COM 4 – DEPRESSION A 40 year old female client has been admitted to the mental health unit with a diagnosis of major depression.  She is married and has three daughters ages 20, 18, and 15.  She states that she has been neglecting all her household responsibilities, because she is tired all the time and does not want to get out of bed.  She says that being a super-wife and super-mother has become too much for her to bear.  The client also questions how good a mother she is, since her 20 year old daughter is already divorced and her 18 year old daughter was arrested for driving drunk last week.  The client states “My life has been so busy.  I’ve done everything for my husband and daughters, and now while I’m in the hospital, they get along fine without me.”  The nurse’s best response would be:

POC 15 – PHARM The physician orders lithium for a client diagnosed with Bipolar Disorder.  Before initiating the order, which action should the nurse take next:

 POC 3 – PHARM (HEM) The nurse knows that methotrexate is recommended as part of the management plan for an unruptured ectopic pregnancy.  Which of the following provider prescriptions should the nurse question?

 COM 2 – HEM DIS A pregnant woman at 35 weeks gestation has been admitted to the labor/delivery unit with a diagnosis of vasa previa. The client asks the nurse what this means for the well-being of her fetus during the labor and delivery.  What is the nurse’s best response?

 POC 10 – RESP When caring for a child following a tonsillectomy, the nurse should do which of the following?

MOC- HTN DISORDERS The nurse is administering intravenous Magnesium Sulfate at 2 gms/hour by continuous infusion to a client that is 36 weeks gestation due to pre-eclampsia with severe features. Baseline VS prior to the start of the infusion: Temp 98.6, HR 78, RR 20, BP 160/110. Baseline Magnesium level: 1.8 meq/L. Which of the following are desired outcomes of this therapy? (Select all the apply).

 POC 1 HEM A nurse is caring for a 20 year-old client that looks to be about 30 – 32 weeks pregnant based on her uterine size.  During the physical assessment the client confides that she ingested cocaine at a party an hour ago resulting in complaints of uterine tenderness and abdominal cramping that feels “like it doesn’t go away!”  The client is assessed  for tachycardia, restlessness and no vaginal bleeding.  EFM monitor reveals FHR 160’s with minimal variability.  The nurse identifies that the client is at risk for the following?

 POC: HROB HTN The nurse is providing care for a 36 week gestation client diagnosed with severe features of pre-eclampsia.  Admitting vital signs: BP 160/110; HR 80; RR 18; Temp 98.6 degrees Fahrenheit.  The client received a loading dose of magnesium sulfate and is currently receiving an infusion of magnesium sulfate at 2 gm/hour by continuous infusion pump.  The nurse notifies the attending physician regarding which of the following findings?

MOC – RESP Which of the following tests aid in the diagnosis of Cystic Fibrosis? (Select all that apply).

TCH 1 – PHARM (Resp) Brenda Worthington, age 11, has cystic fibrosis and will be taking pancreatic enzymes. You will know that her mother needs more education on the purpose and timing of these enzymes if she says: