The nurse is conducting an examination of a client with heart ...

[jparksx]

The nurse is conducting an examination of a client with heart failure who takes antihypertensives and diuretics. The client complains of fatigue and an inability to finish tasks. The nurse determines that:
 
  1. The client should be hospitalized.
   2. The medication needs adjustment.
   3. The client has not been exercising.
   4. The client is experiencing the expected result of the disease.

Question 2

A client with a 2-month-old child is experiencing insomnia, mood swings, and crying. The nurse realizes that this client would most likely benefit from:
 
  1. Electroconvulsive therapy.
   2. Cognitive-behavioral therapy.
   3. Antidepressants and psychosocial interventions.
   4. Time management and exercise therapy.

[ghepp]

Answer to Question 1

4. The client is experiencing the expected result of the disease.

Rationale:
Heart failure and the drugs prescribed for it cause the client to be fatigued. While this would be considered abnormal in most clients, it is expected in the client with heart failure. The client does not need to be hospitalized for fatigue. Fatigue is not an indication that the medication needs adjusting. A lack of exercise would not cause the client to experience fatigue severe enough to prevent the completion of tasks.

Answer to Question 2

3. Antidepressants and psychosocial interventions.

Rationale:
The client is demonstrating signs of postpartum depression as evidenced by the mood swings, insomnia, and crying. Treatment for this disorder includes antidepressants and psychosocial interventions. Electroconvulsive therapy would be indicated for some cases of depression but not for postpartum depression. Cognitive-behavioral therapy would be indicated for depression but not postpartum depression. Time management and exercise therapy would not be beneficial for a client experiencing postpartum depression.

[jparksx]

TYSM

[raili21]

Excellent