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Questions 149

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Question 1 of 5

The client is having electroconvulsive therapy for treatment of severe depression. Prior to the ECT the nurse should:

Correct Answer: D

Rationale: Applying a blood pressure cuff allows monitoring of vital signs during ECT, which is a standard safety measure.

Question 2 of 5

A public health nurse is preparing an educational handout about rubella, commonly known as measles. All of the following statements should be included in the informational handout EXCEPT

Correct Answer: B

Rationale: Rubella’s incubation period is 12-23 days, not 3-7 days. It spreads via respiratory droplets (coughing/sneezing), not skin-to-skin. Symptoms include fever and rash, but runny nose and cough are more typical of measles.

Question 3 of 5

The physician has ordered that a serum trough level be drawn for a medication. Which of the following is the correct time to draw blood for a trough level?

Correct Answer: D

Rationale: A trough level is drawn immediately before a scheduled dose (
D) to measure the lowest drug concentration in the blood. Other times (A, B,
C) do not reflect the trough level.

Question 4 of 5

A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:

Correct Answer: D

Rationale: Contractions 5 minutes apart indicate the onset of active labor, prompting further evaluation.

Question 5 of 5

Which of the following medication orders requires clarification before the nurse can administer the order?

Correct Answer: B

Rationale: Heparin dosing (30 units/kg/hr) is unusually low for anticoagulation (typically 10-20 units/kg/hr). This requires clarification to ensure safety.

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