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Questions 158

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Question 1 of 5

A 35-year-old client is admitted to the hospital for elective tubal ligation. While the nurse is doing preoperative teaching, the client says, 'The anesthesiologist said she was going to give me balanced anesthesia. What exactly is that?' The best explanation for the nurse to give the client would be that balanced anesthesia:

Correct Answer: D

Rationale: Regional anesthesia does not produce loss of consciousness and is indicated for excision of moles, cysts, and endoscopic surgeries. Varying amounts of anesthetic agents are used when employing balanced anesthesia. Amounts depend on age, weight, condition of the client, and surgical procedure. General anesthesia is a drug-induced depression of the central nervous system that produces loss of consciousness and decreased muscle activity. Balanced anesthesia is a combination of a number of anesthetic agents that produce a smooth induction, appropriate depth of anesthesia, and appropriate muscle relaxation with minimal complications.

Question 2 of 5

The client with Alzheimer's disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:

Correct Answer: B

Rationale: Apraxia is the inability to perform purposeful movements or use objects correctly such as using a toothbrush to brush hair. Agnosia involves sensory misrecognition anomia is difficulty naming objects and aphasia affects language.

Question 3 of 5

The nurse is teaching a client with a history of heart failure about medication adherence. The nurse should tell the client to:

Correct Answer: A

Rationale: Diuretics reduce fluid overload in heart failure, so adherence to prescribed doses is critical to manage symptoms.

Question 4 of 5

A client is diagnosed with organic brain disorder. The nursing care should include:

Correct Answer: A

Rationale: An organized, safe environment minimizes confusion and ensures safety for clients with organic brain disorders.

Question 5 of 5

A 14-year-old teenager is hospitalized for anorexia nervosa. She is admitted to the adolescent mental health unit and placed on a behavior modification program. Nursing interventions for the teenager will most likely include:

Correct Answer: A

Rationale: Providing a more structured, supportive environment addresses safety and comfort needs, thereby helping the anorexic client develop more internal control. Medications (commonly antidepressants) are frequently ordered for the体系, but lithium (used primarily with bipolar disorder) is not commonly used to treat the anorexic client. Requiring and/or demanding that the anorexic client 'eat more' at mealtimes increases the client's feelings of powerlessness.

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