A nurse is contributing to the plan of care for a client who has a major depressive disorder. Which of the following recommendations should the nurse include in the plan of care?

Recommend the client spend time alone in his room.

Suggest the client exercise before going to bed.

Offer the client low-protein snacks throughout the day.

Encourage the client to use positive self-talk.

Answer and Explanation

The Correct Answer is D

A.   Social isolation can exacerbate depressive symptoms, so it's not recommended for the client to spend time alone in his room.
B.   Exercise is generally beneficial for individuals with depression, but exercising before bedtime might interfere with sleep.
C.   There's no evidence to support the direct relationship between low-protein snacks and managing major depressive disorder.
D.   Correct. Encouraging the client to use positive self-talk can help counteract negative thought patterns that are often present in depression.

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Correct Answer is A

Explanation

A. Correct. Lightheadedness upon standing, also known as orthostatic hypotension, can be a common side effect of ACE inhibitors. Advising the client to sit down when experiencing lightheadedness will help prevent falls.
B. Incorrect. Discontinuing the medication without consulting a healthcare provider is not appropriate. Lightheadedness can be managed with strategies like changing positions slowly.
C. Incorrect. Restricting fluid intake is not necessary unless advised by a healthcare provider.
Adequate hydration is important, especially with the use of certain medications.
D. Incorrect. While potassium supplements might be prescribed in some cases with ACE inhibitors, the primary concern in this situation is addressing orthostatic hypotension.

A. Bright red vaginal bleeding B. Persistent uterine contractions C. Increased fetal movement D. Rigid abdomen

Correct Answer is A

Explanation

A. Correct. Placenta previa is a condition where the placenta covers part or all of the cervix.
Bright red vaginal bleeding, especially painless bleeding, is a hallmark sign of placenta previa.
B. Incorrect. Persistent uterine contractions are not a typical finding in placenta previa and could indicate preterm labor or other issues.
C. Incorrect. Increased fetal movement is not a characteristic sign of placenta previa.
D. Incorrect. A rigid abdomen is not associated with placenta previa; it could be a sign of other conditions such as placental abruption.

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A nurse is contributing to the plan of care for a client who has a major depressive disorder. Which of the following recommendations should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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