Which assessment is the priority when a client with heart failure reports a 9-pound (4-kilogram) weight gain in the past 2 weeks? 

Which client would be at an increased risk for coronary artery disease (CAD)? 

 A nurse is caring for a post-operative client. What strategy should the nurse recommend to prevent postoperative constipation?

Tre is a 23 year old male that presents to the clinic with concerns regarding his mood. For the last two and a half years he has felt depressed. He does not note any time period within the last two and a half years that he has been happy for greater than two weeks. He is not sure what has triggered this and it has been hard for him to manage. His energy is low, he is sleeping 12 hours a day, he is overeating and he has feelings of hopelessness. He denies any manic or hypomanic symptoms in his life. He is not on any medications at this time and his lab work at his last physical (TSH, CBC, CMP, B12, Vit D and Folate) were normal. His PHQ-9 is 20 and GAD-7 is 5. When thinking about this presentation what is the best DSM-5-TR diagnosis with his current symptoms:

You have a 23 year old female that comes into your clinic and was on lamotrigine for bipolar II. She would like to wean off the lamotrigine during her pregnancy while she is monitored for a hypomania. You do wean her off and two months later she comes in and states she is feeling depressed and she has a family member on fluoxetine and she inquires about going on fluoxetine. What is your best response with what you know about her bipolar II diagnosis:

A 16 year old client returns for follow-up appointment 3 weeks after starting on fluoxetine 20 mg daily. During the appointment you notice that her speech is a little rapid, in marked contrast to the psychomotor retardation and paucity of spontaneous speech she displayed on her first visit. Instead of looking at the floor, she now makes normal eye contact. Her affect has one from constricted to expansive. She continues to have difficulty sleeping, but her energy has improved and she states she feels “so much better.” She also has not been eating as much since she feels like she does not have time to eat since she is so much busier now that she is feeling better. What should you conclude about the shift in the client’s presentation?

The practice of medicine is focused on curing illness, while the practice of nursing applies which therapeutic concept?

When thinking about medications that help control the mania phase of bipolar. Which medication is the best option:

You have a 23-year-old patient that you started on lamotrigine for bipolar II depression. Which of the following would be an appropriate initial titration schedule: 

Jim is a 32-year-old male that presents to the clinic on recommendation of his PCP and his family. He has been having periods of expansive and elevated moods. He will believe he has been put on this Earth to solve cancer. During that time period he is working on solving cancer, he is not eating much, sleeping much, starting different projects and feels like his mind is racing. He has had periods like this in his life and he will then lose his job and has had issues with law enforcement. The longest that this has gone on is 8 days but it is very disruptive in his life. His family is with him in the appointment and they are wondering about his diagnosis. What is the most accurate statement that accurately fits this presentation: