The nurse who is assessing a patient with major depression would expect to observe which of the following symptoms?

Fear

Compulsions

Euphoria

Extreme sadness

Answer and Explanation

The Correct Answer is D

Choice A reason: Fear is a common emotion but is not a defining symptom of major depression.

Choice B reason: Compulsions are more characteristic of obsessive-compulsive disorder, not major depression.

Choice C reason: Euphoria is typically not associated with major depression, which is characterized by a persistent feeling of sadness or loss of interest.

Choice D reason: Extreme sadness is a hallmark symptom of major depression, often accompanied by a loss of interest in activities that were once enjoyed.

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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.

A. Frothy sputum B. Orthopnea C. Peripheral edema D. Dyspnea

Correct Answer is C

Explanation

Choice A reason: Frothy sputum is more commonly associated with left-sided heart failure.

Choice B reason: Orthopnea, or difficulty breathing when lying flat, is also more commonly associated with left-sided heart failure.

Choice C reason: Peripheral edema, which is swelling in the lower limbs, is a classic symptom of right-sided heart failure.

Choice D reason: Dyspnea, or shortness of breath, can occur in right-sided heart failure but is more characteristic of left-sided heart failure. Peripheral edema is the most specific symptom to right-sided heart failure among the options provided.

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The nurse who is assessing a patient with major depression would expect to observe which of the following symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is preparing to administer digoxin to a client who has heart failure. Before administering this medication, which of the following actions should the nurse take?

The healthcare provider (HCP) informs the licensed practical nurse/licensed vocational nurse (LPN/LVN) that the patient has cor pulmonale. The patient asks what this means. Which explanation by the nurse is most appropriate?

Marge is a 68-year-old woman with a long history of bipolar disorder. She is brought to the ED by her sister, who reports that Marge has been increasingly agitated, unable to sleep, and told her daughter that the mayor was calling her for advice on running the city. The behavior is an example of:

The nurse reinforces teaching to the patient on left heart failure (HF). The nurse would evaluate the patient as understanding if the patient stated which of these occurs to blood flow through the heart?

A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?

The nurse is reinforcing teaching to the patient about the cause of pain from coronary artery disease. The nurse would evaluate the patient as understanding the education if the patient stated which of the following causes the pain from coronary artery disease?

Which tests can be used to assist in diagnosing a patient with coronary artery disease? Select all that apply.

Your patient, who is manic, says, "Everything I do is great." How should you respond?