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A nurse is caring for a client who is scheduled to undergo ECT. The provider has
explained the procedure to the client. Which of the following statements made
by the client indicates a need for further teaching?
This procedure can increase my risk for developing Parkinson's
There has been a massive community disaster and stable clients must be
discharged from the hospital to prepare for the influx of new casualties. Which
of the following clients is safe to discharge?
A client with multiple sclerosis who reports ataxia
A nurse is providing discharge teaching to a client and family members following
an admission for a seizure disorder. Which of the following actions should the
nurse instruct the family members to take if the client experiences a seizure?
Loosen constricting clothing
,A nurse is caring for a client who reports pain. When documenting the quality of
the client's pain on an initial pain assessment, the nurse should record which of
the following client statements?
The pain is like a dull ache in my stomach.
A nurse is administering baclofen for a client who has a spinal cord injury. Which
of the following should the nurse document as therapeutic outcome?
Decrease in flexor and extensor spasticity
A client recently diagnosed with bipolar disorder is placed in a room with a
client who has severe depression. The client who has depression reports to the
nurse, "That man in my room never sleeps and he keeps me up, too." Which of
the following is an appropriate intervention for the nurse to take?
Move the client who has bipolar disorder to a private room.
The nurse is assisting a group of clients to identify skin cancer-related risk
factors that can be reduced. Which of the following is an appropriate health
behavior change?
Wearing a wide-brim hat while gardening.
, An older adult client is to receive an annual influenza vaccine. While preparing
the client for this immunization, the nurse should ask the client if he has a
hypersensitivity to which of the following?
Eggs
Which of the following nursing interventions is helpful in establishing trust in
the initial phase of a nurse-client relationship?
Discussing the boundaries of the relationship with the client.
A nurse is assessing a client who is diagnosed with rheumatoid arthritis. Which
of the following nonpharmacologic interventions should the nurse suggest to a
client to reduce pain?
Alternate application of heat and cold
A nurse is watching an assistive personnel empty a postsurgical client's Jackson-
Pratt drain. Which of the following indicates that the AP needs further
instruction on this procedure?
The AP puts on sterile gloves before performing the procedure.
A nurse is caring for a child who has experienced a generalized seizure. During
the postictal period, which of the following actions should the nurse take?
Document the time until the child is fully awake