A nurse is caring for a client who is prescribed a selegiline transdermal patch. Which of the following manifestations should the nurse anticipate the prescription will improve?
Depression
Anxiety
Tardive dyskinesia
Bipolar mania
The Correct Answer is A
A. Depression: Selegiline transdermal patches are indicated for the treatment of major depressive disorder. As a selective monoamine oxidase-B (MAO-B) inhibitor, it increases the availability of neurotransmitters such as dopamine, which can improve depressive symptoms in adults.
B. Anxiety: While selegiline may have indirect effects on mood, it is not primarily indicated for treating anxiety disorders. Anxiety may require other pharmacologic or therapeutic interventions specifically targeted to anxiety symptoms.
C. Tardive dyskinesia: Tardive dyskinesia is a movement disorder often associated with long-term antipsychotic use. Selegiline does not treat or prevent tardive dyskinesia; it is not indicated for movement disorder management in this context.
D. Bipolar mania: Selegiline is not indicated for the management of bipolar disorder or acute manic episodes. Treating mania typically involves mood stabilizers or antipsychotics rather than MAO-B inhibitors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Observe the client's ability to keep their elbows extended when using the crutches: The elbows should be slightly flexed, not fully extended, when using crutches. Observing for elbow extension is incorrect and could indicate improper technique. Proper elbow positioning is assessed as part of gait evaluation rather than as a standalone measure.
B. Instruct the client to lean forward when using the crutches: Leaning forward places excessive pressure on the axillae and increases the risk of nerve injury. Clients should maintain an upright posture while using crutches, so this instruction is unsafe and should not be included in care planning.
C. Observe the client's gait pattern when using the crutches: Observing the gait pattern allows the nurse to assess how the client distributes weight, coordinates movements, and uses the crutches safely. This assessment is essential prior to planning care and interventions, ensuring that the client can ambulate safely and independently.
D. Ensure the client's weight is placed on their axilla area when using the crutches: Weight should be supported by the hands and arms, not the axillae, to prevent nerve damage. Ensuring proper weight distribution is part of teaching and assessment, but placing weight on the axillae is incorrect and unsafe.
Correct Answer is C
Explanation
A. Avoid oral sucrose: Oral sucrose is actually an effective nonpharmacologic pain management strategy for infants. It should not be avoided; small amounts can help reduce procedural pain during circumcision.
B. Provide IV morphine: IV morphine is not routinely indicated for circumcision in healthy term infants due to the risk of respiratory depression and because less invasive pain control methods are effective.
C. Swaddle the infant: Swaddling provides comfort and a sense of security, reducing pain and distress after circumcision. It is a safe, nonpharmacologic intervention that helps calm the infant during recovery.
D. Apply petroleum daily: Petroleum jelly is typically applied to the circumcision site to prevent the diaper from sticking and protect the healing tissue. However, it is usually applied with each diaper change, not just once daily, to ensure proper care and healing.
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