The nurse assesses that medication teaching about tricyclic antidepressants was understood when the client states:

"They may cause hypomania or recent memory impairment."

"Their full therapeutic potential may not be reached until 4 weeks."

"They should not be given with antianxiety agents."

"Strong or aged cheese should not be eaten while taking them."

Answer and Explanation

The Correct Answer is B

B. Tricyclic antidepressants (TCAs) are known to take some time before their full therapeutic effects are realized, which can indeed be up to four weeks. This delay is due to the gradual changes they induce in the brain's biochemistry.
A. TCAs can cause a variety of side effects but hypomania and recent memory impairment are not typically associated with these medications.
C. TCAs do not have a known interaction with antianxiety agents that would prohibit their concurrent use.
D. The restriction on eating strong or aged cheese is associated with another class of antidepressants known as monoamine oxidase inhibitors (MAOIs), not TCAs.

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Correct Answer is C

Explanation

C. After ECT, the client may be disoriented, confused, or drowsy due to the effects of anesthesia and the procedure itself. Orienting the client to their surroundings and situation helps promote their safety and comfort. Monitoring vital signs, including blood pressure, heart rate, respiratory rate, and oxygen saturation, is crucial to assess the client's immediate post-procedural status and detect any complications.
A. Offering reassurance can help alleviate any anxiety or confusion the client may experience. However, while this intervention is important, it may not be the first priority immediately upon admission to the Post Anesthesia Care Unit (PACU).
B. Hydration is important after any medical procedure, including ECT. However, immediately after ECT, the client may still be recovering from anesthesia and may not be fully alert or able to safely drink fluids.
D. Assisting the client with mobility is important but it may not be the first intervention performed in the PACU after ECT. The priority immediately upon admission to the PACU is to ensure the client's safety.

A. hyperactivity and attention deficits. B. failure to develop interpersonal skills. C. high levels of anxiety when separated from the mother. D. a history of disobedience and destructive acts.

Correct Answer is B

Explanation

B. Children with ASD may show reduced interest in social interactions, have difficulty understanding social cues, and may not engage in typical play with peers or caregivers. They might also exhibit challenges with nonverbal communication, such as making eye contact or using gestures.
A. While hyperactivity and attention deficits can be present in children with ASD, they are not as specific to the diagnosis as impaired social skills.
C. High levels of anxiety when separated from the mother could be seen in many conditions and are not particularly indicative of ASD.

D. A history of disobedience and destructive acts could be seen in many conditions and are not particularly indicative of ASD.

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The nurse assesses that medication teaching about tricyclic antidepressants was understood when the client states:

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Naxlex Comprehensive Predictor Exams

A client has just been admitted to the Post Anesthesia Care Unit after electroconvulsive therapy (ECT). Which intervention will the nurse perform first?

Correct Answer is C

Explanation

When assessing a 2-year-old child with suspected autism spectrum disorder, the nurse should be particularly alert for:

Correct Answer is B

Explanation

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