In conducting the initial assessment of a preoperative client, the nurse notes that the client's home medications include the monoamine oxidase (MAO) inhibitor phenelzine. Because of this client's medication history, which assessment finding is most important for the nurse to monitor?

Blood pressure.

Urinary output.

Respiratory rate.

Temperature.

Answer and Explanation

The Correct Answer is A

Rationale:
A.   MAO inhibitors such as phenelzine can cause significant fluctuations in blood pressure, including hypertensive crisis when combined with certain foods or medications. Therefore, monitoring blood pressure is crucial to detect and prevent hypertensive emergencies.
B.   While monitoring urinary output is important for overall assessment, it is not specifically associated with the use of MAO inhibitors like phenelzine.
C.   Respiratory rate is not typically affected by MAO inhibitors like phenelzine and may not be the most relevant assessment finding in this scenario.
D.   Temperature monitoring is important for general assessment but is not specifically associated with the use of MAO inhibitors like phenelzine.

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Correct Answer is ["A","B","C","E"]

Explanation

A. Shame and guilt often play a significant role in why victims of intimate partner violence may struggle to leave abusive relationships. Victims may feel ashamed of the abuse they are experiencing or guilty for various reasons, such as believing they are responsible for the abuse or worrying about the judgment of others.
B. Children can be a central factor in a victim's decision to stay in an abusive relationship. Concerns about the well-being of the children, fear of losing custody, or the desire to maintain a two-parent household can influence a victim's decision-making process.
C. Religious beliefs about marriage can also impact a victim's choice to stay in an abusive relationship. Some religions emphasize the sanctity of marriage and the importance of family unity, which can lead victims to feel obligated to stay and try to work things out despite the violence.
D. The belief that the perpetrator will not change is not typically a reason victims stay; rather, it's often hope for change that keeps them in the relationship. However, this option does not apply as a reason for staying as per the context of the question.
E. Financial dependency is a common barrier to leaving an abusive relationship. Victims may be economically dependent on their abusers for basic needs and financial security, making it challenging to envision a life independent of the relationship.

A. Efforts to cut down, annoyance with questions, guilt, drinking as an "Eye-opener." B. Consumption, liver enzyme, gastrointestinal complaints and bleeding. C. Cancer screening results, anger, gastritis, daily alcohol intake. D. Minimizes drinking, frequently misses family events, guilt about drinking, amount of daily intake.

Correct Answer is A

Explanation

A. The CAGE questionnaire focuses on four key aspects related to alcohol use: efforts to Cut down, Annoyance with questions about drinking, feelings of Guilt about drinking, and using alcohol as an "Eye-opener" in the morning. Exploring these aspects in depth can provide valuable information about the client's relationship with alcohol and potential problems.

B. While information about consumption, liver enzymes, and gastrointestinal complaints is important for assessing alcohol-related issues, these are not specifically addressed by the CAGE questionnaire.
C. Cancer screening results, anger, gastritis, and daily alcohol intake are relevant to assessing the client's overall health and alcohol use but are not directly related to the questions asked in the
CAGE questionnaire.
D. While information about minimizing drinking, missing family events, guilt about drinking, and daily alcohol intake may provide insight into the client's alcohol use, these aspects are not specifically addressed by the questions in the CAGE questionnaire.

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In conducting the initial assessment of a preoperative client, the nurse notes that the client's home medications include the monoamine oxidase (MAO) inhibitor phenelzine. Because of this client's medication history, which assessment finding is most important for the nurse to monitor?

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Naxlex Comprehensive Predictor Exams

Which reason(s) should the nurse expect a female client to use when she is having difficulty leaving a relationship where she is a victim of intimate partner violence? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

The nurse is using the CAGE questionnaire as a screening tool for a client who is seeking help because his wife said he had a drinking problem. Which information should the nurse explore in depth with the client based on this screening tool?

Correct Answer is A

Explanation

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