180 QUESTIONS & ANSWERS
Informed Consent for ECT - ANSWERS-
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A client has the right to withdraw consent for the treatment at any time.
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Fraying on Electrical Cord - ANSWERS-
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The nurse should first remove the device from the room.
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Hydromorphone Prescription - ANSWERS- vz vz vz
The nurse should count the current number of unit doses available in the medicatio
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n dispensing system.
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Priority Finding Post Cast Placement - ANSWERS-
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A client 2 hours post cast placement with 2+ pitting edema and pallor has the priori
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ty finding.
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Disulfiram Alcohol Use - ANSWERS- vz vz vz vz
A client should limit alcohol use to one drink daily while taking disulfiram.
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Fluoxetine and Tyramine - ANSWERS- vz vz vz vz
A client should avoid foods containing tyramine while taking fluoxetine.
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Sustained-Release Methylphenidate - ANSWERS- vz vz vz
A client should take the sustained-release methylphenidate every morning.
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Major Depressive Disorder Precautions - ANSWERS-
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The nurse should implement seizure precautions for the client.
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Narcissistic Personality Disorder Expectation - ANSWERS-
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The nurse should expect the client to be preoccupied with aging.
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Time Management in Nursing - ANSWERS-
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The nurse should first determine goals of the day.
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Change-of-Shift Assessment Priority - ANSWERS- vz vz vz vz
The priority finding is a client with pneumonia, productive cough, and fever of 38.8°
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C (101.8° F).
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Medication Administration Documentation - ANSWERS-
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The nurse should document administration of the medication upon removal from th
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e medication dispensing system.
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Withholding Medication - ANSWERS- vz vz vz
The nurse should withhold hydromorphone if the client does not appear to be in pai
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n.
,Client Teaching in Mental Health - ANSWERS-
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Understanding is indicated when a client states they will take their lithium on an em
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pty stomach.
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Seizure Precautions - ANSWERS- vz vz vz
Implementing seizure precautions is a priority action for a client with major depressi
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ve disorder.
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Client Assessment in Mental Health - ANSWERS-
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Encouraging the client to verbalize feelings is an important action but not the first p
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riority.
Electrical Device Safety - ANSWERS- vz vz vz vz
Reporting the defect to the equipment maintenance staff is necessary but should fo
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llow immediate removal of the device.
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Medication Dispensing System - ANSWERS- vz vz vz vz
The nurse should ensure the device inspection sticker is current as part of routine s
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afety checks. vz
Postoperative Care - ANSWERS- vz vz vz
Monitoring for pain is crucial after administering hydromorphone.
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Effective Client Teaching - ANSWERS- vz vz vz vz
Clients should be able to articulate the importance of medication adherence.
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Managing Nursing Tasks - ANSWERS- vz vz vz vz
Developing an hourly time frame for tasks can help manage time effectively.
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Client Assessment Findings - ANSWERS-
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Identifying priority findings is essential during shift changes.
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Understanding Medication Effects - ANSWERS- vz vz vz vz
Clients must understand the effects and side effects of their medications.
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Determine goals of the day - ANSWERS- vz vz vz vz vz vz
Establish specific objectives for daily activities.
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Magnesium sulfate via continuous IV infusion - ANSWERS-
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A treatment for preeclampsia requiring careful monitoring.
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Restrict the client's total fluid intake to 250 mL/hr - ANSWERS-
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A guideline for fluid management in certain medical conditions.
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Measure the client's urine output every hour - ANSWERS-
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A critical action to monitor kidney function and fluid balance.
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Give the client protamine if signs of magnesium sulfate toxicity occur - ANSWERS-
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An emergency intervention for reversing magnesium toxicity.
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, Monitor the FHR via Doppler every 30 min - ANSWERS-
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A procedure to assess fetal heart rate during labor.
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Wounds healing by primary intention - ANSWERS-vz vz vz vz vz vz
Wounds that heal with minimal scarring, typically surgical incisions.
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Approximated surgical incision - ANSWERS- vz vz vz vz
A type of wound expected to heal by primary intention.
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Client taking clozapine to treat schizophrenia and reports sore throat - ANSWERS-
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A priority client due to potential agranulocytosis risk.
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Client has OCD and is upset about a change in daily routine - ANSWERS-
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A client with stable condition, less urgent than others.
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Client has narcissistic personality disorder and is mocking others during group ther
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apy - ANSWERS-A client displaying disruptive behavior, but not immediately life-
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threatening.
Client who has depressive disorder and requires assistance with ADLs -
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ANSWERS-A client needing support but not in immediate danger.
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Implanted venous access port - ANSWERS-A device for long-
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term venous access in patients.
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A non-coring needle - ANSWERS-
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A specialized needle used to access implanted ports.
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Client who has pneumonia and feels chest pain - ANSWERS-
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A patient requiring urgent assessment for potential cardiac issues.
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12 lead ECG - ANSWERS-A priority diagnostic test for evaluating cardiac function.
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Assessing growth and development of a 3 y/o child - ANSWERS-
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Evaluating developmental milestones in early childhood. vz vz vz vz vz
Can your child ride a tricycle? - ANSWERS-
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A question to assess gross motor skills in a 3-year-old.
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Fetal heart tones assessment at 12 weeks of gestation - ANSWERS-
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A procedure to monitor fetal health early in pregnancy.
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Position the ultrasound stethoscope above the symphysis pubis to assess the FHR
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- ANSWERS-A technique for detecting fetal heart tones during early pregnancy.
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Chest tube with a water seal drainage system - ANSWERS-
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A system used to manage pleural effusions or pneumothorax.
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Tidaling in the water seal - ANSWERS- vz vz vz vz vz vz
Indicates that the chest tube system is functioning correctly.
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