In conducting the initial assessment of a preoperative client, the nurse notes that the client's home medications include the monoamine oxidase (MAO) inhibitor phenelzine. Because of this client's medication history, which assessment finding is most important for the nurse to monitor?

Urinary output.

Blood pressure.

Respiratory rate.

Temperature

Answer and Explanation

The Correct Answer is B

A.   Urinary output might be important in some contexts but is not the priority related to the use of MAO inhibitors.
B.   MAO inhibitors like phenelzine can affect blood pressure significantly; monitoring BP is crucial due to the risk of hypertensive crisis when certain foods or medications are taken.
C.   Respiratory rate might be a consideration in some situations but is not directly affected by MAO inhibitors.
D.   Temperature is not typically a primary concern related to MAO inhibitor use; blood pressure monitoring is more crucial due to potential interactions.

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Correct Answer is ["A","C","E"]

Explanation

A. Inviting for a walk when the client's energy is high can help channel excess energy and reduce restlessness.
B. Engaging the client in competitive activities might escalate the situation and isn't suitable for managing hyperactivity in bipolar disorder.
C. Assigning the client to a single room can reduce external stimuli and potentially decrease overstimulation that might contribute to the behavior.
D. Providing television programs with suspense might not effectively engage the client or address their needs.
E. Giving concise and firm directions for hygiene and dressing can help provide structure and guidance during times of excessive energy or impulsivity.

A. Provide for personal space. B. Stand in the doorway. C. Request backup from the staff D. Encourage the client to sit down.

Correct Answer is A

Explanation

A. Providing personal space allows the client to feel less threatened and gives them room to express their emotions without feeling cornered.
B. Standing in the doorway might block the client's exit and could escalate the situation.
C. Requesting backup might be necessary in some situations but should not be the initial response to the client's agitation.
D. Encouraging the client to sit down might not be well-received and could escalate the situation further.

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In conducting the initial assessment of a preoperative client, the nurse notes that the client's home medications include the monoamine oxidase (MAO) inhibitor phenelzine. Because of this client's medication history, which assessment finding is most important for the nurse to monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning the care for a client who is hospitalized with bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

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Correct Answer is A

Explanation

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