A client survived a workplace accident that claimed the lives of many of the client's colleagues several months ago. The client has recently sought care for the treatment of depression. How should the nurse best understand the client's current mental health problem?

The client's depression most likely occurred prior to the disaster.

The client is experiencing a common response following a disaster.

The client is not able to appreciate the fact they survived the disaster.

The client most likely feels guilty about actions they took during the disaster.

Answer and Explanation

The Correct Answer is B

B. Experiencing depression following a disaster is a common response. Survivors often experience a range of emotional responses, including depression, due to the trauma and loss associated with the event.
A. The depression is more likely related to the traumatic event rather than a pre-existing condition.
C. While survivors may struggle with feelings of guilt or disbelief, the focus should be on understanding the depression as a response to the trauma experienced.
D. Although feelings of guilt may be present, it is more pertinent to address the depression as a common mental health issue following a traumatic event.

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Correct Answer is B

Explanation

A. Assessing for upper extremity injuries is important, but it is not the highest priority in an unconscious client who is at risk for airway obstruction.
B. Suctioning saliva from the client's mouth is the highest priority because an unconscious client is at risk for airway obstruction due to the accumulation of saliva or other secretions. Maintaining a clear airway is essential to prevent aspiration and ensure adequate oxygenation.
C. Monitoring electrolyte levels is important in the overall management of a client with cerebral hemorrhage, but it is not the immediate priority compared to securing the airway.
D. Recording intake and output is necessary for fluid balance monitoring but is secondary to the immediate need to maintain a patent airway in an unconscious client.

A. "Tremors, nervousness, and insomnia may indicate your dose is too high." B. "Notify your healthcare provider if you begin to lose weight." C. "This medication will require monitoring for increased risk for bleeding." D. "The medication decreases the overproduction of the thyroid hormone thyroxine."

Correct Answer is A

Explanation

A. Levothyroxine is a thyroid hormone replacement used to treat hypothyroidism. Symptoms such as tremors, nervousness, and insomnia can indicate that the dose is too high, as these are signs of hyperthyroidism.
B. Weight loss is not a typical reason to notify the healthcare provider unless it is accompanied by other symptoms of hyperthyroidism. Monitoring for symptoms of excessive thyroid hormone can be more critical.
C. Levothyroxine does not typically require monitoring for an increased risk of bleeding. This medication primarily affects thyroid hormone levels and does not have a direct impact on blood clotting.
D. Levothyroxine increases, rather than decreases, thyroid hormone levels. It is used to replace or supplement thyroid hormone in the case of hypothyroidism, not to decrease thyroid hormone production.

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A client survived a workplace accident that claimed the lives of many of the client's colleagues several months ago. The client has recently sought care for the treatment of depression. How should the nurse best understand the client's current mental health problem?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is unconscious following a cerebral hemorrhage. Which of the following nursing interventions is of highest priority?

Correct Answer is B

Explanation

A nurse is providing education about levothyroxine to a client diagnosed with primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?

Correct Answer is A

Explanation

A client arrives in the emergency department with an ischemic stroke. What is the priority for the nurse to assess in relation to the administration of tissue plasminogen activator (t-PA) as treatment?

A nurse is providing discharge planning for a client who has just been diagnosed as being in the early stage of rheumatoid arthritis and starting methotrexate. What should the nurse include in the client's teaching?

An adult client in the intensive care unit (ICU) with a central venous catheter has developed signs and symptoms that are suggestive of a central line-associated bloodstream infection (CLABSI). What is most likely the cause of the infection?

A nurse is caring for a client in the emergent/resuscitative phase of burn injury. During this phase, the nurse should monitor for evidence of what alteration in laboratory values?

A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide?

A nurse is assessing the depth and extent of injury on a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the nurse's priority when assessing the severity of the client's burns?

An immunocompromised older adult has developed a urinary tract infection, and the healthcare team recognizes the need to prevent an exacerbation of the client's infection that could result in sepsis and septic shock. What action should the nurse perform to reduce the client's risk of septic shock?

A client with chronic pain is using aspirin regularly to control her pain symptoms. She presents to the hospital with abdominal pain, pale skin, afebrile, and a blood pressure (BP) of 83/45 mm Hg. Which type of shock is the client most likely experiencing?