Correct Answers
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?
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?
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?
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?
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?
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?
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?
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?
Eggs
Which of the following nursing interventions is helpful in establishing trust in the
initial phase of a nurse-client relationship?
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?
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?
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?
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?
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?