A nurse is caring for a client in the outpatient health clinic.

Exhibits
For each potential nursing intervention, click to specify if the intervention is indicated or not indicated.

Encourage naps during the day when client is tired.

Advise client to rise slowly from sitting position.

Instruct client to avoid foods that have been fermented or aged.

Encourage client to sleep until later in the morning.

Encourage a regular sleep-wake schedule.

Advise client to notify provider if pregnant.

Encourage high-calorie finger foods.

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"A"}}

Rationale:

• Encourage naps during the day when client is tired: Daytime napping can interfere with nighttime sleep quality and reduce trazodone’s effectiveness in reestablishing a normal sleep pattern.

• Advise client to rise slowly from sitting position: Trazodone can cause orthostatic hypotension, particularly when therapy is initiated. Educating the client to change positions slowly helps prevent dizziness and potential falls caused by sudden drops in blood pressure.

• Instruct client to avoid foods that have been fermented or aged: This instruction applies to MAOIs due to the risk of hypertensive crisis from tyramine, but trazodone is a serotonin antagonist and reuptake inhibitor, not an MAOI.

• Encourage client to sleep until later in the morning: Oversleeping disrupts the circadian rhythm and may worsen fatigue. The goal is to maintain a stable sleep-wake cycle to enhance mood and energy regulation.

• Encourage a regular sleep-wake schedule: Establishing consistent sleep routines supports trazodone’s sedative effects and helps regulate the client’s circadian rhythm, improving overall sleep quality without disrupting normal activity patterns.

• Advise client to notify provider if pregnant: Trazodone is classified as pregnancy category C, meaning potential fetal risks exist. The client should notify the provider to evaluate the safety of continuing or adjusting medication during pregnancy.

• Encourage high-calorie finger foods: The client’s BMI has decreased, and trazodone may cause appetite suppression. Offering convenient, calorie-dense snacks helps maintain adequate nutrition and prevents further weight loss.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Rationale:
A. Metronidazole: This is the treatment of choice for bacterial vaginosis because it effectively targets anaerobic bacteria such as Gardnerella vaginalis, the main causative organism.

B. Doxycycline: This antibiotic is primarily used to treat Chlamydia trachomatis infections and is not effective for bacterial vaginosis.

C. Azithromycin: This medication is effective for Chlamydia trachomatis and Mycoplasma genitalium infections, not for bacterial vaginosis caused by anaerobes.

D. Acyclovir: This antiviral agent is used to treat herpes simplex virus infections and has no therapeutic effect against bacterial pathogens.

A. Skin warm and dry B. Respiratory rate 30/min C. Heart rate 60/min D. Tenting skin turgor

Correct Answer is B

Explanation

Rationale:
A. Skin warm and dry: Warm, dry skin indicates adequate circulation and fluid balance. In fluid overload, the skin is often cool and moist due to peripheral vasodilation and increased interstitial fluid. Therefore, this finding is not consistent with overhydration.

B. Respiratory rate 30/min: Tachypnea is a key indicator of fluid overload because excess fluid can accumulate in the lungs, leading to pulmonary congestion and decreased gas exchange. The body compensates by increasing the respiratory rate to improve oxygenation and remove excess carbon dioxide.

C. Heart rate 60/min: A normal heart rate suggests stable cardiovascular status. Fluid overload typically causes tachycardia as the heart works harder to manage increased circulatory volume, not a normal or bradycardic rate.

D. Tenting skin turgor: Tenting indicates dehydration, not fluid overload. In overhydration, the skin is usually taut and edematous due to excess interstitial fluid accumulation rather than loss of elasticity.

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A nurse is caring for a client in the outpatient health clinic. Exhibits For each potential nursing intervention, click to specify if the intervention is indicated or not indicated.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bacterial vaginosis. Which of the following medications should the nurse expect the provider to prescribe?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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A nurse is caring for a client in the outpatient health clinic.

Exhibits
For each potential nursing intervention, click to specify if the intervention is indicated or not indicated.