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. Furosemide is a loop diuretic that helps eliminate excess fluid and sodium from the body by increasing urine production. Increased urinary output is an indication that the medication is effectively managing fluid overload, a common issue in heart failure.

B. Incorrect. While a decreased BUN (blood urea nitrogen. level might occur due to improved kidney function, it is not a direct indicator of furosemide's effectiveness.

C. Incorrect. An increased weight suggests fluid retention, which would not indicate the effectiveness of furosemide.

D. Incorrect. Decreased hemoglobin levels may be due to various factors and are not directly related to the effectiveness of furosemide.

A. "For a client who has Clostridium difficile, I will cleanse my hands with an alcohol based rub." B. "Droplet precautions require that I wear a gown and gloves when providing client care." C. "Following a blood spill I should use a bleach solution with a ratio of 1 to 20." D. "Soiled dressings should be placed in a biohazard trash receptacle."

Correct Answer is D

Explanation

The correct answer is choiced. "Soiled dressings should be placed in a biohazard trash receptacle.".

Choice A rationale:

For a client who has Clostridium difficile, hand hygiene should be performed with soap and water, not an alcohol-based rub, as alcohol does not effectively kill C. difficile spores.

Choice B rationale:

Droplet precautions typically require wearing a mask, not necessarily a gown and gloves. Gown and gloves are more commonly associated with contact precautions.

Choice C rationale:

Following a blood spill, a bleach solution with a ratio of 1 to 10 is recommended, not 1 to 20. This higher concentration ensures effective disinfection.

Choice D rationale:

Placing soiled dressings in a biohazard trash receptacle is correct. This prevents the spread of infection and ensures proper disposal of contaminated materials.

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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

A nurse is collecting data from a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the medication is effective?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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