A nurse is caring for a client with decreased norepinephrine levels. Which mental illness is the client most likely at risk for?

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Question 1 of 5

A nurse is caring for a client with decreased norepinephrine levels. Which mental illness is the client most likely at risk for?

Correct Answer: D

Rationale: The correct answer is D: Major depressive episode. Decreased norepinephrine levels are associated with depression. Norepinephrine plays a role in mood regulation, and low levels can lead to symptoms of depression. Bipolar disorder (A) is more linked to imbalances in neurotransmitters like serotonin and dopamine. Schizophrenia (B) is associated with dopamine dysregulation. Generalized anxiety disorder (C) is linked to imbalances in serotonin and GABA neurotransmitters. Therefore, the client with decreased norepinephrine levels is most likely at risk for a major depressive episode.

Question 2 of 5

Minimally invasive surgery is very much into technology. Aside from the usual surgical team, who else has to be present when a client undergoes laparoscopic surgery?

Correct Answer: B

Rationale: The correct answer is B: Biomedical technician. During laparoscopic surgery, a biomedical technician is crucial for maintaining and troubleshooting the specialized medical equipment used in the procedure, such as the laparoscope and other monitoring devices. They ensure that the technology functions properly, minimizing the risk of technical failures that could jeopardize the surgery. Other choices such as an information technician, electrician, and laboratory technician are not directly involved in the maintenance and operation of the specialized medical equipment used in laparoscopic surgery, making them incorrect options.

Question 3 of 5

In the hospital, when you need the medical record of a discharged patient for research you will request permission through:

Correct Answer: D

Rationale: The correct answer is D: Medical records section. When needing a patient's medical record for research, the appropriate channel is the medical records section as they are responsible for maintaining and providing access to medical records. This ensures confidentiality and proper handling of sensitive information. Requesting permission through the doctor in charge (A) may not follow the proper protocol for accessing medical records. The hospital director (B) is not directly involved in handling medical records, and the nursing service (C) focuses on patient care rather than medical record retrieval. Therefore, D is the correct choice for obtaining permission to access a discharged patient's medical record for research purposes.

Question 4 of 5

As a perioperative nurse, how can you best meet the safety need of the client after administering preoperative narcotic?

Correct Answer: A

Rationale: The correct answer is A because after administering a preoperative narcotic, the client may experience drowsiness and impaired coordination, increasing the risk of falls. Putting side rails up and instructing the client not to get out of bed helps prevent falls and ensures safety. Choice B is incorrect because sending the client to the operating room with family members does not address the safety concerns related to the effects of the narcotic. Choice C is incorrect because allowing the client to get up to go to the comfort room may lead to a higher risk of falls due to drowsiness and impaired coordination. Choice D is incorrect because obtaining consent form is not directly related to meeting the safety needs of the client after administering a preoperative narcotic.

Question 5 of 5

As the head nurse in the OR, how can you improve the effectiveness of clinical alarm systems?

Correct Answer: D

Rationale: Correct Answer: D Rationale: 1. Regular maintenance and testing ensure alarm systems are functioning properly. 2. Prevents false alarms or missed alerts, improving patient safety. 3. Enhances staff response time to critical situations. 4. Compliance with regulatory requirements for alarm system management. Summary: A: Limiting suppliers doesn't directly affect alarm system effectiveness. B: Inventory management is important but not specific to alarm systems. C: Adherence to manufacturer's recommendations is essential but not sufficient for enhancing effectiveness compared to regular maintenance and testing.

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