A nurse is assessing the grief response of a client whose child died 6 months ago. Which of the following client statements should the nurse report to the provider as an indication of major depressive disorder?

"I know that I will be reunited with my child someday."

"I am unable to feel any joy since my child died."

"I feel guilty because my child died."

"I am angry that my child died."

Answer and Explanation

The Correct Answer is B

A. Belief in being reunited with the child is a common and healthy coping mechanism.

B. Inability to experience joy (anhedonia) is a key symptom of major depressive disorder and warrants further assessment.

C. Feeling guilty is a normal part of grief but does not necessarily indicate major depression.

D. Anger is a normal stage of grief and does not typically indicate a disorder unless prolonged or extreme.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Crackles in the lungs are a common finding in heart failure due to pulmonary congestion and fluid accumulation.

B. Decreased thirst is not typically associated with heart failure.

C. Tachycardia can occur in heart failure but is not as specific as crackles for diagnosing fluid overload.

D. Poor skin turgor is more indicative of dehydration, not heart failure.

A. Flush the NG tube with 5 mL water. B. Add medication directly to enteral feeding. C. Use a syringe to allow the medications to flow by gravity. D. Dissolve the medications together.

Correct Answer is C

Explanation

A. The NG tube should be flushed with 15-30 mL of water before and after medication administration, not 5 mL.

B. Medications should not be added directly to enteral feeding as it may alter the medication's effectiveness or cause tube clogging.

C. Using a syringe to allow medications to flow by gravity reduces the risk of pressure-related complications and ensures safe administration.

D. Medications should be dissolved separately to prevent interactions or clogging.

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A nurse is assessing the grief response of a client whose child died 6 months ago. Which of the following client statements should the nurse report to the provider as an indication of major depressive disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?

Correct Answer is A

Explanation

A nurse is preparing to administer three medications to a client who is receiving continuous enteral feeding through an NG tube. Which of the following actions is appropriate for the nurse to take?

Correct Answer is C

Explanation

A nurse is providing care for a client who has esophageal cancer and has received radiation therapy. Which of the following findings should the nurse identify as the priority?

A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit. Which of the following statements should the nurse include in the hand-off report?

A nurse is discussing discharge plans with an older adult client who lives alone and has left-sided weakness following a stroke. Which of the following information is the priority for the nurse to discuss?

A charge nurse is observing a newly licensed nurse provide care for a client who is postoperative. The newly licensed nurse tells the client that she will insert a urinary catheter if the client will not void. Which of the following torts should the charge nurse identify as having occurred?

A nurse is admitting an older adult client who is transferring from another facility. The nurse notes pressure ulcers on the client's coccyx and abrasions around both wrists. Which of the following actions should the nurse take to address suspicions of elder abuse?

A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make?

A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu. The nurse should recognize which of the following findings as a potential contraindication for using lavender?

A nurse is caring for a client who is in the active phase of labor and has decided to have a natural childbirth. Which of the following pain management techniques should the nurse suggest?