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Viewing page 8 out of 13 pages
Viewing questions 141-160 out of questions
Questions # 141:

When teaching a mother of a 4-month-old with diarrhea about the importance of preventing dehydration, the nurse would inform the mother about the importance of feeding her child:

Options:

A.

Fruit juices

B.

Diluted carbonated drinks

C.

Soy-based, lactose-free formula

D.

Regular formulas mixed with electrolyte solutions

Questions # 142:

When a client is receiving vasoactive therapy IV, such as dopamine (Intropin), and extravasation occurs, the nurse should be prepared to administer which of the following medications directly into the site?

Options:

A.

Phentolamine (Regitine)

B.

Epinephrine

C.

Phenylephrine (Neo-Synephrine)

D.

Sodium bicarbonate

Questions # 143:

An 8-year-old child comes to the physician’s office complaining of swelling and pain in the knees. His mother says, “The swelling occurred for no reason, and it keeps getting worse.” The initial diagnosis is Lyme disease. When talking to the mother and child, questions related to which of the following would be important to include in the initial history?

Options:

A.

A decreased urinary output and flank pain

B.

A fever of over 103F occurring over the last 2–3 weeks

C.

Rashes covering the palms of the hands and the soles of the feet

D.

Headaches, malaise, or sore throat

Questions # 144:

When the nurse is evaluating lab data for a client 18–24 hours after a major thermal burn, the expected physiological changes would include which of the following?

Options:

A.

Elevated serum sodium

B.

Elevated serum calcium

C.

Elevated serum protein

D.

Elevated hematocrit

Questions # 145:

Priapism may be a sign of:

Options:

A.

Altered neurological function

B.

Imminent death

C.

Urinary incontinence

D.

Reproductive dysfunction

Questions # 146:

The following medications were noted on review of the client’s home medication profile. Which of the medications would most likely potentiate or elevate serum digoxin levels?

Options:

A.

KCl

B.

Thyroid agents

C.

Quinidine

D.

Theophylline

Questions # 147:

Which of the following should be included in discharge teaching for a client with hepatitis C?

Options:

A.

He should take aspirin as needed for muscle and joint pain.

B.

He may become a blood donor when his liver enzymes return to normal.

C.

He should avoid alcoholic beverages during his recovery period.

D.

He should use disposable dishes for eating and drinking.

Questions # 148:

The physician orders fluoxetine (Prozac) for a depressed client. Which of the following should the nurse remember about fluoxetine?

Options:

A.

Because fluoxetine is a tricyclic antidepressant, it may precipitate a hypertensive crisis.

B.

The therapeutic effect of the drug occurs 2–4 weeks after treatment is begun.

C.

Foods such as aged cheese, yogurt, soy sauce, and bananas should not be eaten with this drug.

D.

Fluoxetine may be administered safely in combination with monoamine oxidase (MAO) inhibitors.

Questions # 149:

A 68-year-old woman is admitted to the hospital with chronic obstructive pulmonary disease (COPD). She is started on an aminophylline infusion. Three days later she is breathing easier. A serum theophylline level is drawn. Which of the following values represents a therapeutic level?

Options:

A.

14 µ g/mL

B.

25 µ g/mL

C.

4 µ g/mL

D.

30 µ g/mL

Questions # 150:

Prenatal clients are routinely monitored for early signs of pregnancy-induced hypertension (PIH). For the prenatal client, which of the following blood pressure changes from baseline would be most significant for the nurse to report as indicative of PIH?

Options:

A.

136/88 to 144/93

B.

132/78 to 124/76

C.

114/70 to 140/88

D.

140/90 to 148/98

Questions # 151:

A 4-year-old child is being discharged from the hospital after being treated for severe croup. Which one of the following instructions should the nurse give to the child’s mother for the home treatment of croup?

Options:

A.

Take him in the bathroom, turn on the hot water, and close the door.

B.

Give him a dose of antihistamine.

C.

Give large amounts of clear liquids if drooling occurs.

D.

Place him near a cool mist vaporizer and encourage crying.

Questions # 152:

A client is being discharged with albuterol (Proventil) and beclomethasone dipropionate (Vanceril) to be administered via inhalation three times a day and at bedtime. Client teaching regarding the sequential order in which the drugs should be administered includes:

Options:

A.

Glucocorticoid followed by the bronchodilator

B.

Bronchodilator followed by the glucocorticoid

C.

Alternate successive administrations

D.

According to the client’s preference

Questions # 153:

Which of the following menu choices would indicate that a client with pressure ulcers understands the role diet plays in restoring her albumin levels?

Options:

A.

Broiled fish with rice

B.

Bran flakes with fresh peaches

C.

Lasagna with garlic bread

D.

Cauliflower and lettuce salad

Questions # 154:

Nursing interventions designed to decrease the risk of infection in a client with an indwelling catheter include:

Options:

A.

Cleanse area around the meatus twice a day

B.

Empty the catheter drainage bag at least daily

C.

Change the catheter tubing and bag every 48 hours

D.

Maintain fluid intake of 1200–1500 mL every day

Questions # 155:

In cleansing the perineal area around the site of catheter insertion, the nurse would:

Options:

A.

Wipe the catheter toward the urinary meatus

B.

Wipe the catheter away from the urinary meatus

C.

Apply a small amount of talcum powder after drying the perineal area

D.

Gently insert the catheter another 1⁄2 inch after cleansing to prevent irritation from the balloon

Questions # 156:

A client is admitted to the hospital for an induction of labor owing to a gestation of 42 weeks confirmed by dates and ultrasound. When she is dilated 3 cm, she has a contraction of 70 seconds. She is receiving oxytocin.

The nurse’s first intervention should be to:

Options:

A.

Check FHT

B.

Notify the attending physician

C.

Turn off the IV oxytocin

D.

Prepare for the delivery because the client is probably in transition

Questions # 157:

A client is being discharged on warfarin (Coumadin), an oral anticoagulant. The nurse instructs him about using this drug. Which following response by the client indicates the need for further teaching?

Options:

A.

“I should shave with my electric razor while on Coumadin.”

B.

“I will inform my dentist that I am on anticoagulant therapy before receiving dental work.”

C.

“I will continue with my usual dosage of aspirin for my arthritis when I return home.”

D.

“I will wear an ID bracelet stating that I am on anticoagulants.”

Questions # 158:

Azulfidine (Sulfasalazine) may be ordered for a client who has ulcerative colitis. Which of the following is a nursing implication for this drug?

Options:

A.

Limit fluids to 500 mL/day.

B.

Administer 2 hours before meals.

C.

Observe for skin rash and diarrhea.

D.

Monitor blood pressure, pulse.

Questions # 159:

A mother frantically calls the emergency room (ER) asking what to do about her 3-year-old girl who was found eating pills out of a bottle in the medicine cabinet. The ER nurse tells the mother to:

Options:

A.

Give the child 15 mL of syrup of ipecac.

B.

Give the child 10 mL of syrup of ipecac with a sip of water.

C.

Give the child 1 cup of water to induce vomiting.

D.

Bring the child to the ER immediately.

Questions # 160:

A mother brings her 3-year-old child who is unconscious but breathing to the ER with an apparent drug overdose. The mother found an empty bottle of aspirin next to her child in the bathroom. Which nursing action is the most appropriate?

Options:

A.

Put in a nasogastric tube and lavage the child’s stomach.

B.

Monitor muscular status.

C.

Teach mother poison prevention techniques.

D.

Place child on respiratory assistance.

Viewing page 8 out of 13 pages
Viewing questions 141-160 out of questions
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