A client being treated for major depression is the CEO of her own business. She has received 12
electroconvulsive therapy sessions and has remained in the hospital 4 days after the last treatment
while her SSRI dose was being adjusted.
The client has been counseled not to make a major business
decision for a month. The rationale for this counseling is that
a. SSRIs may cause confusion related to the limitation of tyramine in the diet.
b. SSRIs alter catecholamine levels, causing recurrent depressive symptoms.
c. the client may have temporary memory impairment associated with
electroconvulsive therapy.
d. the client needs time to reorient to a pressured work schedule.
C
Recent memory impairment is often present during and for a short time after electroconvulsive
therapy. An inappropriate business decision might be made because of forgotten important details.
Options A and B are untrue statements. Option D is less relevant than option C.
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Mr. Stinson is a 34-year-old patient who presents to the emergency department after an auto accident. On examination, you note raccoon eyes and a positive Battle sign. Raccoon eyes and the Battle sign are associated with:
a. multisystem trauma. b. orbital fractures. c. basilar skull fractures. d. subdural hematoma.
The nurse is trying to determine the cause of a dampened waveform. Which of the following could cause a dampened waveform. (Select all that apply.)
1. Air bubbles 2. Blood clots 3. Kinks 4. Loose connections 5. Use of shorter tubing 6. Low blood pressure
A nurse needs to calculate the dosage of a medication to be given to a 5-year-old child. Which of the following would be an appropriate method?
a. Give the dose provided in the medicine cart b. Give the dose recommended for children c. Calculate the child's weight in kilograms and compare with the recommended dose d. Give the ordered dose because it was prescribed by a physician
The nurse educator is presenting information to staff regarding negative emotions that may occur when caring for patients who are anxious, angry, and aggressive. Which staff member statement indicates that the teaching has been effective?
1. "Self-awareness prevents the nurse's negative emotions." 2. "Self-awareness allows the nurse to express sympathy for the patient." 3. "Intense negative emotions guide the nurse to plan appropriate interventions." 4. "Intense negative emotions interfere with the nurse's assessment and judgment."