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A nurse is caring for a client who is scheduled to undergo ECT. The provider has explained the
procedure to the client. Which of the following statements made by the client indicates a need for
further teaching? - (answer)This procedure can increase my risk for developing Parkinson's
There has been a massive community disaster and stable clients must be discharged from the
hospital to prepare for the influx of new casualties. Which of the following clients is safe to
discharge? - (answer)A client with multiple sclerosis who reports ataxia
A nurse is providing discharge teaching to a client and family members following an admission
for a seizure disorder. Which of the following actions should the nurse instruct the family
members to take if the client experiences a seizure? - (answer)Loosen constricting clothing
A nurse is caring for a client who reports pain. When documenting the quality of the client's pain
on an initial pain assessment, the nurse should record which of the following client statements? -
(answer)The pain is like a dull ache in my stomach.
,A nurse is administering baclofen for a client who has a spinal cord injury. Which of the
following should the nurse document as therapeutic outcome? - (answer)Decrease in flexor and
extensor spasticity
A client recently diagnosed with bipolar disorder is placed in a room with a client who has severe
depression. The client who has depression reports to the nurse, "That man in my room never
sleeps and he keeps me up, too." Which of the following is an appropriate intervention for the
nurse to take? - (answer)Move the client who has bipolar disorder to a private room.
The nurse is assisting a group of clients to identify skin cancer-related risk factors that can be
reduced. Which of the following is an appropriate health behavior change? - (answer)Wearing a
wide-brim hat while gardening.
An older adult client is to receive an annual influenza vaccine. While preparing the client for this
immunization, the nurse should ask the client if he has a hypersensitivity to which of the
following? - (answer)Eggs
Which of the following nursing interventions is helpful in establishing trust in the initial phase of
a nurse-client relationship? - (answer)Discussing the boundaries of the relationship with the
client.
, A nurse is assessing a client who is diagnosed with rheumatoid arthritis. Which of the following
nonpharmacologic interventions should the nurse suggest to a client to reduce pain? -
(answer)Alternate application of heat and cold
A nurse is watching an assistive personnel empty a postsurgical client's Jackson-Pratt drain.
Which of the following indicates that the AP needs further instruction on this procedure? -
(answer)The AP puts on sterile gloves beore performing the procedure.
A nurse is caring for a child who has experienced a generalized seizure. During the postictal
period, which of the following actions should the nurse take? - (answer)Document the time until
the child is fully awake
A client who has systemic lupus erythematosus presents to the clinic. Which of the following
findings should be reported to the primary care provider? - (answer)Increase in heart rate 25/min
above baseline.
A nurse is educating a client who is at 30 weeks of gestation regarding a 3-hr oral glucose
tolerance test. Which of the following should the nurse include in her teaching? -
(answer)Consume 150 g of carbs for 3 days prior