A home health nurse is visiting a client who is recovering from coronary artery bypass surgery and reports experiencing stress. The nurse should determine that which of the following factors might interfere with the client's recovery?

The client walks their dog daily.

The client's best friend moved away.

The client exercises in the morning.

The client has stopped drinking coffee.

Answer and Explanation

The Correct Answer is B

A.   Walking the dog daily can contribute positively to the client's recovery by promoting physical activity and potentially reducing stress.
B.   The loss of social support due to the best friend moving away can increase stress and negatively impact the client's recovery.
C.   Exercising in the morning can also contribute positively to recovery by promoting physical health and potentially reducing stress.
D.   Stopping drinking coffee may have various effects on the client's health but is not directly related to recovery from coronary artery bypass surgery unless it exacerbates other issues such as anxiety or withdrawal symptoms.

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Correct Answer is C

Explanation

A. Allowing the client to create their own meal schedule may exacerbate disordered eating patterns and is not recommended in the treatment of bulimia nervosa.
B. Allowing the client's family to bring food may enable or reinforce disordered eating behaviors and is not recommended in the treatment of bulimia nervosa.
C. Monitoring the client's bathroom trips is important to prevent purging behaviors, such as self- induced vomiting, which are characteristic of bulimia nervosa.

D. Encouraging the client to exercise frequently may exacerbate unhealthy behaviors and is not recommended as a primary intervention for bulimia nervosa.

A. "Take your medication with a meal to decrease the onset of dizziness." B. "Dizziness is a common adverse effect of the medication and is related to low blood pressure." C. "Dizziness typically indicates an allergic response, so the medication should be stopped immediately." D. "Take your medication first thing in the morning, and it will not cause as much dizziness."

Correct Answer is B

Explanation

A. Taking medication with a meal may help alleviate gastrointestinal side effects but is unlikely to affect dizziness caused by medication.
B. Quetiapine, an antipsychotic medication, commonly causes orthostatic hypotension, which can lead to dizziness. Explaining this to the client helps provide education about the medication's side effects.
C. Dizziness is not typically indicative of an allergic reaction to quetiapine. Advising the client to stop the medication immediately based solely on dizziness is not appropriate.
D. Taking the medication in the morning may or may not affect dizziness, as it depends on the individual's response to the medication. Additionally, orthostatic hypotension can occur at any time of day, not just in the morning.

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A home health nurse is visiting a client who is recovering from coronary artery bypass surgery and reports experiencing stress. The nurse should determine that which of the following factors might interfere with the client's recovery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bulimia nervosa. Which of the following interventions should the nurse include in the client's plan of care?

Correct Answer is C

Explanation

A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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