The nurse is conducting an assessment of a client whose parent died suddenly two months ago. The client is tearful, withdrawn, and describes a loss of interest in daily activities but denies suicidal ideations. Which problem should the nurse document for this client?

Disturbed thought processes.

Impaired coping.

Bereavement.

Acute confusion.

Answer and Explanation

The Correct Answer is C

Rationale:
A. Disturbed thought processes: The client is tearful and withdrawn but shows no evidence of disorientation, delusions, or cognitive impairment. Thought processes appear intact, making this diagnosis inappropriate.

B. Impaired coping: While the client is experiencing emotional distress, the behaviors described—tearfulness, withdrawal, and decreased interest—are expected responses to a recent significant loss. These reactions do not necessarily indicate maladaptive coping.

C. Bereavement: The client’s symptoms are consistent with normal grief responses following the sudden death of a parent. Tearfulness, withdrawal, and loss of interest in daily activities reflect the bereavement process. This is the most appropriate nursing problem to document.

D. Acute confusion: Acute confusion involves sudden changes in cognition, attention, and orientation. The client does not demonstrate disorientation, memory deficits, or fluctuating mental status, so this diagnosis is not applicable.

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Correct Answer is B

Explanation

Rationale:
A. Avocados and cheese: These foods are nutritious but do not specifically help maintain gut flora affected by antibiotics. They do not counteract potential antibiotic-associated diarrhea or dysbiosis.

B. Yogurt or buttermilk: Antibiotics like cefdinir can disrupt normal intestinal flora, increasing the risk of diarrhea or yeast overgrowth. Probiotic-rich foods, such as yogurt or buttermilk, help restore healthy gut bacteria and support gastrointestinal function during antibiotic therapy.

C. Fresh fruits: Fruits provide vitamins and fiber but do not specifically prevent antibiotic-related gut flora disturbances. They are supportive but not the most targeted choice.

D. Green leafy vegetables: These are good sources of vitamins and minerals but do not directly mitigate antibiotic-induced gastrointestinal effects. Probiotic-containing foods are more relevant to this scenario.

A. The client's glycosylated hemoglobin A1C is below 7%. B. The client does not develop deep vein thrombosis (DVT) after abdominal surgery. C. The client's hemoglobin remains above 14 g/dL (140 g/L). D. The pulmonary embolus has lysed and the client's respiratory status improves.

Correct Answer is B

Explanation

Rationale:
A. The client's glycosylated hemoglobin A1C is below 7%: A1C reflects long-term blood glucose control, which is unrelated to the anticoagulant effects of enoxaparin. It does not indicate the medication’s effectiveness in preventing clot formation.

B. The client does not develop deep vein thrombosis (DVT) after abdominal surgery: Enoxaparin is a low-molecular-weight heparin used to prevent thrombus formation. The absence of DVT postoperatively demonstrates that the anticoagulant is achieving its intended prophylactic effect.

C. The client's hemoglobin remains above 14 g/dL (140 g/L): Hemoglobin levels indicate anemia status but are not a measure of anticoagulant effectiveness. While significant bleeding could lower Hgb, normal levels alone do not confirm therapeutic efficacy.

D. The pulmonary embolus has lysed and the client's respiratory status improves: Enoxaparin prevents new clot formation but does not actively lyse existing thrombi. Improvement in a pulmonary embolus would require other interventions, such as thrombolytic therapy.

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The nurse is conducting an assessment of a client whose parent died suddenly two months ago. The client is tearful, withdrawn, and describes a loss of interest in daily activities but denies suicidal ideations. Which problem should the nurse document for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

While assessing a client's health history, the nurse notes that the client has been receiving enoxaparin. Which health outcome would indicate this medication is effective? Reference Range: Glycosylated hemoglobin (A1C) [4% to 5.9% ] Hemoglobin (Hgb) [12 to 16 g/dL (120 to 160 g/L)]

Correct Answer is B

Explanation

Patient Data For each nursing intervention, click to indicate whether the action is appropriate or not appropriate for this client. Each row must have only one response option selected.

A young woman with multiple sclerosis just received several immunizations in preparation for moving into a college dormitory. Two days later, she reports to the nurse that she is experiencing increasing fatigue and visual problems. Which teaching should the nurse provide?"

Patient Data Choose the most likely options for the information missing from the statement below by selecting from the lists of options provided. The nurse recognizes that a diagnosis of dropdown explained by assessment findings of dropdown and dropdown.

When planning care for an adolescent with anorexia nervosa, which nursing problem has the highest priority?

For each assessment finding click to indicate whether these nursing interventions are appropriate or not appropriate. Each column must have at least one response option selected.

Patient Data For each assessment finding click to indicate whether findings from this client's assessment are associated with cerebral vascular accident, liver disorder, or thrombocytopenia. Each column must have at least one response option selected.