruation.

B. Bipolar disorder: Bipolar disorder involves mood swings between mania and depression that are not tied to the menstrual cycle.

C. Premenstrual dysphoric disorder (PMDD): PMDD is a severe form of premenstrual syndrome (PMS) characterized by significant mood disturbances, such as depression, irritability, and anxiety, occurring in the luteal phase (one week before menstruation).

D. Cyclothymic disorder: Cyclothymic disorder is a chronic mood disorder involving frequent mood fluctuations but is not related to the menstrual cycle.

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Correct Answer is B

Explanation

A. Polyuria: COPD with chronic respiratory acidosis is not associated with excessive urine production. Instead, clients may experience fluid retention due to right-sided heart failure (cor pulmonale).

B. Delirium: Chronic respiratory acidosis leads to CO₂ retention, which can cause confusion, drowsiness, and even delirium due to cerebral vasodilation and altered mental status.

C. Osteoporosis: While COPD patients may have osteoporosis due to steroid use or inactivity, it is not a direct effect of chronic respiratory acidosis.

D. Anxiety and depression: While common in COPD due to lifestyle limitations, anxiety and depression are not direct physiological effects of respiratory acidosis.

A. Educating the patient on the surgical process B. Ensuring the patient's preoperative checklist is complete C. Answering all questions for the patient about surgery D. Admitting the patient to the facility

Correct Answer is B

Explanation

A. Educating the patient on the surgical process. Preoperative education is important, but ensuring that all essential preoperative requirements are met takes precedence.

B. Ensuring the patient's preoperative checklist is complete. The preoperative checklist ensures that all necessary steps (e.g., consent, lab results, NPO status) are completed before surgery. Missing an essential step could delay or complicate the procedure.

C. Answering all questions for the patient about surgery. Answering questions is important but is not the priority over ensuring surgical readiness.

D. Admitting the patient to the facility. While admission is necessary, it does not take precedence over ensuring all preoperative preparations are complete.

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A nurse is caring for a client who is exhibiting a depressed mood one week before the start of their menstrual cycle. The nurse should identify that the client is exhibiting manifestations consistent with which of the following disorders?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has chronic respiratory acidosis due to chronic obstructive pulmonary disease (COPD). Which of the following findings should the nurse expect with this client?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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