57. A client is being maintained on heparin therapy for deep vein
thrombosis. The nurse
must closely monitor which of the following laboratory
... [Show More] values?
A) Bleeding time
B) Platelet count
C) Activated PTT
D) Clotting time
The correct answer is C: Activated PTT
58. A client with amyotrophic lateral sclerosis has a percutaneous
endoscopic
gastrostomy (PEG) tube for the administration of feedings and
medications. Which
nursing action is appropriate?
A) Pulverize all medications to a powdery condition
B) Squeeze the tube before using it to break up stagnant liquids
C) Cleanse the skin around the tube daily with hydrogen peroxide
D) Flush adequately with water before and after using the tube Skip
The correct answer is D: Flush adequately with water before and after
using the tube
59. The nurse has given discharge instructions to parents of a child on
phenytoin
(Dilantin). Which of the following statements suggests that the teaching
was effective?
A) ”We will call the health care provider if the child develops acne."
B) ”Our child should brush and floss carefully after every meal."
C) ”We will skip the next dose if vomiting or fever occur."
D) ”When our child is seizure-free for 6 months, we can stop the
medication."
The correct answer is B: "Our child should brush and floss carefully after
every meal."
60. Although non steroidal anti-inflammatory drugs such as ibuprofen
(Motrin) are
beneficial in managing arthritis pain, the nurse should caution clients
about which of the
following common side effects?
A) Urinary incontinence
B) Constipation
C) Nystagmus
D) Occult bleeding
The correct answer is D: Occult bleeding
61. The nurse is caring for a client with clinical depression who is
receiving a MAO
inhibitor. When providing instructions about precautions with this
medication, which
action should the nurse stress
to the client as important?
A) Avoid chocolate and cheese
B) Take frequent naps
C) Take the medication with milk
D) Avoid walking without assistance
The correct answer is A: Avoid chocolate and cheese
62. A parent asks the school nurse how to eliminate lice from their child.
What is the
most appropriate response by the nurse?
A) Cut the child's hair short to remove the nits
B) Apply warm soaks to the head twice daily
C) Wash the child's linen and clothing in a bleach solution
D) Application of pediculicides
The correct answer is D: Application of pediculicides
63. The nurse is teaching a client about precautions with Coumadin
therapy. The client
should be instructed to avoid which over-the-counter medication?
A) Non-steroidal anti-inflammatory drugs
B) Cough medicines with guaifenesin
C) Histamine blockers
D) Laxatives containing magnesium salts
The correct answer is A: Non-steroidal anti-inflammatory drugs [Show Less]