A nurse is caring for a client who experiences severe anxiety when going to work. The nurse should identify that which of the following areas of the autonomic nervous system is stimulated when the client goes to work?

Sympathetic nervous system

Limbic system

Parasympathetic nervous system

Vagus nerve

Answer and Explanation

The Correct Answer is A

A. The sympathetic nervous system is responsible for the "fight or flight" response, which is triggered during times of anxiety, stress, or fear. It increases heart rate, blood pressure, and prepares the body to respond to perceived threats, which aligns with the client's severe anxiety going to work.

B. The limbic system plays a role in emotion and memory but is not directly responsible for the physiological changes associated with anxiety.

C. The parasympathetic nervous system is responsible for "rest and digest" functions, counteracting the sympathetic nervous system’s responses during relaxation, not during anxiety.

D. The vagus nerve is part of the parasympathetic system and is not primarily responsible for the acute anxiety response.

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Correct Answer is B

Explanation

A. Binge eating and weight gain are more commonly associated with eating disorders or other psychological conditions, not PTSD.

B. Nightmares, difficulty concentrating, and irritability are key symptoms of PTSD, reflecting the psychological impact of trauma. These are consistent with the intrusive and arousal symptoms associated with PTSD.

C. Purging is associated with eating disorders, not PTSD.

D. Decreased energy and fatigue are common symptoms of depression, not specifically indicative of PTSD, although they can be seen in both conditions.

A. Liver function tests must be monitored. B. Thyroid function tests should be performed every 6 months. C. A pretreatment electroencephalogram (EEG) will be done. D. High serum sodium levels can cause toxic levels of valproate

Correct Answer is A

Explanation

A. Valproate is associated with potential liver toxicity, so liver function tests must be monitored regularly during treatment.

B. Thyroid function tests are not required with valproate therapy, although they are important for other medications, such as lithium.

C. A pretreatment EEG is not necessary for valproate use. This test is typically used for clients with seizure disorders.

D. High serum sodium levels are not related to valproate toxicity; however, low sodium levels can increase the risk of toxicity.

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A nurse is caring for a client who experiences severe anxiety when going to work. The nurse should identify that which of the following areas of the autonomic nervous system is stimulated when the client goes to work?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client about the use of this medication?

Correct Answer is A

Explanation

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