EXAM: 180 QUESTIONS &
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Terms in this set (367)
,Informed Consent for ECT A client has the right to withdraw consent for the treatment at
any time.
Fraying on Electrical Cord The nurse should first remove the device from the room.
Hydromorphone Prescription The nurse should count the current number of unit doses
available in the medication dispensing system.
Priority Finding Post Cast Placement A client 2 hours post cast placement with 2+ pitting
edema and pallor has the priority finding.
Disulfiram Alcohol Use A client should limit alcohol use to one drink daily while taking
disulfiram.
Fluoxetine and Tyramine A client should avoid foods containing tyramine while taking
fluoxetine.
Sustained-Release Methylphenidate A client should take the sustained-release methylphenidate
every morning.
Major Depressive Disorder Precautions The nurse should implement seizure precautions for the client.
Narcissistic Personality Disorder Expectation The nurse should expect the client to be preoccupied with
aging.
Time Management in Nursing The nurse should first determine goals of the day.
,Change-of-Shift Assessment Priority The priority finding is a client with pneumonia, productive
cough, and fever of 38.8° C (101.8° F).
Medication Administration Documentation The nurse should document administration of the medication
upon removal from the medication dispensing system.
Withholding Medication The nurse should withhold hydromorphone if the client does
not appear to be in pain.
Client Teaching in Mental Health Understanding is indicated when a client states they will take
their lithium on an empty stomach.
Seizure Precautions Implementing seizure precautions is a priority action for a
client with major depressive disorder.
Client Assessment in Mental Health Encouraging the client to verbalize feelings is an important
action but not the first priority.
Electrical Device Safety Reporting the defect to the equipment maintenance staff is
necessary but should follow immediate removal of the device.
Medication Dispensing System The nurse should ensure the device inspection sticker is
current as part of routine safety checks.
Postoperative Care Monitoring for pain is crucial after administering
hydromorphone.
Effective Client Teaching Clients should be able to articulate the importance of
medication adherence.
Managing Nursing Tasks Developing an hourly time frame for tasks can help manage
time effectively.
Client Assessment Findings Identifying priority findings is essential during shift changes.
Understanding Medication Effects Clients must understand the effects and side effects of their
medications.
Determine goals of the day Establish specific objectives for daily activities.
Magnesium sulfate via continuous A treatment for preeclampsia requiring careful monitoring.
IV infusion
Restrict the client's total fluid intake to 250 A guideline for fluid management in certain medical
mL/hr conditions.
Measure the client's urine output every hour A critical action to monitor kidney function and fluid balance.
, Give the client protamine if signs of An emergency intervention for reversing magnesium toxicity.
magnesium sulfate toxicity occur