Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is reviewing the medical record of a client who is to receive electroconvulsive therapy.
The nurse should notify the provider for which of the following findings?.
A. Cardiac arrhythmia
A rationale: Cardiac arrhythmia is a contraindication for electroconvulsive therapy (ECT) because ECT can cause changes in heart rate and blood pressure, which could be dangerous for someone with an existing heart condition.
B. Crohn's disease.
B rationale: Crohn’s disease is not a contraindication for ECT. It is a chronic inflammatory bowel disease, and while it can cause significant health problems, it does not directly affect the safety or efficacy of ECT.
C. Renal colic.
C rationale: Renal colic, a type of pain that can occur when a kidney stone is present, is not a contraindication for ECT. It is unrelated to the brain and nervous system and does not affect the safety or efficacy of ECT.
D. Asthma.
D rationale: Asthma is not a contraindication for ECT. While severe asthma should be well-controlled before any procedure that involves anesthesia, it is not a direct contraindication for ECT.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Mental health DEC 2023 Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Cardiac arrhythmia is a contraindication for electroconvulsive therapy (ECT) because ECT can cause changes in heart rate and blood pressure, which could be dangerous for someone with an existing heart condition.
Choice B rationale:
Crohn’s disease is not a contraindication for ECT. It is a chronic inflammatory bowel disease, and while it can cause significant health problems, it does not directly affect the safety or efficacy of ECT.
Choice C rationale:
Renal colic, a type of pain that can occur when a kidney stone is present, is not a contraindication for ECT. It is unrelated to the brain and nervous system and does not affect the safety or efficacy of ECT.
Choice D rationale:
Asthma is not a contraindication for ECT. While severe asthma should be well-controlled before any procedure that involves anesthesia, it is not a direct contraindication for ECT.
Similar Questions
A nurse is contributing to the plan of care for a client who has a new prescription for lithium.
Which of the following interventions should the nurse recommend?.
A. Administer the medication with meals.
A rationale: Administering lithium with meals can help reduce gastrointestinal upset, a common side effect of the medication.
B. Monitor the client for hypoglycemia.
B rationale: Lithium does not typically cause hypoglycemia. It primarily affects the nervous system and kidneys.
C. Decrease the client's dietary potassium.
C rationale: There’s no need to decrease dietary potassium. Lithium can affect sodium levels, but not potassium.
D. Increase the client's daily caloric intake.
D rationale: Increasing daily caloric intake is not necessary when taking lithium. The medication does not affect metabolism or caloric needs.
Full Explanation
Choice A rationale:
Administering lithium with meals can help reduce gastrointestinal upset, a common side effect of the medication.
Choice B rationale:
Lithium does not typically cause hypoglycemia. It primarily affects the nervous system and kidneys.
Choice C rationale:
There’s no need to decrease dietary potassium. Lithium can affect sodium levels, but not potassium.
Choice D rationale:
Increasing daily caloric intake is not necessary when taking lithium. The medication does not affect metabolism or caloric needs.
A nurse is assisting with teaching a group of older adult clients about behavioral expectations.
Which of the following actions should the nurse take to help eliminate barriers to learning?.
A. Ensure the teaching sessions occur right before bedtime
A rationale: Teaching sessions right before bedtime may not be effective as older adults may be tired and less able to concentrate.
B. Assist the clients with establishing long-term goals.
B rationale: Establishing long-term goals can be overwhelming for older adults. Short-term goals are more manageable and achievable.
C. Schedule the teaching sessions for a long time to promote participation.
C rationale: Long teaching sessions may lead to fatigue and decreased concentration. Short, frequent sessions are more effective.
D. Use "I" statements rather than "you" statements.
D rationale: Using “I” statements rather than “you” statements can help create a more positive and collaborative learning environment.
Full Explanation
Choice A rationale:
Teaching sessions right before bedtime may not be effective as older adults may be tired and less able to concentrate.
Choice B rationale:
Establishing long-term goals can be overwhelming for older adults. Short-term goals are more manageable and achievable.
Choice C rationale:
Long teaching sessions may lead to fatigue and decreased concentration. Short, frequent sessions are more effective.
Choice D rationale:
Using “I” statements rather than “you” statements can help create a more positive and collaborative learning environment.
A nurse is collecting data from a client who has bulimia nervosa.
Which of the following findings should the nurse expect?.
A. Hypomagnesemia
A rationale: Hypomagnesemia is not a common finding in clients with bulimia nervosa.
B. Hypokalemia.
B rationale: Hypokalemia is a common finding due to purging behaviors, such as self-induced vomiting or misuse of laxatives, which can lead to loss of potassium.
C. Muscle wasting.
C rationale: Muscle wasting is more commonly associated with anorexia nervosa, not bulimia nervosa.
D. Lanugo.
D rationale: Lanugo, or fine body hair, is also more commonly associated with anorexia nervosa, not bulimia nervosa.
Full Explanation
Choice A rationale:
Hypomagnesemia is not a common finding in clients with bulimia nervosa.
Choice B rationale:
Hypokalemia is a common finding due to purging behaviors, such as self-induced vomiting or misuse of laxatives, which can lead to loss of potassium.
Choice C rationale:
Muscle wasting is more commonly associated with anorexia nervosa, not bulimia nervosa.
Choice D rationale:
Lanugo, or fine body hair, is also more commonly associated with anorexia nervosa, not bulimia nervosa.