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Questions 149

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Question 1 of 5

An adult man is being treated for depression and has been taking amitriptyline (Elavil) for three days. His wife says to the nurse, 'I don't think the medicine is doing anything for him. He is still depressed.' What is the best response for the nurse to make?

Correct Answer: C

Rationale: Amitriptyline requires 2-3 weeks to reach therapeutic levels, so no significant improvement is expected after only three days.

Question 2 of 5

The nurse is caring for an elderly woman admitted with chronic organic brain disease. When her daughter visits, she asks, 'Are you my maid?' How should the nurse describe the client's behavior?

Correct Answer: B

Rationale: Mistaking her daughter for a maid indicates disorientation, a common symptom of chronic organic brain disease, such as dementia.

Question 3 of 5

The clinic nurse is teaching the mother of a child with head lice how to apply permethrin. Place the steps in the order that they should be performed.

Order the Items

Source Container

Comb hair with fine-tooth or nit comb.
Thoroughly wet hair and scalp with permethrin lotion.
Ensure that the scalp and hair are dry.
Allow permethrin lotion to remain on hair for 10 minutes.
Massage permethrin into the hair one section at a time.

Correct Answer: C,B,E,D,A

Rationale: Permethrin is applied to dry hair, massaged in, left for 10 minutes, rinsed, and then nits are combed out.

Question 4 of 5

The nurse completes teaching about doxycycline to the adolescent diagnosed with Lyme disease. The nurse recognizes the need for further education when the client makes which statement?

Correct Answer: A

Rationale: Lyme disease is not contagious, but tanning can increase photosensitivity, a side effect of doxycycline, risking skin damage.

Question 5 of 5

An elderly man tells the nurse that all his family members mumble when they talk. How should the nurse respond to this statement?

Correct Answer: B

Rationale: Perceiving speech as mumbling is a common sign of hearing loss in the elderly, warranting a hearing test.

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