Nokea
What is important to note about Divalproex (Depakote)?
- A. Can be toxic to liver
- B. Lethal in overdose
- C. contraindicated in first trimester of pregnancy
- D. Palpitations
Correct Answer: A
Rationale: The correct answer is A because Divalproex (Depakote) can be toxic to the liver. This is important to note as it can lead to liver damage and liver function tests should be monitored regularly. Choice B, lethal in overdose, is incorrect as while overdose can be serious, it is not specifically lethal. Choice C, contraindicated in the first trimester of pregnancy, is also incorrect as Divalproex is actually known to be used for certain seizure disorders during pregnancy. Choice D, palpitations, is unrelated to the medication's primary side effects.
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In the problems of sexuality and sexual functioning, the term gender identity refers to
- A. Sexual urges or fantasies
- B. Dissatisfaction with biological sex
- C. Problems with sexual fantasies
- D. Problems with sexual response cycle
Correct Answer: B
Rationale: Gender identity is one's internal gender sense, which may conflict with biological sex.
Purposely hurting a family pet is a warning sign of other types of abuse in the home.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Studies indicate that abuse of family pets can be an indicator of family violence as the abuser demonstrates his power and control.
To minimize the risk of injury during an electroconvulsive therapy (ECT) treatment, the nurse:
- A. Times the seizure so it will not last more than 60 seconds.
- B. Monitors the client's electroencephalogram (EEG) for changes in wave patterns.
- C. Inserts a bite-block into the client's mouth prior to the delivery of the electrical stimulus.
- D. Applies a cuff to the client's ankle to facilitate monitoring of blood pressure during the seizure.
Correct Answer: C
Rationale: Correct Answer: C
Rationale: Inserting a bite-block into the client's mouth prior to the delivery of the electrical stimulus helps prevent the client from biting down on their tongue or injuring their teeth during the seizure. This is crucial for minimizing the risk of injury during ECT treatment.
Incorrect Choices:
A: Timing the seizure to not last more than 60 seconds is not directly related to minimizing the risk of injury during ECT treatment.
B: Monitoring the client's EEG for changes in wave patterns is important for assessing the effectiveness of the treatment but does not directly minimize the risk of injury.
D: Applying a cuff to the client's ankle for blood pressure monitoring is important for general monitoring but does not directly address the risk of injury during the seizure.
The psychological test measure mental health is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: B
Rationale: The MMPI is widely used to assess mental health and diagnose disorders.
What nursing action is important to remember prior to administering Propranolol to a client with anxiety?
- A. Check blood pressure first
- B. Fine hand tremor
- C. Headache
- D. Selective serotonin reuptake inhibitors (SSRIs)
Correct Answer: A
Rationale: Correct Answer: A - Check blood pressure first
Rationale:
1. Propranolol is a beta-blocker used for anxiety and hypertension.
2. Before administering Propranolol, it's crucial to check the client's blood pressure, as it can cause hypotension.
3. Monitoring blood pressure helps prevent adverse effects like dizziness, fainting, or decreased perfusion.
4. Fine hand tremor (B) is a potential side effect of Propranolol, but it's not the priority before administration.
5. Headache (C) can be a side effect of Propranolol but is not the primary concern pre-administration.
6. Selective serotonin reuptake inhibitors (SSRIs) (D) are not directly related to the administration of Propranolol for anxiety.