A nurse is contributing to the plan of care for a client who is newly admitted with severe depression. Which of the following actions should be added to the plan of care?
Encourage the client to sleep during the day to make up for insomnia.
Schedule a brisk physical activity before bedtime to facilitate sleep.
Monitor the client for bouts of diarrhea.
Offer the client frequent small snacks during waking hours.
The Correct Answer is D
Choice A reason: Encouraging the client to sleep during the day can disrupt the normal sleep-wake cycle and is not recommended for managing insomnia associated with depression.
Choice B reason: Scheduling a brisk physical activity before bedtime can be stimulating and may actually make it more difficult for the client to fall asleep.
Choice C reason: Monitoring for bouts of diarrhea is not directly related to the care of a client with severe depression unless the client is on specific medications that may cause gastrointestinal upset as a side effect.
Choice D reason: Offering frequent small snacks can help manage the weight loss and decreased appetite often seen in clients with severe depression, ensuring they receive adequate nutrition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Fresh vegetables are typically low in sodium and are a healthy choice for someone on a low-sodium diet.
Choice B reason: Canned soups often have high sodium content and are not recommended for a low-sodium diet.
Choice C reason: Hot dogs are processed meats that are usually high in sodium and should be avoided on a low-sodium diet.
Choice D reason: Milk and cheese can vary in sodium content; some cheeses are high in sodium and should be consumed in moderation or avoided. Fresh vegetables are the safest recommendation as they are naturally low in sodium and fit within a low-sodium diet.
Correct Answer is A
Explanation
Choice A reason: A rapid weight gain is a common sign of fluid retention, which can indicate an exacerbation of heart failure.
Choice B reason: Being able to breathe easier would typically indicate an improvement in heart failure symptoms, not an exacerbation.
Choice C reason: Cooking dinner suggests a level of activity that is not indicative of an exacerbation of heart failure.
Choice D reason: The absence of swelling in the feet would generally be a positive sign, not indicative of an exacerbation of heart failure.
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