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NEW QUESTION 42
The usual treatment for diabetes insipidus is with IM or SC injection of vasopressin tannate in oil. Nursing care related to the client receiving IM vasopressin tannate would include:

A. Hold the vial under warm water for 10-15 minutes and shake vigorously before drawing medication into the syringe.B. Weigh once a week and report to the physician any weight gain of10 lb.C. Limit fluid intake to 500 mL/day.D. Store the medication in a refrigerator and allow to stand at room temperature for 30 minutes prior to administration.

Answer: A

Explanation:
(A) Weight should be obtained daily. (B) Fluid is not restricted but is given according to urine output. (C) The medication does not have to be stored in a refrigerator. (D) Holding the vial under warm water for 10-15 minutes or rolling between your hands and shaking vigorously before drawing medication into the syringe activates the medication in the oil solution.

 

NEW QUESTION 43
A young boy tells the nurse, "I don't like my Dad to kiss or hug my Mom. I love my Mom and want to marry her." The nurse recognizes this stage of growth and development as:

A. SuperegoB. EgoC. Electra complexD. Oedipus complex

Answer: D

Explanation:
Section: Questions Set C
Explanation:
(A) The Electra complex is the erotic attachment of the female child to the father. (B) The Oedipus complex is characterized by jealousy toward the parent of the same sex and erotic attachment to the parent of the opposite sex. (C) The superego as described by Freud is the part of personality that is associated with internalized parental and societal control. (D) The ego as described by Freud is the part of personality that is associated with reality assessment.

 

NEW QUESTION 44
In caring at home for a child who just ingested a caustic alkali, the nurse would immediately tell the mother to:

A. Give vinegar, lemon juice, or orange juiceB. Phone the doctorC. Induce vomitingD. Take the child to the emergency room

Answer: A

Explanation:
Section: Questions Set G
Explanation:
(A) The immediate action is to neutralize the action of the chemical before further damage takes place. (B) This action should be done after neutralizing the chemical. (C) This action should be done after neutralizing the chemical. (D) Never induce vomiting with a strong alkali or acid. Additional damage will be done when the child vomits the chemical.

 

NEW QUESTION 45
A husband asks if he can visit with his wife on her ECT treatment days and what to expect after the initial treatment. The nurse's best response is:

A. "Visitors are not allowed. We will telephone you to inform you of her progress."B. "Yes, you may visit. She may experience temporary drowsiness, confusion, or memory loss after each treatment."C. "You'll have to get permission from the physician to visit. Clients are pretty sick after the first treatment."D. "There's really no need to stay with her. She's going to sleep for several hours after the treatment."

Answer: B

Explanation:
(A) It is within the nurse's realm of practice to grant visiting privileges according to hospital policy. ECT treatments do not make clients sick. (B) Visitors are allowed and encouraged, particularly family members. (C) Clients are usually awake within 1 hour posttreatment. Drowsiness wanes as the anesthetic wears off. (D) A family member is encouraged to stay with the client after return to the unit. The nurse has used an opportunity to do family teaching and allay fears by explaining temporary side effects of the treatment.

 

NEW QUESTION 46
A male client is admitted to the psychiatric unit after experiencing severe depression. He states that he intends to kill himself, but he asks the nurse not to repeat his intentions to other staff members. Which response demonstrates understanding and appropriate action on the part of the nurse?

A. "Don't do that, you have so much to live for. You have a wonderful wife and children. The client in the next room has no one."B. "I understand you're depressed, but killing yourself is not a reasonable option."C. "We need to discuss this further, but right now let's complete these forms."D. "This is very serious. I do not want any harm to come to you. I will have to report this to the rest of the staff."

Answer: D

Explanation:
Section: Questions Set E
Explanation:
(A) To the client, suicide may be a reasonable action and the only one he can cope with at this time. (B) This response indicates to the client that his intention to commit suicide is not important to the nurse at this time. (C) The client is so depressed that he is not able to see the positive aspects of his life. At no time should the nurse discuss another client's problems in conversation. (D) This statement tells the client that the nurse recognizes his problem is of a serious nature and will take all steps necessary to help him.

 

NEW QUESTION 47
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