A father brings his preschool son to the Emergency Department (ED) with multiple bruises and a fractured arm. Which statement by the father would cause the nurse to suspect child abuse? "He is:

very intelligent."

clumsy."

not good like my other children."

just being a boy."

Answer and Explanation

The Correct Answer is C

C. This statement raises significant concern for possible emotional or psychological abuse. Comparing the child unfavorably to siblings and implying that the child is not as "good" as others could indicate a pattern of emotional maltreatment.
A. This statement does not raise suspicion of child abuse. It merely describes the child's intelligence and does not provide any indication of potential abuse.
B. it is possible for children to sustain injuries due to clumsiness or accidents but this statement alone does not necessarily raise suspicion of child abuse.
D. This statement, on its own, does not necessarily indicate child abuse.

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Correct Answer is C

Explanation

C. After ECT, the client may be disoriented, confused, or drowsy due to the effects of anesthesia and the procedure itself. Orienting the client to their surroundings and situation helps promote their safety and comfort. Monitoring vital signs, including blood pressure, heart rate, respiratory rate, and oxygen saturation, is crucial to assess the client's immediate post-procedural status and detect any complications.
A. Offering reassurance can help alleviate any anxiety or confusion the client may experience. However, while this intervention is important, it may not be the first priority immediately upon admission to the Post Anesthesia Care Unit (PACU).
B. Hydration is important after any medical procedure, including ECT. However, immediately after ECT, the client may still be recovering from anesthesia and may not be fully alert or able to safely drink fluids.
D. Assisting the client with mobility is important but it may not be the first intervention performed in the PACU after ECT. The priority immediately upon admission to the PACU is to ensure the client's safety.

A. "They may cause hypomania or recent memory impairment." B. "Their full therapeutic potential may not be reached until 4 weeks." C. "They should not be given with antianxiety agents." D. "Strong or aged cheese should not be eaten while taking them."

Correct Answer is B

Explanation

B. Tricyclic antidepressants (TCAs) are known to take some time before their full therapeutic effects are realized, which can indeed be up to four weeks. This delay is due to the gradual changes they induce in the brain's biochemistry.
A. TCAs can cause a variety of side effects but hypomania and recent memory impairment are not typically associated with these medications.
C. TCAs do not have a known interaction with antianxiety agents that would prohibit their concurrent use.
D. The restriction on eating strong or aged cheese is associated with another class of antidepressants known as monoamine oxidase inhibitors (MAOIs), not TCAs.

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A father brings his preschool son to the Emergency Department (ED) with multiple bruises and a fractured arm. Which statement by the father would cause the nurse to suspect child abuse? "He is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has just been admitted to the Post Anesthesia Care Unit after electroconvulsive therapy (ECT). Which intervention will the nurse perform first?

Correct Answer is C

Explanation

The nurse assesses that medication teaching about tricyclic antidepressants was understood when the client states:

Correct Answer is B

Explanation

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A father brings his preschool son to the Emergency Department (ED) with multiple bruises and a fractured arm. Which statement by the father would cause the nurse to suspect child abuse? "He is:

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