A nurse is caring for a client who is exhibiting a depressed mood one week before the start of their menstrual cycle. The nurse should identify that the client is exhibiting manifestations consistent with which of the following disorders?

Postpartum depression

Bipolar disorder

Premenstrual dysphoric disorder

Cyclothymic disorder

Answer and Explanation

The Correct Answer is C

A. Postpartum depression: Postpartum depression occurs after childbirth, not before menstruation.

B. Bipolar disorder: Bipolar disorder involves mood swings between mania and depression that are not tied to the menstrual cycle.

C. Premenstrual dysphoric disorder (PMDD): PMDD is a severe form of premenstrual syndrome (PMS) characterized by significant mood disturbances, such as depression, irritability, and anxiety, occurring in the luteal phase (one week before menstruation).

D. Cyclothymic disorder: Cyclothymic disorder is a chronic mood disorder involving frequent mood fluctuations but is not related to the menstrual cycle.

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Correct Answer is B

Explanation

A. Headache: While headaches can occur, they are not the most concerning side effect of stimulant medications.

B. Tachycardia: Stimulant medications, such as those used to treat ADHD (e.g., methylphenidate, amphetamines), increase central nervous system activity, which can lead to an increased heart rate (tachycardia).

C. Dizziness: While dizziness can occur, it is not the primary concern with stimulants.

D. Dry mouth: Dry mouth is a possible side effect but is not as clinically significant as tachycardia when monitoring for adverse effects.

A. Administer oxygen at 2 L/min. B. Encourage coughing and deep breathing. C. Raise the head of the bed. D. Administer prescribed analgesic medication.

Correct Answer is C

Explanation

A. Administer oxygen at 2 L/min.: Oxygen is necessary, but raising the head of the bed first can improve oxygenation more effectively and quickly.

B. Encourage coughing and deep breathing.: While effective, this should be done after positioning the patient appropriately to optimize oxygenation.

C. Raise the head of the bed.: The priority intervention for low oxygen saturation is to improve ventilation and perfusion by raising the head of the bed. This enhances lung expansion, making it easier for the patient to breathe.

D. Administer prescribed analgesic medication.: Pain management is important, but it is not the priority when oxygen levels are dangerously low.

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A nurse is caring for a client who is exhibiting a depressed mood one week before the start of their menstrual cycle. The nurse should identify that the client is exhibiting manifestations consistent with which of the following disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing a patient taking stimulant medications, the nurse should monitor for which of the following?

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Explanation

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Correct Answer is C

Explanation

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