An older client's spouse reports to the nurse that there has been a behavior change in the client for the past several days. The client was recently seen by the healthcare provider at the clinic and was treated for seasonal allergies and insomnia. Which action is most important for the nurse to implement?

Encourage the client to engage in social activities.

Review medications for drug and food interactions.

Appraise light sensitivity, tiredness, and dizzy spells.

Observe carefully for extrapyramidal symptoms (EPS).

Answer and Explanation

The Correct Answer is B

A. Encouraging social activities may benefit the client in the long term but does not directly address the immediate concern of the reported behavior change.

B. Reviewing medications for drug and food interactions is crucial, especially since the behavior change could be related to new medications or combinations that the client was prescribed. This assessment can help identify any adverse effects or interactions affecting the client's mental status.

C. Appraising for light sensitivity, tiredness, and dizzy spells is important but does not directly address the most pressing concern of behavioral changes which could be medication-related.

D. Observing for extrapyramidal symptoms (EPS) is important if the client is on antipsychotic medication, but the more immediate step is to ensure that medications are not contributing to the behavior change.

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Correct Answer is A

Explanation

A. Nitroglycerin should be withheld because it can cause severe hypotension when administered to a client who has recently taken sildenafil, which also causes vasodilation.

B. Aspirin is generally safe to administer and can help with chest pain, especially if a myocardial infarction is suspected.

C. Heparin is an anticoagulant used for treating various conditions and is not contraindicated in this scenario.

D. Morphine can be administered to manage severe chest pain, as it is not contraindicated in this situation.

A. The client says that she sometimes forgets why she is in the hospital. B. The client seems unemotional when talking about needing 10 rebuild her house. C. The client is frightened that the hospital will burn down. D. The client discusses moving to Hawaii

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"C"}}

Explanation

Isolation: The statement about forgetting why she is in the hospital reflects an emotional detachment or numbing, which can be associated with isolating oneself from the reality of the situation.

Fantasy: Discussing moving to Hawaii can be viewed as a way to escape her current distressing reality through imagination or daydreaming. Similarly, her fear of the hospital burning down suggests a disconnect from the present situation, which can be a form of fantasy thinking.

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Naxlex Comprehensive Predictor Exams

A client arrives to the emergency department with chest pain after taking sildenafil. Based on the client's history, which medication should the nurse withhold?

Correct Answer is A

Explanation

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"C"}}

Explanation

When conducting diet teaching for a client who was diagnosed with hypertension, which food(s) should the nurse encourage the client to eat? Select all that apply.

A client with chronic kidney disease (CKD) has an arteriovenous (AV) fistula in the left forearm. Which observation by the nurse indicates that the fistula is patent?

The nurse is admitting a client from the post-anesthesia unit to the postoperative surgical care unit. Which prescription should the nurse implement first?

A client taking temazepam informs the nurse of plans to quit taking the medication due to feelings of "hungover" the next day. Which action should the nurse implement?

A client with a recent exacerbation of heart failure reports to the nurse feeling uncomfortable and anxious, with a sensation of the flopping in the chest. While waiting for an electrocardiogram (ECG), which assessment is most important for the nurse to obtain?

The healthcare provider prescribes the antibiotic cefdinir 300 mg PO every 12 hours for a client with a postoperative wound infection. Which foods should the nurse encourage this client to eat?

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