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 A

Explanation

A. Inspiratory and expiratory bilateral crackles indicate fluid overload or pulmonary edema, which can be life-threatening and requires immediate intervention. This condition can impair gas exchange and lead to respiratory distress or failure if not promptly addressed.

B. An average urine output of 28 mL/hour is below the expected minimum of 30 mL/hour for adults, indicating potential renal impairment or inadequate fluid resuscitation. While concerning, it is not as immediately life-threatening as pulmonary edema.

C. Vesicular bibasilar breath sounds are normal breath sounds heard at the bases of the lungs and do not indicate any immediate respiratory distress or fluid overload. This finding does not warrant urgent intervention.

D. A central venous pressure (CVP) of 12 mm Hg is within the upper normal range (8-12 mm Hg) and suggests adequate fluid resuscitation. It does not indicate fluid overload or other immediate concerns requiring urgent intervention.

A. "This must be a very difficult time for you." B. "With surgery, your baby should have a full recovery." C. "Is there any particular reason why you think this is your fault?" D. "You didn't do anything wrong."

Correct Answer is A

Explanation

A. Acknowledging the parent's emotions with a supportive statement like, "This must be a very difficult time for you," validates their feelings and encourages open communication.
B. While surgery can help manage myelomeningocele, a full recovery is not always possible, as the condition may lead to lifelong complications. This response may give false reassurance.
C. Asking why the parent feels at fault could unintentionally reinforce feelings of guilt rather than providing comfort and support.
D. While it is true that the parent did nothing wrong, this response may dismiss their feelings rather than helping them process their emotions.

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Naxlex Comprehensive Predictor Exams

A client with 50% full-thickness burns has received fluid resuscitation for the past 24 hours. Which assessment warrants immediate intervention by the nurse?

Correct Answer is A

Explanation

The parent of a child born with a myelomeningocele asks the nurse, "What did I do to deserve this?" Which response is most helpful?

Correct Answer is A

Explanation

The nurse notes that a client is receiving a heparin infusion labeled, Heparin Sodium 25,000 Units in 5% Dextrose Injection, 500 mL at a rate of 50 mL/hour. What dose of heparin is the client receiving per hour? (Enter the numerical value only.)

The nurse is developing a plan of care for a client who reports chest pain on exertion and who is newly diagnosed with cardiovascular disease. Which outcome should the nurse include in the plan of care for this client?

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