A nurse is caring for a client who has given informed consent for ECT. Just
before the procedure, the client tells the nurse she is considering not going
forward with the treatment. Which of the following statements by the nurse Is
appropriate?
a "You don't have to go through with the treatment."
b "Most people who have this procedure feel better following the treatment.
C. "It's okay to be nervous before this treatment
d. "Your doctor wouldn't have ordered this treatment unless it was
necessary. a "You don't have to go through with the treatment."
While performing a route assessment. a nurse notices tracing on the electrical
cord of a client's PM device. Which of the following actions should the nurse
take first?
a report the defect to the equipment
maintenance staff. b Ensure the device
inspection sticker is current
c Remove the device from the room
d Initiate a requisition for a replacement
,PM device c Remove the device from the
room
A nurse is caring for a client who is postoperative and has a new
prescription for hydromorphone, Which of the following actions
should the nurse take:
a Document administration of the medication upon removal from the
medication dispensing b Withhold the medication if the client does not appear
to be in pain.
c Count the current number of unit doses available in the medication
dispensing system. d Withhold the medication if the client has a fever
,c Count the current number of unit doses available in the medication dispensing
system.
A nurse performing a change-of-shift assessment. Which of the following clients
has the priority finding?
a Type 2 DM and blood glucose of 250 mg/dL
b Pneumonia with a productive cough and a fever of 38.8°
C (101.8° F) c 2 hr. post cast placement and has 2+ pitting
edema and pallor
d First-degree heart block and a heart rate of 62/ min
c 2 hr. post cast placement and has 2+ pitting edema and pallor
A nurse in an outpatient mental health facility is providing teaching to a group
of adolescents. Which of the following statements by a client indicates an
understanding of the teaching?
a "I will limit my alcohol use to one drink daily while taking
disulfiram. b "I will avoid foods containing tyramine while
taking Fluoxetine
c "I will take the sustained-release methylphenidate every
morning.
D "I will take my lithium on an empty stomach."
.c "I will take the sustained-release methylphenidate every morning.
A nurse in the emergency department is assessing a client who has a major
depressive disorder. Which of the following actions should the nurse take first?
A Administer Zofran to the client for
nausea B Implement seizure
precautions for the client C Encourage
the client to verbalize feelings
, D. Obtain the client's weight
B Implement seizure precautions for the client
A nurse is completing an admission assessment for a client who has a
narcissistic personality disorder. Which of the following should the nurse
expect?
A Suspicious of others
B Exhibits separation
anxiety C Ritualistic
behavior
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