Your patient, who is manic, has lost 5 pounds and is underweight. Which meal is most appropriate?

Chicken fingers and fries

Grilled chicken and baked potato

Chili and crackers

Spaghetti and meatballs

Answer and Explanation

The Correct Answer is B

Choice A reason: Chicken fingers and fries are typically high in fat and may not provide balanced nutrition for an underweight patient.

Choice B reason: Grilled chicken and a baked potato offer a good balance of protein and carbohydrates, which can help in weight gain and provide sustained energy.

Choice C reason: Chili and crackers may not provide enough calories or balanced nutrition for someone who is underweight and needs to gain weight.

Choice D reason: Spaghetti and meatballs can be a good option for weight gain due to the high carbohydrate and protein content, but grilled chicken and a baked potato are healthier and more balanced choices.

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Correct Answer is C

Explanation

Choice A reason: This response may come off as dismissive and does not address the patient's immediate concerns or feelings.

Choice B reason: While this response offers a solution, it does not engage with the patient's current emotional state or provide immediate support.

Choice C reason: This response is therapeutic as it acknowledges the patient's emotional state and invites them to discuss their concerns, which is important in managing patients with bipolar disorder.

Choice D reason: This response might minimize the patient's feelings and does not encourage communication about the patient's current distress.

A. Suggest that the client rests before eating the meal. B. Request a dietary consult. C. Request an order for an antiemetic. D. Check the client's vital signs.

Correct Answer is D

Explanation

Choice A reason: While rest may help alleviate nausea, it is not the first action a nurse should take when a client on digoxin reports nausea, as it could be a sign of toxicity.

Choice B reason: A dietary consult may be beneficial in the long term but is not the immediate priority when a client reports nausea, which could be a symptom of digoxin toxicity.

Choice C reason: Requesting an order for an antiemetic is not the first step without assessing whether the nausea is due to digoxin toxicity, which can be life-threatening.

Choice D reason: Checking the client's vital signs is the correct first action because nausea can be a sign of digoxin toxicity, and vital signs may reveal other symptoms of toxicity.

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Your patient, who is manic, has lost 5 pounds and is underweight. Which meal is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on the mental health unit is caring for a client who has bipolar disorder and comes to the nurse's station at 0300 demanding to see the provider. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

Which statement made by a patient indicates a possible exacerbation of heart failure (HF)?

The nurse is caring for a group of patients. Which patient is at the highest risk for developing heart failure (HF)?

The licensed practical nurse is assisting with collecting data on a female patient. Which of the following findings should be reported to the registered nurse as possible atypical symptoms of a myocardial infarction in the absence of chest pain? Select all that apply.

The nurse is reinforcing teaching for a patient with chronic heart failure. Which of the following weight measurements should the nurse ask the patient to perform to monitor fluid status at home?

A nurse is preparing to administer digoxin to a client who has heart failure. Before administering this medication, which of the following actions should the nurse take?

Ms. S is admitted to your medical unit with a diagnosis of dehydration and a history of depression. She tells you, "I just can't eat, I'm not hungry." What would be your best therapeutic response?

Which statement is most true about bipolar disorder?