Mineral oil has been prescribed for constipation, and the nurse teaches about administration of the mineral oil. Which statement by the mother indicates
... [Show More] that teaching was effective?
1.
"I will administer the mineral oil before each meal."
2.
"I will administer the mineral oil followed by a glass of warm water."
3.
"I will mix the mineral oil with a chilled drink before administration."
4.
"I will mix the mineral oil with 8 ounces of warm juice before administration." - correct answer 3. I will mix the mineral oil with a chilled drink before administration
Mineral oil is best tolerated when it is given chilled or mixed with cold drinks. Mixing the oil with chocolate milk, blending it with ice cubes and fruit juice, or chilling it helps to disguise the taste. Administering mineral oil before meals would affect appetite
A client has been taking glucocorticoids to control rheumatoid arthritis. Which laboratory abnormality is the client at risk for as a result of taking this medication?
1.
Increased serum glucose
2.
Decreased serum sodium
3.
Elevated serum potassium
4.
Increased white blood cells - correct answer 1. Increased serum glucose
Glucocorticoids have 3 primary uses: replacement therapy for adrenal insufficiency, immunosuppressive therapy, and antiinflammatory therapy. Exogenous glucocorticoids cause the same effects on cellular activity as those of the naturally produced glucocorticoids; however, exogenous glucocorticoids also may have undesired effects. The glucocorticoids stimulate appetite and increase caloric intake. They also increase the availability of glucose for energy. These combined effects cause the blood glucose levels to rise, making the client prone to hyperglycemia. Glucocorticoids can also lead to hypokalemia. The remaining options are not expected effects of the use of glucocorticoids.
What is the priority nursing action when admitting a client who has just attempted suicide?
1.
Ensure constant observation of the client at all times.
2.
Conduct a thorough mental health assessment of the client.
3.
Determine whether the client has ever attempted suicide previously.
4.
Remove all potentially dangerous articles from among the client's belongings. - correct answer 1. Ensure constant observation of the client at all times
The plan of care for a client with a serious suicide attempt must reflect action that will promote the client's safety. Constant observation status (one-on-one by the nurse) and never being less than an arm's length away are the best interventions. While the remaining options are appropriate, none have the priority at the time of admission.
A patient is brought to the emergency department (ED) by a friend. The patient is unresponsive and respirations are slow and shallow. Which of the following is the priority intervention?
Choose 1 answer:
A
Check the patient's blood glucose level
B
Ask the friend if they were using illicit drugs
C
Administer naloxone, per protocol
D
Administer 100% oxygen per nasal cannula - correct answer D
patient is admitted to the emergency department (ED) after ingesting MDMA (ecstasy). Which of the following symptoms would the healthcare provider anticipate?
Choose all answers that apply:
A
Chest pain
B
Flaccid extremities
C
Hypertension
D
Seizures
E
Hypothermia
F
Agitation - correct answer A, C, D, F
A patient who overdosed on oxycodone is given naloxone. When assessing the patient, the healthcare provider would anticipate which of these clinical manifestations of opioid withdrawal?
Choose 1 answer:
A
Depressed respirations and somnolence
B
Bradycardia and hyporthermia
C
Hyperthermia and euphoria
D
Irritability and nausea - correct answer D
A patient is brought to the emergency department by a family member. The patient has been agitated for the past several hours and has alternated between grandiosity and expressing a desire to commit suicide. Upon examination, the patient is diaphoretic, hypertensive, and tachycardic. Intoxication with which of the following substances would contribute to these symptoms?
Choose 1 answer:
A
Benzodiazepine
B
Alcohol
C
Methamphetamine
D
Marijuana - correct answer C
A patient reports smoking 10 cigarettes per day for 40 years. How will the healthcare provider document this patient's smoking habit in terms of pack years?
Choose 1 answer:
A
10 pack years
B
5 pack years
C
4 pack years
D
20 pack years - correct answer D
Emergency medical personnel bring an unconscious patient to the emergency department. The patient's pupils are pinpoint and respirations are depressed. Intoxication of which of the following substances could contribute to these clinical signs?
Choose 1 answer:
A
Ecstasy
B
Cocaine
C
Methadone
D
Methamphetamine - correct answer C
A clinic nurse is assessing a client who has been on isoniazid for 6 months. Which client complaint should most concern the nurse?
1.
Dry mouth
2.
Cramping diarrhea
3.
Frequent headaches
4.
Difficulty tying shoes - correct answer 4
The nurse caring for a child who has sustained a head injury in an automobile crash is monitoring the child for signs of increased intracranial pressure (ICP). For which early sign of increased ICP should the nurse monitor?
1.
Increased systolic blood pressure
2.
Abnormal posturing of extremities
3.
Significant widening pulse pressure
4.
Changes in level of consciousness - correct answer 4
The nurse is caring for an infant with spina bifida (myelomeningocele type) who had the sac on the back containing cerebrospinal fluid, the meninges, and the nerves (gibbus) surgically removed. The nursing plan of care for the postoperative period should include which action to maintain the infant's safety?
1.
Covering the back dressing with a binder
2.
Placing the infant in a head-down position
3.
Strapping the infant in a baby seat sitting up
4.
Elevating the head with the infant in the prone position - correct answer 4
The nurse is caring for a client with a diagnosis of endometriosis. The client asks the nurse to describe this condition. How should the nurse respond? Select all that apply.
1.
"It causes the cessation of menstruation."
2.
"It is pain that occurs during ovulation."
