अन्तर्राष्ट्रिय नर्सिङ (NCLEX, DHA, HAAD)
अन्तर्राष्ट्रिय नर्सिङ (NCLEX, DHA, HAAD)
International Nursing (NCLEX-RN, DHA, HAAD) · २,०४४ प्रश्न
२,०४४ प्रश्न उपलब्ध। मोड छान्नुहोस्:
अन्तर्राष्ट्रिय नर्सिङ: प्रश्न र उत्तर
सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।
सही: ० / ०
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Why are tricyclic antidepressants (e.g. amitriptyline) particularly dangerous in overdose?
सही उत्तर: ग) They can cause fatal cardiac dysrhythmias
TCA overdose produces cardiac conduction problems (widened QRS), dysrhythmias, seizures and anticholinergic toxicity; prescriptions for at-risk clients are limited.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client taking a monoamine oxidase inhibitor (MAOI) must avoid which food?
सही उत्तर: ख) Aged cheese
Tyramine-rich foods (aged cheese, cured meats, fermented products) can trigger a hypertensive crisis with MAOIs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client taking an SSRI is also given tramadol and develops agitation, tremor, hyperthermia and muscle twitching. What is the likely cause?
सही उत्तर: क) Serotonin syndrome
Combining serotonergic drugs can cause serotonin syndrome: mental status changes, autonomic instability and neuromuscular hyperactivity (clonus, tremor).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Selective serotonin reuptake inhibitors (SSRIs) usually take how long to show their full antidepressant effect?
सही उत्तर: घ) Several weeks
Mood improvement with SSRIs usually begins after about 2–4 weeks and full effect may take longer, so clients should not stop early.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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When is the risk of suicide often increased in a client recovering from severe depression?
सही उत्तर: घ) When energy improves in the early weeks of antidepressant treatment
Antidepressants may restore energy before mood improves, giving the client the energy to act on suicidal thoughts.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A severely depressed client suddenly seems cheerful and calm and starts giving away possessions. What should the nurse suspect?
सही उत्तर: ख) Increased suicide risk
A sudden lift in mood with giving away belongings may mean the client has decided on a suicide plan.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Why should a client taking lithium maintain a normal sodium and fluid intake?
सही उत्तर: ग) Low sodium or dehydration increases lithium reabsorption and the risk of toxicity
The kidneys handle lithium like sodium; when sodium is low or the client is dehydrated, more lithium is retained.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Early signs of lithium toxicity include:
सही उत्तर: ख) Diarrhoea, vomiting, coarse tremor and drowsiness
A fine tremor and thirst can occur at therapeutic levels; vomiting, diarrhoea, coarse tremor, ataxia and drowsiness suggest toxicity.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client's thoughts jump rapidly from one topic to another with only loose connections. This is:
सही उत्तर: क) Flight of ideas
Flight of ideas — rapid, continuous speech jumping between topics — is typical of mania.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which environment is best for a client in an acute manic episode?
सही उत्तर: ग) Quiet, with reduced stimulation
Reducing environmental stimuli helps decrease hyperactivity and agitation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
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