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A nurse is reinforcing teaching with a client who is about to undergo electroconvulsive therapy. The nurse should explain to the client which of the following adverse reactions can occur following the procedure.
- A. Tingling of the scalp
- B. Voice alteration
- C. Neck pain
- D. Temporary memory loss
Correct Answer: D
Rationale: Temporary memory loss is a common side effect of ECT, often resolving post-treatment. Tingling, voice changes, or neck pain are not typically associated with ECT.
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A nurse is caring for a client who is postoperative following a mastectomy. Which of the following actions should the nurse take?
- A. Encourage the client to perform arm exercises on the affected side.
- B. Instruct the client to keep the affected arm dependent.
- C. Apply a cold pack to the surgical site every 2 hr.
- D. Administer a diuretic to reduce arm swelling.
Correct Answer: A
Rationale: Arm exercises prevent lymphedema and promote mobility. Dependent positioning worsens swelling, cold packs aren't standard, and diuretics aren't routine.
A nurse is reinforcing teaching with a client about reducing dietary caffeine intake. The nurse should remind the client that 240 mL (8 oz. of which of the following beverages contains the least amount of caffeine?
- A. Hot cocoa
- B. Cola soft drink
- C. Instant coffee
- D. Brewed green tea
Correct Answer: A
Rationale: Hot cocoa contains approximately 5 mg of caffeine per 240 mL, significantly less than cola soft drink (24-31 mg), instant coffee (57-96 mg), or brewed green tea (20-45 mg). Choosing hot cocoa helps reduce caffeine intake effectively.
A nurse is reinforcing teaching with a client who has a new prescription for doxycycline. Which of the following statements should the nurse include?
- A. You should take this medication on an empty stomach.
- B. You might experience sensitivity to sunlight.
- C. You need to refrigerate this medication.
- D. You can take this medication with an antacid.
Correct Answer: B
Rationale: Doxycycline increases photosensitivity, requiring sun protection. It's taken with food to avoid upset, doesn't need refrigeration, and antacids reduce absorption.
A nurse is reinforcing teaching with a client who has a new prescription for lisinopril. Which of the following statements should the nurse include?
- A. You should increase your intake of potassium-rich foods.
- B. You might develop a dry cough while taking this medication.
- C. You should take this medication at bedtime.
- D. You need to limit your fluid intake while taking this medication.
Correct Answer: B
Rationale: Lisinopril can cause a persistent dry cough, a common side effect. Potassium intake, bedtime dosing, or fluid limits aren't specific concerns.
A nurse is collecting data from a client who has an arm cast newly applied. Which of the following findings should the nurse report to the provider?
- A. The client reports discomfort at the cast edges.
- B. The client can wiggle their fingers freely.
- C. The cast feels warm to the touch.
- D. The client reports mild pain at the fracture site.
Correct Answer: A
Rationale: Discomfort at cast edges may indicate pressure points or improper fit, requiring immediate attention. Finger movement, warmth, and mild pain are expected.