Question

1. A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. The nurse should monitor the client for which of the following manifestations?

1. Decreased heart rate
2. Decrease blood pressure
3. Hyperglycemia
4. Hyperthermia

2. A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder. Which of the following findings obtained during the initial assessment is the priority to report to other disciplines?

1. Poor problem-solving skills
2. Markedly neglected hygiene
3. Significant weight loss
4. Psychomotor retardation

3. A nurse is reviewing the mediation administration record of a client who has major depressive disorder and a new prescription of selegiline. The nurse should recognize that which of the following client medications is contraindicated when taken with selegiline?

1. Acetaminophen
2. Warfarin
3. Calcium carbonate
4. Fluoxetine

4. A nurse is teaching a client who has major depressive disorder and is to receive electroconvulsive therapy. Which of the following statements should the nurse include in the teaching?

1. “Expect mild seizure activity to continue for several days after the procedure.”
2. “You will no longer need to take your antidepressant following the procedure.”
3. “You might experience memory loss for the first few weeks after the procedure.”
4. “Difficulty swallowing is common immediately following the procedure.

5. A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted another client. Which of the following actions should the nurse take?

1. Request that the provider renew the prescription for restraints every 8 hours
2. Have the provider assess the client within 1 hour after applying the restraints.
3. Evaluate the client hourly while the restraints are applied
4. Obtain a prescription for restraints on an as-needed basis

Answer 1

In the case of alcohol withdrwal the common symptoms and signs are hyperthermia as well al the trachycardia means incraesd heart rate of the patient.

In ealry stage of the major depressive disorder the psycomotor retardation is the major findings obtained during the initial assessment and it should be reported to other disciplines on the priority basis.

The drug Fluoxetine is used in the case of the tretment of the patients having the major depressive disorders and it is contraindicated with selegiline and may give rise to serotonin syndrome in the patient.

The patient might experience memory loss for the first few weeks after the electroconvulsive therapy. Hence the  the nurse include in the teaching. After that this problem will overcome.

In this case there is need to obtain a prescription for restraints on an as-needed basis to control the future incidences.