180 Q&A EXIT EXAM 1. A nurse is caring for a client who has given informed consent for ECT. Just before the procedure the client tells the nurse she is considering not going forward with the treatment. Which of the following statements oy the nurse Is appropriate? a. "You don't have to go through with the treatment." b. "Most people who have this procedure feel better following the treatment. c. "It’s okay to be nervous before this treatment d. "Your doctor wouldn't have ordered this treatment unless it was necessary. 2. While performing a route assessment. a nurse notices tracing on the electrical cord of a clients CPM device. Which of the following actionsshould the nurse take first? a. Report the defect to the equipment maintenance staff. b. Ensure the device inspection sticker is current c. Remove the device from the room d. Initiate a requisition for a replacement PM device 3. A nurse is caring for a client who is postoperative and has a new prescription tor hydromorphone, Which of the following actions should the nurse take: a. Document administration of the medication upon removal from the medication dispensing b. Withhold the medication if the client does not appear to be in pain. c. Count the current number of unit doses available in the medication dispensing system. d. Withhold the medication if the client has a fever 4. A nurse performing a change-of-shift assessment. Which of the following clients has the priority finding? a. Type 2 DM and a blood glucose of 250 mg/dL b. Pneumonia with a productive cough and a fever of 38.8° C (101.8° F) c. 2 hr. post cast placement and has 2+ pitting edema and pallor d. First-degree heart block and a heart rate of 62/ min 5. A nurse in an outpatient mental health facility is providing teaching to a group or adolescents. Which of the following statements by a client indicates an understanding of the teaching? a. "I will limit my alcohol use to one drink daily while taking disulfiram. b. "I will avoid foods containing tyramine while taking Fluoxetine c. "I will take the sustained-release methylphenidate every morning. d. "I will take my lithium on an empty stomach." 6. A nurse in the emergency department is assessing client who has major depressive disorder. Which or the following actions should the nurse take first? a. Administer Zofran to the client for nausea b. Implement seizure precautions for the client