Exam 2 NCLEX questions &answers 2023 (WELL GRADED)

A patient comes to the clinic for a 4-week follow-up after starting fluoxetine. What is the highest priority assessment question the nurse should ask? "How have you been sleeping?" "Did you drive to the clinic today?" "Has your stomach felt uncomfortable?" "Have you experienced thoughts of hurting yourself?" "Have you experienced thoughts of hurting yourself?" Prior to initiating a tricyclic antidepressant (TCA), the nurse should evaluate which of the patient's diagnostic tests? Electroencephalogram (EEG) Electrocardiogram Lipids Complete blood count (CBC) Electrocardiogram Which breakfast selections demonstrate that a patient understands the nurse's dietary instructions while taking monoamine oxidase inhibitor (MAOI) antidepressants? Bacon, eggs, cheddar cheese, and avocado slices in a flour tortilla Banana slices and raisins in whole-grain cereal with milk Blueberry pancakes with yogurt Oatmeal with almonds and milk Oatmeal with almonds and milk Which depressed patient could most benefit from a trial prescription of bupropion? An older female adult with a history of epilepsy An underweight teenager A young male adult with a nicotine addiction A young female adult taking risperidone A young male adult with a nicotine addiction A patient prescribed a tricyclic antidepressant (TCA) for chronic depression is recovering from a myocardial infarction. Which intervention will the nurse anticipate as a result of the patient's medical condition? Preparing to wean the patient off of the prescribed TCA medication Increasing the dose of the patient's prescribed TCA medication Adding a monoamine oxidase inhibitors (MAOIs) to the patient's medication regime Discontinuing the patient from all antidepressant medications temporarily Preparing to wean the patient off of the prescribed TCA medication It has been determined that a patient is experiencing life-threatening toxicity related to tricyclic antidepressant (TCA) use. Which intervention will the nurse anticipate? Frequently assessing for suicidal ideations Administering the acetylcholinesterase inhibitor physostigmine (Antilirium) Inserting an indwelling urinary catheter Preparing the patient for an EEG Administering the acetylcholinesterase inhibitor physostigmine (Antilirium) A chronically depressed patient tells the nurse, "My antidepressant just doesn't seem to be working as well as it did." What is the nurse's initial assessment intervention? Determining whether the patient has been taking the medication as prescribed Asking the patient how long he or she has been taking this particular antidepressant Determining if the patient has been experiencing any physical side effects Asking the patient to describe what he or she means by "not working as well" Asking the patient how long he or she has been taking this particular antidepressant A patient asks, "Why have I been prescribed a selective serotonin reuptake inhibitor (SSRI) rather than one of the other kinds of antidepressants?" The nurse addresses the patient's question best when providing which response? "This classification is usually effective and generally causes fewer side effects." "SSRIs are far less expensive than any other antidepressant." "Your mental health provider has determined that your symptoms will be best managed with this classification of antidepressants." "It sounds like you have some doubts about the effectiveness of this classification of antidepressants." "This classification is usually effective and generally causes fewer side effects." Which side effect of monoamine oxidase inhibitor (MAOI) therapy will the nurse be particularly concerned about when this classification of antidepressants is prescribed to an older adult patient? Orthostatic hypotension resulting in falls Hypertension-induced strokes Hypertensive crisis resulting from eating tyramine-rich foods Drug-induced reflex tachycardia Orthostatic hypotension resulting in falls Medication teaching regarding lithium is regarded as successful when the nurse hears the patient makes which statement? "Potassium can be dangerous in my diet." "My body treats lithium just like salt." "A multivitamin each day will be important." "I won't have to see the doctor for 3 months." "My body treats lithium just like salt." The patient who will require further teaching while on lithium would make what statement? "I know I need to eat and drink sensibly." "My dietician appointment is next week." "My last lithium level was 0.6." "I am really enjoying my aerobics dance class." "I am really enjoying my aerobics dance class." The patient refuses lithium for acute mania but is agreeable to another medication. The nurse will expect the prescriber to respond with what intervention? Reinforcing that lithium is the only reasonable choice Prescribing a selective serotonin reuptake inhibitor (SSRI). Substituting the lithium with an anticonvulsant medication. Offering to prescribe a monoamine oxidase inhibitor (MAOI). Substituting the lithium with an anticonvulsant medication. Which assessment question will the nurse ask to help identify the cause of a patient's decreased lithium levels? "How much coffee do you drink daily?" "How much salt do you consume daily?" "Have you been prescribed a daily diuretic medication?" "Have you been taking any anti-inflammatory medications?" "How much coffee do you drink daily?" A patient's lithium level is 2.3 mEq/L. Which nursing intervention will the nurse be prepared to implement when ordered? Managing the administration of parenteral normal saline Increasing the daily dose of lithium Limiting the patient's intake of sodium Preparing to administer an oral diuretic Managing the administration of parenteral normal saline