A 45-year-old client diagnosed with major depression is scheduled for electroconvulsive therapy (ECT) in the morning. Which of the following medications are routinely administered either before or during ECT?

• A.Thioridazine (Mellaril), lithium, and benztropine
• B.Atropine, sodium brevitol, and succinylcholine chloride (Anectine)
• C.Sodium, potassium, and magnesium
• D.Carbamazepine (Tegretol), haloperidol, and trihexyphenidyl (Artane)

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A male client seeks counseling after his wife of 19 years threatened to divorce him. For most of their marriage, he has physically and verbally abused her. When asked about his behavior in the process of the nursing assessment, the client states, "I was mean to my wife because she insists on cooking meals and wearing clothes that I do not like." This defense mechanism is an example of:

• A.Repression
• B.Regression
• C.Reaction formation
• D.Rationalization

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Newborns are routinely screened for phenylketonuria. The nursery nurse ensures that this screening test is performed:

• A.Immediately after birth, because the most accurate result is obtained at this time
• B.After 2-3 days of milk ingestion
• C.At 2-3 days of age regardless of amount of milk feedings
• D.At 1 month, because the biochemical buildup of phenylalanine takes 1 month to detect

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A client experiencing delusions states, "I came here because there were people surrounding my house that wanted to take me away and use my body for science." The best response by the nurse would be:

• A."Describe the people surrounding your house that want to take you away."
• B."I need more information on why you think others want to use your body for science."
• C."There were no people surrounding your house, your relatives brought you here, and no one really wants your body for science."
• D."I know that must be frightening for you; let the staff know when you are having thoughts that trouble you."

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An 80-year-old male client with a history of arteriosclerosis is experiencing severe pain in his left leg that started approximately 20 minutes ago. When performing the admission assessment, the nurse would expect to observe which of the following:

• A.Both lower extremities warm to touch with 2_pedal pulses
• B.Both lower extremities cyanotic when placed in a dependent position
• C.Decreased or absent pedal pulse in the left leg
• D.The left leg warmer to touch than the right leg

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