Question

428. The registered nurse lund just admitted a client with severe depression. What domain should be the priority focus as the nurse identifies the nursing diagnoses A Nutrition B. Elimination C Activity D. Safety 430. The nurse is caring for a client in the coronary care unit. The display on the candiae monitor indicates ventricular fibrillation. What should the nurse do first A. Perform defibrillation B. Administer epinephrine as ordered C. Assess for presence of pulse D. Institute CPR 431. Which of the following conditions assessed by the nurse would contraindicate the use of benztropine (Cogentin)? A. Neuro malignant syndrome B. Acute extrapyramidal syndrome C. Glaucoma, prostatic hypertrophy D. Parkinson's disease, atypical tremors 432. The nurse is caring for a post-op colostomy client. The client begins to cry. saying "I'll never be attractive again with this ugly red thing. "What should the first action taken by the nurse? A. Arrange a consultation with a sex therapist experienced in working with colostomy clients B. Suggest sexual positions that hide the colostomy C. Invite the partner to participate in colostomy care after viewing an instructional video D. Encourage the client to discuss her feelings about the colostomy

Answer 1

Ans) 429) D. Safety

Explaination:

- People with depression can find it difficult to take the first step in seeking support. They may need to get help with the support of family members, friends or a health professional.

There is no one proven way that people recover from depression. The good news is that there is a range of treatments, health professionals and services available to help with depression. There are also many things that people with depression can do to help themselves.

430) A. Perform defibrillation

Explaination:

- Emergency treatment includes immediate defibrillation with an automated external defibrillator (AED) and cardiopulmonary resuscitation (CPR). Long-term therapy includes implantable defibrillators and medications to prevent recurrence.

431) C. Glaucoma, prostatic hypertrophy

Explaination:

- Benztropine is contraindicated in patients with known benztropine mesylate hypersensitivity. Benztropine, like other anticholinergic medications, should be avoided in patients with closed-angle glaucoma because the drug can induce cycloplegia and mydriasis, resulting in increased intraocular pressure.

432) D. Encourage the client to discuss her feelings about the colostomy

Explaination:

- The importance of the preoperative approach of the patients, including psychological aspects, to reduce the possibility of postoperative complications and contribute to the patients’ adaptation and coping with the stoma and the physical and psychosocial rehabilitation.