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Questions 148

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Extract:


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

The nurse is providing instruction to a client's family regarding home safety with thrombocytopenia. Which statement by the client's family indicates a need for further education?

Correct Answer: D

Rationale: Rugs pose a tripping hazard, increasing bleeding risk in thrombocytopenia. Other statements reflect safe practices to minimize bleeding.

Question 3 of 5

The mother calls the clinic to report that her newborn has a rash on his forehead and face. Which action is most appropriate?

Correct Answer: B

Rationale: Newborn rashes, such as erythema toxicum, are common and typically resolve spontaneously within weeks, requiring no immediate intervention.

Question 4 of 5

The nurse should carefully monitor the client for which common dysrhythmia that can occur during suctioning?

Correct Answer: A

Rationale: Suctioning can stimulate the vagus nerve, leading to bradycardia due to parasympathetic activation, especially in clients with tracheostomies or endotracheal tubes.

Question 5 of 5

The charge nurse in a cardiac ICU is precepting a student nurse. Which action by the student nurse requires immediate intervention by the charge nurse?

Correct Answer: B

Rationale: Lifting the urinary catheter bag above the bladder risks backflow of urine, increasing infection risk, and requires immediate intervention.

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