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Questions 148

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Question 1 of 5

A client who is to undergo electroconvulsive therapy for severe depression is quite anxious about the treatment and asks the nurse what to expect after treatment. Which of the following information should the nurse include? Select all that apply.

Correct Answer: A,B,C

Rationale: ECT causes short-term confusion (
A), headache/muscle soreness (
B), and transient memory loss (
C). Incontinence (
D) and prolonged hallucinations (E) are not typical.

Question 2 of 5

A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100 mL. The nurse should:

Correct Answer: A

Rationale: The parameters (BP 160/80, 1+ reflexes, 100 mL urine output) are within acceptable limits, so the infusion should continue.

Question 3 of 5

The physician has prescribed Cobex (cyanocobalamin) for a client following a gastric resection. Which lab result indicates that the medication is having its intended effect?

Correct Answer: B

Rationale: Cyanocobalamin (vitamin B12) treats pernicious anemia post-gastric resection; a hemoglobin of 14.2 g indicates effective correction of anemia.

Question 4 of 5

To decrease the likelihood of seizures and visual hallucinations in a client with alcohol withdrawal, the nurse should:

Correct Answer: C

Rationale: A quiet, dimly lit room reduces sensory stimulation, decreasing the risk of seizures and hallucinations during alcohol withdrawal.

Question 5 of 5

The nurse is evaluating nutritional outcomes for a client with anorexia nervosa. Which one of the following is the most objective favorable outcome for the client?

Correct Answer: C

Rationale: Weight gain is the most objective and measurable outcome for anorexia nervosa, indicating improved nutritional status and progress toward recovery.

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