A client with peripheral neuropathy states, "I don't know why the doctor put me on an antidepressant. I am not depressed!" Which response by the nurse is best?

"Maybe you are more depressed than you realize. Would you like to talk about it?"

"Depression is often a factor in pain. Treating the depression helps treat the pain."

"Why don't you try it for a while, and if you don't feel better, you can ask your doctor if you can stop it?"

"Antidepressants are sometimes used to manage the type of nerve pain you are experiencing."

Answer and Explanation

The Correct Answer is D

A. "Maybe you are more depressed than you realize. Would you like to talk about it?": This response may dismiss the client's concerns and assumes depression without explaining the rationale for the medication.
B. "Depression is often a factor in pain. Treating the depression helps treat the pain.": While this may be true, it might not address the specific rationale for the antidepressant in managing nerve pain.
C. "Why don't you try it for a while, and if you don't feel better, you can ask your doctor if you can stop it?": This response lacks an explanation and may not address the client’s concerns about why the medication was prescribed.
D. "Antidepressants are sometimes used to manage the type of nerve pain you are experiencing.": This is the correct choice. It directly addresses the use of antidepressants for managing neuropathic pain, which can be effective even in the absence of depression.

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Correct Answer is D

Explanation

A. Neuromuscular blockers: These are used to induce paralysis and do not affect consciousness or maintain reflexes such as the gag reflex.
B. Inhaled general anesthesia: Generally, inhaled general anesthesia suppresses all reflexes, including the gag reflex.
C. Intravenous general anesthesia: This type of anesthesia typically induces a loss of consciousness and suppression of reflexes, including the gag reflex.
D. Regional anesthesia: This type of anesthesia blocks sensation in a specific area of the body while the client remains conscious and retains reflexes, including the gag reflex.

A. Assess airway patency B. Check the dressing to assess bleeding. C. Check tubes or drains for patency. D. Assess all vital signs.

Correct Answer is A

Explanation

A. Assess airway patency: Ensuring the airway is patent is the highest priority because compromised airway patency can lead to life-threatening respiratory complications. This is the first step in the ABCs (Airway, Breathing, Circulation) of emergency and postoperative care.
B. Check the dressing to assess bleeding: While assessing the dressing for bleeding is important, it is secondary to ensuring the client has a patent airway. Uncontrolled bleeding can be addressed after confirming the client can breathe adequately.
C. Check tubes or drains for patency: Checking tubes and drains for patency is also important, but it should be done after ensuring the client's airway is secure. This step is essential for preventing complications but is not as immediately critical as airway assessment.
D. Assess all vital signs: Assessing vital signs is crucial, but it follows after ensuring airway patency. Vital signs provide comprehensive information about the client's status, but an obstructed airway must be addressed first to ensure effective breathing and oxygenation.

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A client with peripheral neuropathy states, "I don't know why the doctor put me on an antidepressant. I am not depressed!" Which response by the nurse is best?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a group of student nurses about the different types of anesthesia. The student demonstrates an understanding of the teaching when they state that a client would maintain a gag reflex with what anesthesia?

Correct Answer is D

Explanation

A client is being transferred to the medical-surgical unit from the PACU after receiving general anesthesia for a procedure. Which of the following actions is the priority for the nurse when the client arrives on the unit?

Correct Answer is A

Explanation

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