A nurse is contributing to the plan of care for a client who has a major depressive disorder. Which of the following recommendations should the nurse include in the plan of care?

Recommend the client spend time alone in his room.

Suggest the client exercise before going to bed.

Offer the client low-protein snacks throughout the day.

Encourage the client to use positive self-talk.

Answer and Explanation

The Correct Answer is D

A.   Social isolation can exacerbate depressive symptoms, so it's not recommended for the client to spend time alone in his room.
B.   Exercise is generally beneficial for individuals with depression, but exercising before bedtime might interfere with sleep.
C.   There's no evidence to support the direct relationship between low-protein snacks and managing major depressive disorder.
D.   Correct. Encouraging the client to use positive self-talk can help counteract negative thought patterns that are often present in depression.

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Correct Answer is B

Explanation

A. Incorrect. Placing the client in a supine position may impede drainage and is not recommended for a client with a chest tube.
B. Correct. Ensuring that the chest tube drainage system is kept below the level of the client's chest allows for proper drainage of fluid and prevents backflow of drainage into the client's chest.
C. Incorrect. The collection chamber should be emptied as needed to prevent overfilling, which could obstruct drainage.
D. Incorrect. Clamping the chest tube is not indicated for a client with a chest tube set to continuous suction, as it would interfere with the function of the drainage system.

A. Chadwick's sign B. Chloasma C. Hegar's sign D. Ballottement

Correct Answer is A

Explanation

A. Correct. Chadwick's sign is a bluish or purplish discoloration of the vaginal and vulvar tissues due to increased vascularity that occurs during pregnancy. This is a normal finding in early pregnancy.
B. Incorrect. Chloasma refers to the appearance of dark patches on the skin, often seen on the face, and is not related to the vaginal and vulvar color changes seen in Chadwick's sign.
C. Incorrect. Hegar's sign refers to the softening of the cervix and isthmus of the uterus, not the color changes in the vaginal and vulvar tissues.
D. Incorrect. Ballottement is a physical examination technique used to assess a floating mass in the body, such as a fetus, and is not related to the color changes in the vaginal and vulvar tissues.

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A nurse is contributing to the plan of care for a client who has a major depressive disorder. Which of the following recommendations should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has a chest tube set to continuous suction to relieve a pneumothorax. Which of the following interventions should the nurse include?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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