A client has been diagnosed with major depression. The psychiatrist prescribes a SSRI, Sertraline Hydrochloride (Zoloft). Which of the following medication educational information should the nurse include in discharge teaching?

The nurse understands that patient education plans should be developed in collaboration with the entire health care team. The main topics for the nurse to focus on during health teaching and counseling include: Select all that apply:

Which of the following would indicate an imbalance with regard to managing stress and coping?

A couple has recently been married.  Both the husband and the wife were previously married and had two children each. What name is given to this type of family?

A nurse is caring for a client who is in labor and being monitored with an electronic fetal monitor. When interpreting the data from the fetal monitor, which finding would the nurse prioritize as most concerning and report immediately?

A pregnant client who is a G3,P2 and currently at 10 weeks gestation comes to the clinic for a prenatal visit.  Their cultural practices involve a belief in balance of hot and cold foods.  They avoid hot foods as well as iron and milk because of an intolerance.  What approach should the nurse take in educating the client regarding dietary alternatives to avoid nutritional deficiencies during pregnancy?

You are the nurse working with a client who is at 20 weeks of gestation.  She has had two previous miscarriages at 12 and 14 weeks within the last two years.  She has a set of twins born at 38 weeks that are three years old.  Determine her pregnancy history?

Use the following Case Study to answer the questions below: Kira, a 3-year-old female, is admitted to the pediatric intensive care unit (PICU) with a diagnosis of bacterial meningitis. Her parents report a 2-day history of fever, irritability, decreased appetite, and vomiting. This morning, they noticed she was less responsive and had a high-pitched cry. Initial Assessment: Vital Signs: Temp 102.8°F (39.3°C), HR 130 bpm, RR 28 breaths/min, BP 110/60 mmHg, SpO2 96% on room air Lethargic, arouses only to painful stimuli. Left pupil 4mm, sluggishly reactive to light; Right pupil 3mm, briskly reactive to light. Anterior fontanelle tense and bulging, withdraws bilateral upper and lower extremities to pain stimuli, no focal deficits noted. Gag reflex present, positive Kernig’s and Brudzinki’s signs. High pitched inconsolable crying. Skin turgor slightly decreased. Past Medical History: Full-term infant, received all age-appropriate vaccinations. No significant past medical history. No recent travel or exposure to sick contacts reported by parents other than a mild cold 1 week prior 1. Based on Kira’s initial assessment findings, which of the following is the most concerning indicator of increased intracranial pressure (ICP) in a 3-year-old? (Place answer for this question in first blank)           A. Heart rate of 130 bpm           B. Temperature of 102.8°F (39.3°C)           C. Sluggishly reactive and unequal pupils           D. Positive Kernig’s and Brudzinski’s signs 2. The nurse is developing a plan of care for Kira. Which nursing intervention is the highest priority for a patient with suspected increased ICP? (Place answer for this question in second blank)        A. Administering antipyretics to reduce fever        B. Maintaining a quiet and dimly lit environment        C. Elevating the head of the bed to 30 degrees with the head in a neutral position        D. Administering broad-spectrum antibiotics as ordered 3. The nurse is monitoring Kira for signs of worsening neurological status. Which of the following, if observed, would indicate a late and critical sign of increased ICP and impending brain herniation? (Place answer for this question in third blank)      A. Restlessness and irritability               B. Headache and nausea      C. Widening cranial sutures and increased head circumference      D. Hypertension, bradycardia, depressed/irregular respirations

A client experiencing homelessness arrives in labor and states she has not received prenatal care. What is the nurse’s priority action?

An infant is noticeably jaundiced on the third day of life and the parents are concerned.  The nurse explains this to the parents by stating: