A nurse in an inpatient mental health facility is reinforcing teaching with a client who signed a consent form for electroconvulsive therapy. Which of the following statements by the clientindicates an understanding of the procedure?

"I might have short-term memory loss after the procedure."

17 will need to follow a full-liquid diet for 24 hours after the procedure."

"I will have a urinary catheter in place during the procedure."

I might have occasional seizures for several days after the procedure."

Answer and Explanation

The Correct Answer is A

The correct answer is A. Electroconvulsive therapy (ECT) is a procedure that uses a mild electrical current to cause a brief seizure in the brain, which can help treat severe mentalhealth conditions. One of the possible side effects of ECT is short-term memory loss, which usually resolves within a few weeks. Therefore, if the client states that they might have short-term memory loss after the procedure, they indicate an understanding of the procedure and its risks. The other statements are incorrect or irrelevant. ECT does not require a full-liquid diet, a urinary catheter, or cause seizures after the procedure.

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Correct Answer is D

Explanation

The correct answer is choice d. Wear a gown when assisting the client with personal hygiene. Choice A rationale: Removing personal protective equipment (PPE) after leaving the client’s room is incorrect. PPE should be removed before leaving the room to prevent the spread of MRSA to other areas. Choice B rationale: Ensuring that the negative air pressure is active for the client’s room is incorrect. Negative air pressure rooms are typically used for airborne infections, such as tuberculosis, not for MRSA, which is spread by contact. Choice C rationale: Restricting the client’s visitors is not necessary. Visitors should follow contact precautions, such as wearing gowns and gloves, but they do not need to be restricted. Choice D rationale: Wearing a gown when assisting the client with personal hygiene is correct. This helps prevent the spread of MRSA by protecting the nurse’s clothing and skin from contamination.

A. "Exhale immediately after inhaling." B. "Take three quick breaths while depressing the canister." C. "Close your mouth around the mouthpiece." D. Tilt your head forward while inhaling.

Correct Answer is C

Explanation

The correct answer is C. "Close your mouth around the mouthpiece." The rationale for this instruction is that it ensures that the medication reaches the lungs and does not escape through the mouth or nose. Albuterol is a bronchodilator that relaxes muscles in the airways and increases airflow to the lungs. It is used to treat or prevent bronchospasm, or narrowing of the airways, in people with asthma or certain types of chronic obstructive pulmonary disease (COPD). It is also used to prevent exercise-induced bronchospasm. Albuterol is delivered through a metered dose inhaler (MDI), which is a device that releases a measured amount of medication with each puff. To use an albuterol MDI correctly, the client should follow these steps :

Shake the inhaler well before each spray.
Remove the cap and look at the mouthpiece to make sure it is clean.
Breathe out fully.
Put the mouthpiece between your lips and close your mouth around it.
Press down on the inhaler to release the medication as you start to breathe in slowly.
Breathe in slowly and deeply over 3 to 5 seconds.
Hold your breath for 10 seconds to allow the medication to reach your airways.
Breathe out slowly.
If you need another puff, wait 1 minute and repeat steps 4 to 8.

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A nurse in an inpatient mental health facility is reinforcing teaching with a client who signed a consent form for electroconvulsive therapy. Which of the following statements by the clientindicates an understanding of the procedure?

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Naxlex Comprehensive Predictor Exams

A nurse in a long-term care facility is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who is about to start using an albuterol metered- dose inhaler. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

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