the lpn is taking care of a client who is on phenelzine nardil for depression which meal would the nurse encourage the client to avoid

NCLEX-PN

Health Promotion and Maintenance NCLEX PN Questions

1. The LPN is taking care of a client who is on Phenelzine (Nardil) for depression. Which meal would the nurse encourage the client to avoid?

A. steak and potatoes
B. prosciutto and cheese plate
C. orange juice and toast
D. carbonated water, shrimp and rice

Correct answer: B

Rationale: The correct answer is 'prosciutto and cheese plate.' Phenelzine (Nardil) is an MAOI (Monoamine Oxidase Inhibitor), and clients on these drugs should avoid foods high in tyramine due to the risk of dangerous elevations in blood pressure. Prosciutto and aged cheeses are examples of foods rich in tyramine, so they should be avoided. Choices A, C, and D do not contain high levels of tyramine and are considered safe to consume while on Phenelzine.

2. An assessment of the skull of a normal 10-month-old baby should identify which of the following?

A. closure of the posterior fontanel.
B. closure of the anterior fontanel.
C. overlap of cranial bones.
D. ossification of the sutures.

Correct answer: B

Rationale: The correct answer is the closure of the anterior fontanel. By 10 months of age, the anterior fontanel should be closed. The posterior fontanel should actually close by the age of 2 months, making choice A incorrect. Overlap of cranial bones is not a typical finding in a normal 10-month-old baby's skull, so choice C is incorrect. Ossification of the sutures is an ongoing process in skull development and should not be a definitive indicator at this age, making choice D incorrect.

3. The goals of palliative care include all of the following except:

A. giving clients with life-threatening illnesses the best quality of life possible
B. taking care of the whole person"?body, mind, spirit, heart, and soul
C. no interventions are needed because the client is near death
D. supporting the needs of the family and client

Correct answer: C

Rationale: The goals of palliative care include choices A, B, and D. Choice C, 'no interventions are needed because the client is near death,' is not part of palliative care. Palliative care involves giving clients with life-threatening illnesses the best quality of life possible, taking care of the whole person"?body, mind, spirit, heart, and soul, and supporting the needs of the family and client. Interventions are crucial in palliative care to ensure the comfort and well-being of the client until the end of life. Therefore, the correct answer is that no interventions are needed because the client is near death.

4. To improve overall health, the nurse should place the highest priority on assisting a client to make lifestyle changes for which of the following habits?

A. drinking a six-pack of beer each day
B. eating an occasional chocolate bar
C. exercising twice a week
D. using relaxation exercises to deal with stress

Correct answer: A

Rationale: To improve overall health, the nurse should prioritize assisting the client in making lifestyle changes that have the most significant impact on health. Drinking a six-pack of beer each day can have serious negative effects on health, including liver damage, increased risk of chronic diseases, and addiction. By addressing this habit first, the nurse can make a substantial positive difference in the client's health. Eating an occasional chocolate bar, exercising twice a week, and using relaxation exercises to deal with stress are beneficial habits, but they are not as detrimental to health as excessive alcohol consumption. Therefore, they are not the highest priority for immediate lifestyle changes to improve health.

5. An appraisal of self-care practices involves an assessment of:

A. all diagnostic tests.
B. home treatment practices, including nurse visits for the sick or disabled.
C. the family's capability to get health insurance.
D. caregiving needs and the potential for strain.

Correct answer: D

Rationale: An appraisal of self-care practices focuses on assessing caregiving needs and the potential for strain. This involves evaluating the support system in place for individuals requiring care, the level of strain experienced by caregivers, and the overall impact of caregiving responsibilities on both the caregiver and the care recipient. The other options presented do not directly relate to the assessment of self-care practices. Diagnostic tests, home treatment practices, and the family's capability to obtain health insurance are important aspects of healthcare but do not specifically pertain to the evaluation of self-care practices.