A nurse is contributing to the plan of care for a client who is newly admitted with severe depression. Which of the following actions should be added to the plan of care?

Encourage the client to sleep during the day to make up for insomnia.

Schedule a brisk physical activity before bedtime to facilitate sleep.

Monitor the client for bouts of diarrhea.

Offer the client frequent small snacks during waking hours.

Answer and Explanation

The Correct Answer is D

Choice A reason: Encouraging the client to sleep during the day can disrupt the normal sleep-wake cycle and is not recommended for managing insomnia associated with depression.

Choice B reason: Scheduling a brisk physical activity before bedtime can be stimulating and may actually make it more difficult for the client to fall asleep.

Choice C reason: Monitoring for bouts of diarrhea is not directly related to the care of a client with severe depression unless the client is on specific medications that may cause gastrointestinal upset as a side effect.

Choice D reason: Offering frequent small snacks can help manage the weight loss and decreased appetite often seen in clients with severe depression, ensuring they receive adequate nutrition.

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Correct Answer is D

Explanation

Choice A reason: Grief after a major loss can indeed mimic the symptoms of depression, but it is not considered clinical depression unless the symptoms persist and meet specific criteria.

Choice B reason: Depression is common after a myocardial infarction (MI) due to the emotional and physical stress of the event and recovery process.

Choice C reason: Children and adolescents can and do suffer from depression, and it is important for it to be recognized and treated appropriately.

Choice D reason: Depression is more common in women than in men, which makes the statement incorrect.

A. Suggest that the client rests before eating the meal. B. Request a dietary consult. C. Request an order for an antiemetic. D. Check the client's vital signs.

Correct Answer is D

Explanation

Choice A reason: While rest may help alleviate nausea, it is not the first action a nurse should take when a client on digoxin reports nausea, as it could be a sign of toxicity.

Choice B reason: A dietary consult may be beneficial in the long term but is not the immediate priority when a client reports nausea, which could be a symptom of digoxin toxicity.

Choice C reason: Requesting an order for an antiemetic is not the first step without assessing whether the nausea is due to digoxin toxicity, which can be life-threatening.

Choice D reason: Checking the client's vital signs is the correct first action because nausea can be a sign of digoxin toxicity, and vital signs may reveal other symptoms of toxicity.

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A nurse is contributing to the plan of care for a client who is newly admitted with severe depression. Which of the following actions should be added to the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is not true about depression?

Correct Answer is D

Explanation

A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

When the nurse is reviewing a patient's daily laboratory test results, which of the following potassium levels should the nurse report to the healthcare provider to reduce the risk of digoxin (Lanoxin) toxicity?

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