A patient is preparing to receive electroconvulsive therapy. The nurse caring for this patient identifies which patient problem as the highest priority?
Anxiety related to uncertainty of the events of the test
Deficient knowledge related to lack of information regarding the procedure
Disturbed thought process related to confusion
Disturbed thought process related to temporary memory loss
The Correct Answer is A
A. Anxiety related to uncertainty of the events of the test: Addressing the patient's anxiety and providing information about the procedure can help reduce fear and improve cooperation.
B. Deficient knowledge related to lack of information regarding the procedure: While providing information is important, the immediate emotional response (anxiety) takes priority as it can impact the patient's experience of the procedure.
C. Disturbed thought process related to confusion: While disturbed thought processes are relevant, they are not the primary concern pre-procedure.
D. Disturbed thought process related to temporary memory loss: Temporary memory loss can occur post-ECT, but addressing pre-procedure anxiety is a more immediate priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Cellulitis can come back at any time." This statement reflects an understanding that cellulitis can recur, which indicates that the patient is aware of the potential for reinfection.
B. "My skin is cleared up. I don't think I need the medication anymore." Antibiotics should be taken for the full prescribed duration even if symptoms improve, to ensure complete eradication of the infection.
C. "Cellulitis is contagious." While cellulitis itself is not contagious, this statement does not necessarily indicate misunderstanding of antibiotic therapy.
D. "If I had washed that scratch with soap and water, I probably would not have gotten cellulitis." This reflects an understanding of preventative measures, although proper medical treatment is still required for existing cellulitis.
Correct Answer is A
Explanation
A. Lips and mucous membranes. Cyanosis is best assessed in areas where the skin is thin, and the underlying blood vessels are more visible.
B. Sclera. Sclera is usually white, and cyanosis is not well-assessed here.
C. Abdomen: The abdomen is not an ideal site for assessing cyanosis due to thicker skin and less visible blood vessels.
D. Soles of the feet. The soles of the feet are not reliable for assessing cyanosis due to skin thickness and pigmentation.
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