180 QUESTIONS & ANSWER 100%
CORRECT!!
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,Informed Consent for ECT - ANSWER A client has the right to withdraw consent for
the treatment at any time.
Fraying on Electrical Cord - ANSWER The nurse should first remove the device from
the room.
Hydromorphone Prescription - ANSWER The nurse should count the current number
of unit doses available in the medication dispensing system.
Priority Finding Post Cast Placement - ANSWER A client 2 hours post cast
placement with 2+ pitting edema and pallor has the priority finding.
Disulfiram Alcohol Use - ANSWER A client should limit alcohol use to one drink daily
while taking disulfiram.
Fluoxetine and Tyramine - ANSWER A client should avoid foods containing tyramine
while taking fluoxetine.
Sustained-Release Methylphenidate - ANSWER A client should take the sustained-
release methylphenidate every morning.
Major Depressive Disorder Precautions - ANSWER The nurse should implement
seizure precautions for the client.
Narcissistic Personality Disorder Expectation - ANSWER The nurse should expect
the client to be preoccupied with aging.
Time Management in Nursing - ANSWER The nurse should first determine goals of
the day.
Change-of-Shift Assessment Priority - ANSWER The priority finding is a client with
pneumonia, productive cough, and fever of 38.8° C (101.8° F).
, Medication Administration Documentation - ANSWER The nurse should document
administration of the medication upon removal from the medication dispensing
system.
Effective Client Teaching - ANSWER Clients should be able to articulate the
importance of medication adherence.
Managing Nursing Tasks - ANSWER Developing an hourly time frame for tasks can
help manage time effectively.
Client Assessment Findings - ANSWER Identifying priority findings is essential
during shift changes.
Understanding Medication Effects - ANSWER Clients must understand the effects
and side effects of their medications.
Determine goals of the day - ANSWER Establish specific objectives for daily
activities.
Magnesium sulfate via continuous IV infusion - ANSWER A treatment for
preeclampsia requiring careful monitoring.
Restrict the client's total fluid intake to 250 mL/hr - ANSWER A guideline for fluid
management in certain medical conditions.
Measure the client's urine output every hour - ANSWER A critical action to monitor
kidney function and fluid balance.
Give the client protamine if signs of magnesium sulfate toxicity occur - ANSWER An
emergency intervention for reversing magnesium toxicity.
Monitor the FHR via Doppler every 30 min - ANSWER A procedure to assess fetal
heart rate during labor.
Wounds healing by primary intention - ANSWER Wounds that heal with minimal
scarring, typically surgical incisions.