A client who experiences recurrent episodes of depression tells the nurse of a desire to discontinue the prescribed antidepressant. The client describes feeling less depressed after taking the medication for the past couple of weeks and the client does not like the side effects of the medication. Which response is best for the nurse to provide?

Inform the client that gradual tapering must be used to discontinue the medication.

Tell the client that the medication's side effects will most likely dissipate over time.

Remind the client that feeling better is the therapeutic effect of the medication.

Tell the client to discuss the medication side effects with the healthcare provider.

Answer and Explanation

The Correct Answer is A

A. Informing the client that gradual tapering must be used to discontinue the medication is crucial because abruptly stopping antidepressants can lead to withdrawal symptoms or the return of depressive symptoms. This response acknowledges the client’s concerns and provides a safe approach to discontinuation.

B. While side effects may diminish over time for some individuals, this response does not address the client's concerns or provide guidance on how to manage the side effects.
C. Reminding the client that feeling better is the therapeutic effect of the medication does not address the client's concerns about side effects or desire to discontinue the medication.

D. While discussing side effects with the healthcare provider is important, it does not address the need for a safe discontinuation process, which is why gradual tapering should be emphasized first.

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Correct Answer is C

Explanation

A:While a voiding diary can be useful for monitoring urinary symptoms, the client’s description of urinary retention symptoms requires immediate assessment for bladder distention or obstruction, not just recording voiding patterns.

B: Obtaining a urine specimen is important if a urinary tract infection is suspected, but the symptoms described are more indicative of urinary retention, possibly due to prostate issues, which requires immediate physical assessment.
C:The client’s symptoms suggest urinary retention, which can be detected by palpating the suprapubic area for bladder distention. This is the most immediate assessment to determine if the client has retained urine in the bladder.

D: Cleansing the glans penis is important for hygiene and may prevent infections, but it does not address the underlying issue of bladder fullness and urinary retention.

A. Body mass index (BMI) 28 kg/m2 B. Sister with type 2 diabetes mellitus C. Cannabis use D. High density lipoprotein 43 mg/dL

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"}}

Explanation

Body mass index (BMI) is a measure of body fat based on height and weight., A BMI of 25 to 29.9 is considered overweight. Being overweight is a known modifiable risk factor for type 2 diabetes mellitus. The client can potentially lower his risk of developing diabetes by adopting a healthier lifestyle, which may include diet and exercise to achieve a healthier BMI.

Family history is a known risk factor for type 2 diabetes mellitus. Having a first- degree relative with diabetes increases a person's risk of developing the condition. This risk factor is non-modifiable as one cannot change their genetic makeup or family history.

There is no conclusive evidence that links occasional cannabis use to an increased risk of developing type 2 diabetes mellitus. However, lifestyle choices are generally considered modifiable risk factors. It's important to consider the overall lifestyle and health behaviors of the individual.

HDL cholesterol is often referred to as "good" cholesterol. Higher levels of HDL cholesterol are associated with a lower risk of heart disease, which is a common comorbidity of diabetes.An HDL level lower than the recommended range is a modifiable risk factor as it can often be increased through lifestyle changes such as diet and exercise.

While HDL levels are not a direct risk factor for diabetes, they are related to the overall metabolic health of an individual, which can influence the risk of developing type 2 diabetes.

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Naxlex Comprehensive Predictor Exams

An older adult male client arrives at the clinic reporting that his bladder always feels full. The client also reports a weak urine flow, frequent dribbling after voiding, and increasing nocturia with difficulty initiating the urine stream. Which action should the nurse implement?

Correct Answer is C

Explanation

Exhibits Review History and Physical, and laboratory results. Based on the finding, indicate whether the finding represents a modifiable risk factor, a non modifiable risk factor, or is unrelated to type 2 diabetes mellitus.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"}}

Explanation

A client is being discharged home after being treated for heart failure (HF. Which instruction should the nurse include in this client's discharge teaching plan?

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