3.
"It is the presence of tissue outside the uterus that resembles the endometrium."
4.
"It is also known as primary dysmenorrhea and causes lower abdominal discomfort."
5.
"Major symptoms of endometriosis are pelvic pain, dysmenorrhea, and dyspareunia." - correct answer 3, 5
The home care nurse provides instructions regarding basic infection control to the parent of an infant with human immunodeficiency virus (HIV) infection. Which statement, if made by the parent, indicates the need for further instruction?
1.
"I will clean up any spills from the diaper with diluted alcohol."
2.
"I will wash baby bottles, nipples, and pacifiers in the dishwasher."
3.
"I will be sure to prepare foods that are high in calories and high in protein."
4.
"I will be sure to wash my hands carefully before and after caring for my infant." - correct answer 1
HIV is transmitted through blood, semen, vaginal secretions, and breast milk. The mother of an infant with HIV should be instructed to use a bleach solution for disinfecting contaminated objects or cleaning up spills from the child's diaper. Alcohol would not be effective in destroying the virus. Options 2, 3, and 4 are accurate instructions related to basic infection control.
The pediatric nurse assists the health care provider in performing a lumbar puncture on a 3-year-old child with leukemia and suspected central nervous system metastasis. The nurse should place the child in which position for this procedure?
1.
Lithotomy position
2.
Modified Sims' position
3.
Lateral recumbent, knees flexed to the abdomen and the head bent, chin down
4.
Prone, with the knees flexed to the abdomen and the head bent, the chin resting on the chest - correct answer 3
A lateral recumbent position, with the knees flexed to the abdomen and the head bent with the chin resting on the chest, is assumed for a lumbar puncture. This position separates the spinal processes and facilitates needle insertion into the subarachnoid space. The remaining options are incorrect positions.
The nurse is reviewing the health care provider's prescriptions for an adult client who has been admitted to the hospital after a back injury. Carisoprodol is prescribed for the client to relieve the muscle spasms. The health care provider has prescribed 350 mg to be administered four times a day. What should the nurse conclude?
1.
The prescription is the normal adult dosage.
2.
The prescription is lower than normal dosage.
3.
The prescription is higher than normal dosage.
4.
The dosage prescribed requires further clarification with the health care provider. - correct answer 1
The normal adult dosage for carisoprodol is 350 mg orally three to four times daily
The nurse should be prepared to manage which occurrence unique to the abuse of hallucinogenic drugs?
1.
Flashbacks
2.
Amotivational syndrome
3.
Enhanced physical strength
4.
Absence of pain perception - correct answer 1
Flashbacks, the recurrence of perceptual distortions, are unique to the use of hallucinogenic drugs. Enhanced physical strength and the inability to feel pain are indicative of phencyclidine use, whereas marijuana abuse can result in amotivational syndrome
The nurse is monitoring a client in preterm labor who is receiving intravenous magnesium sulfate. The nurse should monitor for which adverse effects of this medication? Select all that apply.
1.
Flushing
2.
Hypertension
3.
Increased urine output
4.
Depressed respirations
5.
Extreme muscle weakness
6.
Hyperactive deep tendon reflexes - correct answer 1, 4, 5
Magnesium sulfate is a central nervous system depressant and relaxes smooth muscle, including the uterus. It is used to halt preterm labor contractions and is used for preeclamptic clients to prevent seizures. Adverse effects include flushing, depressed respirations, depressed deep tendon reflexes, hypotension, extreme muscle weakness, decreased urine output, pulmonary edema, and elevated serum magnesium levels
Which situation will present the most prominent problem when attempting to manage the outpatient care of a client diagnosed with schizophrenia?
1.
The client's noncompliance with medication therapy
2.
The community's opposition to outpatient mental health clinics
3.
The associated increased risk that the client may become homeless
4.
The family's negative reaction to transferring the client to community-based care - correct answer 1
he nurse is providing education to a client with type 2 diabetes about starting insulin glargine to help with improved glycemic control. Which statement made by the client indicates understanding?
1.
"It has a distinct peak."
2.
"It can be given intravenously."
3.
"It has a decreased risk for hypoglycemia."
4.
"I don't have to perform fingerstick glucose monitoring." - correct answer 3
In contrast to other long-acting insulins, insulin glargine achieves blood levels that are relatively steady over 24 hours. As a result, there is less risk of hypoglycemia or hyperglycemia. The only insulins that can be administered intravenously are the short-acting insulins. All medications used to treat diabetes mellitus require fingerstick monitoring.
A pregnant woman seen in the health care clinic has tested positive for human immunodeficiency virus (HIV). What can the nurse determine based on this information?
1.
The woman has the herpes simplex virus (HSV).
2.
The woman has contracted an airborne viral disease.
3.
The neonate will definitely develop this disease after birth.
4.
HIV antibodies are detected by the enzyme-linked immunosorbent assay (ELISA) test. - correct answer 4
Diagnosis of HIV infection depends on serological studies to detect HIV antibodies. The most commonly used test is the ELISA. HIV and herpes simplex virus are different types of infections. HIV infection occurs primarily through the exchange of body fluids, not via airborne disease. A neonate born to an HIV-positive mother is at risk for developing the virus, but it is not an absolute
The nurse is reviewing the health care provider's (HCP's) prescriptions for a client admitted for premature rupture of the membranes. Gestational age of the fetus is determined to be 37 weeks. Which prescription should the nurse question?
1. [Show Less]