A nurse is contributing to the plan of care for a client who is to start therapy with fluoxetine.
Which of the following is an expected outcome for this client?.

Absence of seizures

Reduction in hand tremors.

Decreased hallucinations.

Improved mood.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Absence of seizures is not an expected outcome of fluoxetine therapy. Fluoxetine is an antidepressant, not an anticonvulsant.

Choice B rationale:

Reduction in hand tremors is not an expected outcome of fluoxetine therapy. Fluoxetine is used to treat depression, obsessive-compulsive disorder, some eating disorders, and panic attacks.

Choice C rationale:

Decreased hallucinations is not an expected outcome of fluoxetine therapy. Fluoxetine is not typically used to treat conditions that cause hallucinations.

Choice D rationale:

Improved mood is an expected outcome of fluoxetine therapy. As an antidepressant, fluoxetine works by balancing chemicals in the brain that affect mood and emotions.

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Correct Answer is C

Explanation

Choice A rationale:

Lowering the window shade in the client’s room does not directly contribute to fall prevention. It might even increase the risk if it makes the room darker and the client can’t see clearly.

Choice B rationale:

Using a vest restraint is not the best option. Restraints should be used as a last resort, and only if less restrictive interventions have been ineffective.

Choice C rationale:

Placing the client in a room close to the nurses’ station allows for more frequent observation and quicker response if the client needs assistance, reducing the risk of falls.

Choice D rationale:

While recreational therapy can be beneficial for clients with dementia, it does not directly address the issue of fall prevention.

A. Client confused and agitated. B. Appearance is disheveled. C. Mucous membranes dry D. During data collection, the client states, "Can you ask that person to leave my room?" Client is pointing to an empty chair. E. Temperature 38.6°C (101.5°F) F. Blood pressure 158/96 mm Hg G. Heart rate 104/min H. Respiratory rate 18/min I. Oxygen saturation 98% on room air.

Correct Answer is ["A","B","C","D","E","F"]

Explanation

The findings that require immediate follow-up are:

Client confused and agitated: This could indicate a neurological issue or other serious condition that needs immediate attention.
Appearance is disheveled: This could suggest neglect or other issues that need to be addressed.
Mucous membranes dry: This could indicate dehydration which can be serious if not addressed promptly.
Client states “Can you ask that person to leave my room?” Client is pointing to an empty chair: This could indicate hallucinations or other mental health concerns that need immediate attention.
Temperature 38.6°C (101.5°F): This is a fever and could indicate an infection or other medical condition that needs immediate attention.
Blood pressure 158/96 mm Hg: This is high and could indicate hypertension or other cardiovascular issues that need immediate attention.

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A nurse is contributing to the plan of care for a client who is to start therapy with fluoxetine. Which of the following is an expected outcome for this client?.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has dementia and is experiencing an increased number of falls. Which of the following actions should the nurse take?.

Correct Answer is C

Explanation

Correct Answer is ["A","B","C","D","E","F"]

Explanation

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A nurse is contributing to the plan of care for a client who is to start therapy with fluoxetine.
Which of the following is an expected outcome for this client?.