To evaluate the effectiveness of a male client's new prescription for ezetimibe, which action should the clinic nurse implement?

Remind the client to keep his appointments to have his cholesterol level checked.

Teach the client to weigh himself weekly and keep a log of the measurements.

Encourage the client to keep a diary of his food intake until his next visit to the clinic.

Assess the elasticity of the client's skin at the next scheduled clinic appointment.

Answer and Explanation

The Correct Answer is A

A. Remind the client to keep his appointments to have his cholesterol level checked: Ezetimibe works by reducing cholesterol absorption in the intestines. Its effectiveness is best evaluated through changes in cholesterol levels, making lab tests crucial for monitoring its impact.

B. Teach the client to weigh himself weekly and keep a log of the measurements: While monitoring weight can be important for other conditions, it is not the primary evaluation for the effectiveness of ezetimibe, which targets cholesterol levels rather than body weight.

C. Encourage the client to keep a diary of his food intake until his next visit to the clinic: Although a food diary can be helpful for managing diet, the effectiveness of ezetimibe is best assessed through cholesterol levels rather than dietary tracking alone.

D. Assess the elasticity of the client's skin at the next scheduled clinic appointment: Skin elasticity is not directly related to the effectiveness of ezetimibe. This medication’s primary impact is on cholesterol levels, which should be monitored through lab tests.

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Correct Answer is {"dropdown-group-1":"A"}

Explanation

Rationale for Correct Choice:

Depression: The client has symptoms of depression, such as general malaise, fatigue, decreased appetite, withdrawal, flat affect, and poor hygiene. Additionally, the client reports a significant change in sleep patterns, with an inability to sleep at night. His alcohol consumption could also contribute to depressive symptoms.

Rationale for Incorrect Choices:

Anxiety disorder: While anxiety can cause fatigue, disrupted sleep, and lack of energy, it typically also presents with heightened nervousness, restlessness, excessive worry, or physical symptoms like rapid heart rate, which are not reported here. The client's withdrawal and lack of energy are more consistent with depression.
Hypothyroidism: Hypothyroidism can cause fatigue, weight gain, and poor appetite, but the client's low BMI (17.7 kg/m²) suggests that weight loss, rather than gain, is occurring. Additionally, the lack of other hypothyroid symptoms, like constipation or cold intolerance, makes hypothyroidism less likely than depression in this scenario.

A. "You didn't do anything wrong." B. "This must be a very difficult time for you." C. "Is there any particular reason why you think this is your fault?" D. "With surgery, your baby should have a full recovery."

Correct Answer is B

Explanation

A. "You didn't do anything wrong.” This statement is well-intended, but may minimize the parent’s emotional experience. It’s important to acknowledge the parent’s feelings rather than just reassuring them. This response does not invite further expression of their emotions.

B. "This must be a very difficult time for you." This response acknowledges the parent's emotional distress and validates their feelings, creating an opportunity for them to express their concerns. It provides emotional support and opens the door for further discussion.

C. "Is there any particular reason why you think this is your fault?" While it may be important to understand the parent’s concerns, this response is confrontational. It may inadvertently make the parent feel blamed, which could worsen their state instead of comfort.

D. "With surgery, your baby should have a full recovery." This response may give false hope and oversimplifies the complexities of myelomeningocele. Recovery outcomes depend on various factors. The focus should be on providing emotional support rather than making promises.

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To evaluate the effectiveness of a male client's new prescription for ezetimibe, which action should the clinic nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits Chart data is reviewed. Drag from Word Choices to complete the sentence. Client symptoms are indicators of dropdown.

Correct Answer is {"dropdown-group-1":"A"}

Explanation

The parent of a child born with a myelomeningocele asks the nurse, "What did I do to deserve this?" Which response is most helpful?

Correct Answer is B

Explanation

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