Nokea
A nurse is reinforcing teaching with a client who is scheduled for implantation of a vagus nerve stimulator. Which of the following statements should the nurse include in the teaching?
- A. You might have extreme fatigue for several weeks after the device is implanted.
- B. Your voice might sound hoarse after the device is implanted.
- C. Your depression will improve within 72 hours after the device is implanted.
- D. You can schedule an appointment with your provider to turn the device off.
Correct Answer: B
Rationale: Hoarseness or changes in voice is a common side effect after the implantation of a vagus nerve stimulator. The stimulator affects the vagus nerve, which is close to the vocal cords. As a result, stimulation can lead to changes in voice, including hoarseness. Patients should be informed of this potential side effect so they are not alarmed if it occurs.
You may also like to solve these questions
A nurse is caring for a client who is combative and requires wrist restraints. Which of the following actions should the nurse take?
- A. Use a quick-release tie to restrain the client.
- B. Renew the restraint prescription every 48 hr.
- C. Attach the restraints to the side rail of the client's bed.
- D. Maintain 1 fingerbreadth between the restraint and the client's skin.
Correct Answer: A
Rationale: Using a quick-release tie for restraints ensures that the nurse can quickly and easily release the client in case of an emergency. Quick-release ties are designed to provide safety and convenience, allowing healthcare providers to promptly respond to the client's needs without compromising safety.
A nurse is participating in a community program about eating disorders. Which of the following information about bulimia nervosa should the nurse include in the presentation?
- A. As long as a person is not vomiting after eating they do not have bulimia nervosa.
- B. People who have bulimia nervosa are at risk for developing diabetes mellitus.
- C. Bulimia nervosa is difficult to notice because a person might be of average or ideal body weight.
- D. People who have bulimia nervosa eat an average amount of food on a daily basis.
Correct Answer: C
Rationale: Bulimia nervosa can be difficult to detect because individuals with this disorder often maintain a weight that is within the average or ideal range. This can make it challenging for others to recognize the presence of an eating disorder, as the physical appearance may not immediately suggest a problem.
A nurse is reinforcing teaching with a client about naltrexone. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will not experience alcohol withdrawal if I take this medication.
- B. The medication will allow me to gradually decrease my alcohol intake.
- C. If I drink alcohol with this medication, I will experience ringing in my ears.
- D. Taking this medication will reduce my cravings for alcohol.
Correct Answer: D
Rationale: This statement accurately reflects one of the primary effects of naltrexone. The medication helps reduce cravings for alcohol, making it easier for individuals to maintain abstinence and avoid relapse. By understanding this aspect of naltrexone, the client demonstrates a clear understanding of its purpose and use in alcohol dependence treatment.
A nurse is contributing to the plan of care for a client who has schizophrenia. The client often directs brief
- A. hostile verbal outbursts toward the staff. Which of the following interventions should the nurse recommend?
- B. Encourage the client to participate in a board game.
- C. Touch the client on the shoulder to console them.
- D. Bring a security guard whenever approaching the client.
- E. Use a calm, clear tone when speaking to the client.
Correct Answer: D
Rationale: Using a calm, clear tone when speaking to the client is an effective intervention for managing hostile verbal outbursts. Calm communication helps de-escalate the situation and prevents further agitation. It shows the client that the nurse is in control and can provide a stable, reassuring presence, which is essential for building trust and maintaining a therapeutic environment.
A nurse is collecting data from a client who experienced physical abuse as a child. Which of the following findings should the nurse identify as a risk factor for the client to become a perpetrator of child abuse?
- A. Low tolerance for frustration.
- B. Involved in community activities.
- C. Submissive personality.
- D. Absence of impulsive behaviors.
Correct Answer: A
Rationale: Low tolerance for frustration is a significant risk factor for becoming a perpetrator of child abuse. Individuals who have difficulty managing their frustration may be more likely to react impulsively and aggressively when faced with challenging situations. This inability to cope with frustration can lead to abusive behaviors, especially if the individual has not developed healthy coping mechanisms.