Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is assessing a client who has posttraumatic stress disorder following military combat. Which of the following findings should the nurse expect?
A. Requests opportunity to discuss trauma
Requesting an opportunity to discuss trauma might be indicative of the client's desire to process their experiences, but it's not a specific symptom of PTSD.
B. Reports recurrent nightmares
Recurrent nightmares are a common symptom of PTSD, often related to the traumatic event.
C. Indicates working extra hours
Indicating working extra hours is not a specific symptom of PTSD.
D. Exhibits diminished reflexes
Exhibiting diminished reflexes is not a typical symptom of PTSD.
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Full Explanation
Choice A rationale:
Requesting an opportunity to discuss trauma might be indicative of the client's desire to process their experiences, but it's not a specific symptom of PTSD.
Choice B rationale:
Recurrent nightmares are a common symptom of PTSD, often related to the traumatic event.
Choice C rationale:
Indicating working extra hours is not a specific symptom of PTSD.
Choice D rationale:
Exhibiting diminished reflexes is not a typical symptom of PTSD.
Similar Questions
A nurse is planning to teach an educational session about chlamydia. Which of the following information should the nurse plan to include?
A. Chlamydia is treated using antiviral medications.
Chlamydia is a bacterial infection, so it is treated with antibiotics, not antiviral medications.
B. Clients can resume intercourse once treatment has started.
Clients should abstain from sexual intercourse until the treatment course is completed to prevent transmission.
C. A chlamydia infection is often asymptomatic in female clients.
Chlamydia infections are often asymptomatic in both males and females, which can lead to undiagnosed and untreated infections. Routine screening is important to detect and treat infections early.
D. Female clients who are at risk for chlamydia should be screened every 2 years.
The recommended frequency for chlamydia screening in female clients at risk is annually, not every 2 years.
Full Explanation
Choice A rationale:
Chlamydia is a bacterial infection, so it is treated with antibiotics, not antiviral medications.
Choice B rationale:
Clients should abstain from sexual intercourse until the treatment course is completed to prevent transmission.
Choice C rationale:
Chlamydia infections are often asymptomatic in both males and females, which can lead to undiagnosed and untreated infections. Routine screening is important to detect and treat infections early.
Choice D rationale:
The recommended frequency for chlamydia screening in female clients at risk is annually, not every 2 years.
A nurse is providing teaching about lithium to a client who has bipolar disorder. Which of the following information should the nurse include?
A. "Restrict your fluid intake while taking lithium.
Restricting fluid intake is not the primary concern when taking lithium. It's more important to maintain a consistent level of sodium intake.
B. "Double your dose of lithium if you experience blurred vision."
Doubling the dose of lithium without medical supervision can lead to lithium toxicity, which can be life-threatening.
C. "Consume a moderate-sodium diet while taking lithium."
Sodium levels can impact the effectiveness and safety of lithium. Consuming a moderate- sodium diet helps prevent sodium depletion or overload, which can affect lithium levels.
D. "Slurred speech can indicate that your lithium level is low."
Slurred speech is not indicative of low lithium levels. It's important to monitor for signs of lithium toxicity, which include tremors, confusion, and GI symptoms.
Full Explanation
Choice A rationale:
Restricting fluid intake is not the primary concern when taking lithium. It's more important to maintain a consistent level of sodium intake.
Choice B rationale:
Doubling the dose of lithium without medical supervision can lead to lithium toxicity, which can be life-threatening.
Choice C rationale:
Sodium levels can impact the effectiveness and safety of lithium. Consuming a moderate- sodium diet helps prevent sodium depletion or overload, which can affect lithium levels.
Choice D rationale:
Slurred speech is not indicative of low lithium levels. It's important to monitor for signs of lithium toxicity, which include tremors, confusion, and GI symptoms.
A nurse is caring for a client who has Parkinson's disease and a new prescription for pramipexole. The nurse should monitor the client for which of the following findings as an adverse effect of this medication?
A. Diarrhea
Diarrhea is not commonly associated with pramipexole use.
B. Drowsiness
Drowsiness is a common adverse effect of pramipexole and can impair the client's ability to perform tasks that require alertness.
C. Tachypnea
Tachypnea (rapid breathing) is not typically associated with pramipexole use.
D. Bradycardia
Bradycardia (slow heart rate) is not a common adverse effect of pramipexole.
Full Explanation
Choice A rationale:
Diarrhea is not commonly associated with pramipexole use.
Choice B rationale:
Drowsiness is a common adverse effect of pramipexole and can impair the client's ability to perform tasks that require alertness.
Choice C rationale:
Tachypnea (rapid breathing) is not typically associated with pramipexole use.
Choice D rationale:
Bradycardia (slow heart rate) is not a common adverse effect of pramipexole.