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| Section | Weight | Objectives |
|---|---|---|
| Psychosocial Integrity | 6–12% | - Therapeutic Communication - Grief and Loss - Behavioral Interventions - Chemical Dependency and Substance Use Disorders - End-of-Life Support - Family Dynamics - Coping Mechanisms - Mental Health Concepts |
| Safe and Effective Care Environment | 26–38% | - Management of Care
|
| Physiological Integrity | 43–67% | - Pharmacological and Parenteral Therapies
|
| Health Promotion and Maintenance | 6–12% | - Developmental Stages and Transitions - Aging Process - Health Promotion Programs - Self-Care - Antepartum, Intrapartum, Postpartum and Newborn Care - Physical Assessment Techniques - Disease Prevention and Health Screening |
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NEW QUESTION # 727
Two weeks after a client's admission for depression, the physician orders a consult for electroconvulsive therapy (ECT). Which of the following conditions, if present, would be a contraindication for ECT?
Answer: C
Explanation:
(A) A contraindication for ECT is a space-occupying lesion such as a brain tumor. During ECT, intracranial pressure increases. Therefore, ECT would not be prescribed for a client whose intracranial pressure is already elevated. (B) Any cardiac dysrhythmias or complications that arise during ECT are usually attributed to the IV anesthetics used, not to preexisting cardiac structural conditions. (C) Musculoskeletal injuries during ECT are extremely rare because of the IV use of centrally acting muscle relaxers. (D) A history of any kind of infection would not contraindicate the use of ECT. In fact, concurrent treatment of infections with ECT is not uncommon.
NEW QUESTION # 728
Which of the following blood values would require further nursing action in a newborn who is 4 hours old?
Answer: A
Explanation:
Section: Questions Set F
Explanation:
(A) The normal range for hemoglobin in the newborn is 17-19 g/dL; 17.2 g/dL is within normal limits. (B) A normal value range for platelets in the newborn is 150,000-400,000 mm3; 250,000/mm3 is within normal range. (C) A serum glucose of 30 mg/dL in the first 72 hours of life is indicative of hypoglycemia and warrants further intervention. (D) On the day of birth, a white blood cell count of 18,000-40,000/mm3 is normal in the newborn.
NEW QUESTION # 729
The nurse recognizes that a client with the diagnosis of cholecystitis and cholelithiasis would expect to have stools that are:
Answer: A
Explanation:
Explanation
(A) Clients who have obstruction in the biliary tract so that bile is not released into the duodenum experience a change in stools from brown to gray or clay colored. (B) This type of stool can occur with other GI problems, such as bacterial or viral infections, and other disease problems, and is not a common finding with biliary obstructions such as cholecystitis and cholelithiasis. (C) This type of stool is usually associated with a GI or bowel problem, such as lower GI bleeding, rather than with biliary obstructions. (D) This type of stool is usually associated with a GI or bowel problem, such as upper GI bleeding, rather than with biliary obstructions.
NEW QUESTION # 730
A 68-year-old client developed acute respiratory distress syndrome while hospitalized for pneumonia. After a
respiratory arrest, an endotracheal tube was inserted. Several days later, numerous attempts to wean him from mechanical ventilation were ineffective, and a tracheostomy was created. For the first 24 hours following tracheostomy, it is important to minimize bleeding around the insertion site. The nurse can accomplish this by:
Answer: D
Explanation:
(A) The tracheal cuff should not be deflated within the first 24 hours following surgery. (B) To minimize bleeding, any manipulation, including cuff deflation, should be avoided. (C) Small amounts of crepitus are expected to occur; however, large amounts or expansion of
the area of crepitus should be reported to the physician. (D) The tracheostomy site may be
changed as often as necessary, but site care should be done with normal saline.
NEW QUESTION # 731
A complication for which the nurse should be alert following a liver biopsy is:
Answer: D
Explanation:
(A) Hepatic coma may occur in liver disease due to the increased NH3levels, not due to liver biopsy. (B) Jaundice may occur due to increased bilirubin levels, not due to liver biopsy. (C) Ascites would occur due to portal hypertension, not due to liver biopsy. (D) Hemorrhage and shock are the most likely complications after liver biopsy because of already existing bleeding tendencies in the vascular makeup of the liver.
NEW QUESTION # 732
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