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Questions 149

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Extract:


Question 1 of 5

The client is having electroconvulsive therapy for treatment of severe depression. Which of the following indicates that the client's ECT has been effective?

Correct Answer: D

Rationale: A grand mal seizure is the intended therapeutic effect of ECT, indicating effective treatment for severe depression.

Question 2 of 5

The nurse is teaching a client with rheumatoid arthritis about joint protection techniques. Which of the following statements by the client indicates understanding of the teaching?

Correct Answer: B

Rationale: using large joints for tasks reduces stress on smaller joints, which is a key principle in joint protection

Question 3 of 5

A client comes to the emergency department with scalding burns covering his entire left arm, anterior and posterior surfaces. Using the rule of nines, how much total body surface area (TBSA) has been burned? Record your answer using a whole number.

Correct Answer: 18

Rationale: Rule of nines: Entire arm (anterior and posterior) = 9% per arm. Left arm burn = 9% X 2 surfaces = 18% TBSA.

Question 4 of 5

A client with hyperthyroidism is taking lithium carbonate to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client's medication?

Correct Answer: B

Rationale: Increased thirst and urination suggest lithium toxicity, which can cause diabetes insipidus-like symptoms, requiring immediate attention.

Question 5 of 5

During the change of shift report, a nurse writes in her notes that she suspects illegal drug use by a client assigned to her care. During the shift, the notes are found by the client's daughter. The nurse could be sued for:

Correct Answer: A

Rationale: Writing unverified suspicions of illegal drug use that are later seen by others constitutes libel, as it is a written defamatory statement.

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