The physician has prescribed Zoloft (sertraline) for a client who has been taking Nardil (phenelzine). The recommended length of time between discontinuing a monoamine oxidase inhibitor and beginning therapy with a selective serotonin reuptake inhibitor is:
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Solution
Answer D is correct. Concurrent use of an SSRI and an MAO inhibitor can produce serotonin syndrome; therefore, the client should discontinue the MAO inhibitor 14 days before beginning therapy with an SSRI. Answers A, B, and C are incorrect because the time is too brief between the use of the MAO inhibitor and the beginning of therapy with an SSRI.
An elderly client is admitted with a fractured left hip. Which type of traction will be used to immobilize the client’s left extremity?
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Solution
Answer B is correct. Buck’s traction is a skin traction used for short-time immobilization of hip fractures before surgical correction. Answer A is incorrect because 90-90 traction is a skeletal traction used to immobilize fractures of the femur. Answer C is incorrect because Bryant’s traction is used only for children who weigh less than 30 pounds. Answer D is incorrect because Dunlop’s traction is used to treat fractures of the humerus.
The nurse is monitoring a client admitted with an overdose of Phenobarbital (phenobarbital). The nurse should carefully observe the client for signs of:
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Solution
Answer B is correct. Phenobarbital is a central nervous system depressant that is capable of producing decreased respirations and apnea. Answer A is associated with an overdose of aspirin; therefore, it is incorrect. Answer C is incorrect because the blood pressure would be decreased. Answer D is not associated with an overdose of Phenobarbital; therefore, it is incorrect.
A client is hospitalized with a diagnosis of antisocial personality disorder. According to Freud’s psychoanalytic theory, antisocial personality disorder arises from faulty development of the:
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Solution
Answer A is correct. According to Freud’s psychoanalytic theory, antisocial personality disorder arises from faulty development of the id. Answers B, C, and D are incorrect because they are not related to the development of antisocial personality disorder.
Which of the following is not a part of routine cord care of the newborn?
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Solution
Answer A is correct. Petroleum gauze should not be applied to the cord, which separates by a process of drying. Answers B, C, and D are all parts of routine cord care; therefore, they are incorrect.
The nurse at a local daycare center observes a group of preschool-age children playing. The children are playing in an unorganized fashion, with no obvious rules to the play activity. The type of play that is typical of preschool-age children is known as:
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Solution
Answer C is correct. The typical play of preschool-age children is described as associative play. In associative play, children of the same sex play together with no obvious rules for play activity and without leaders. Answer A is incorrect because it is the typical play activity of the infant. Answer B is incorrect because it is the typical play activity of the toddler. Answer D is incorrect because it is the typical play activity of the school-age child.
The physician has ordered Cotazyme (pancrelipase) for a child with cystic fibrosis. The nurse knows that the medication is given to:
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Solution
Answer C is correct. Cotazyme (pancrelipase) increases the digestion and absorption of fats, carbohydrates, and proteins in the GI tract. Deficiencies in the fat-soluble vitamins (A, D, E, K) are corrected by administering the water-soluble forms of those vitamins; therefore, answer A is incorrect. Answer B is incorrect because Cotazyme increases carbohydrate metabolism. Answer D is incorrect because Cotazyme has no effect on sodium and chloride excretion.
The nurse is assisting a client with a total hip replacement to a chair. Which type of chair is appropriate for the client following a total hip replacement?
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Solution
Answer A is correct. Following a total hip replacement, the nurse should assist the client to sit in a recliner, which limits the amount of hip flexion to 60° or less. Answers B, C, and D are incorrect because they allow the hip to be flexed more than 90°, which might dislocate the hip prosthesis.
A client with polycythemia vera is admitted for a phlebotomy. Assessment of the client with polycythemia vera reveals:
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Solution
Answer B is correct. Symptoms associated with polycythemia include ruddy complexion, spleenomegaly, headache, fatigue, dyspena, angina, and pruritis. Answer A is incorrect because it is associated with pernicious anemia. Answer C is incorrect because it is associated with anemia. Answer D is incorrect because the symptoms are associated with left-sided heart failure.
Post-operative orders have been left for a client with an abovethe-knee amputation. The orders include wrapping the stump with an elastic bandage. The nurse knows that the primary reason for wrapping the stump with an elastic bandage is to:
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Solution
Answer B is correct. The primary reason for wrapping the stump with an elastic bandage is to shrink the stump and get it ready for application of a prosthetic device. Answer A is incorrect because the application of an elastic bandage will not decrease bleeding. Answer C is incorrect because the application of an elastic bandage will not prevent phantom pain. Application of an elastic bandage will prevent the client from seeing the area, but this is not the primary reason for its use; therefore, answer D is incorrect.