Reviewed Q&A with In-Depth Analysis from
Renowned Educators Worldwide
A nurse is caring for a client who has increased liver enzymes and is taking herbal
supplements. Which of the following herbal supplements should the nurse report to the
provider?
A. Glucosamine
B. Saw palmetto
C. Kava
D. St. John's wort - CORRECT ANSWER- -C (Chronic use or high doses of kava can cause
liver damage, including severe liver failure)
A nurse is evaluating a group of clients at a health fair to identify the need for folic acid
therapy. Which of the following clients require folic acid therapy? (Select all that apply.)
A.12-year-old child who has iron deficiency anemia
B.24-year-old female who has no health problems
C.44-year-old male who has hypertension
D.55-year-old female who has alcohol use disorder
E.35-year-old male who has type 2 diabetes mellitus - CORRECT ANSWER- -b, d
(B. The female client of childbearing age should take folic acid to prevent neural tube
defects in the fetus
D. The client who has alcohol use disorder can
require folic acid therapy. Excess alcohol consumption leads to poor dietary intake of folic
acid and injury to the liver)
,A nurse is preparing to administer Potassium Chloride IV to a client who has Hypokalemia.
Which of the following actions should the nurse take? (Select all that apply.)
A. Infuse medication through a large-bore needle.
B. Monitor urine output to ensure at least 20 mL/hr.
C. Administer medication via direct IV bolus.
D. Implement cardiac monitoring.
E. Administer the infusion using an IV pump - CORRECT ANSWER- -a, d, e
(A. Infuse potassium through a large-bore needle to prevent vein irritation, phlebitis, and
infiltration.
D. Implement cardiac monitoring to detect cardiac dysrhythmias in a client receiving IV
potassium.
E. Administer IV potassium using an infusion pump to prevent fatal hyperkalemia due to a
rapid infusion rate)
A nurse is providing instructions about the use of laxatives to a client who has heart failure.
The nurse should tell the client he should avoid which of the following laxatives?
A. Sodium phosphate
B. Psyllium
C. Bisacodyl
D. Polyethylene glycol - CORRECT ANSWER- -A (Typically, clients who have heart failure
are on a sodium-restricted diet. Absorption of sodium from sodium phosphate causes fluid
retention and is contraindicated for clients who have heart failure.)
, A nurse is caring for a client who has Diabetes and is experiencing Nausea due to
Gastroparesis. The nurse should anticipate a prescription for which of the following
medications?
A. Lubiprostone
B. Metoclopramide
C. Bisacodyl
D. Loperamide - CORRECT ANSWER- -B (Metoclopramide is a dopamine antagonist that is
used to treat nausea and also increases gastric motility. It can relieve the bloating and
nausea of diabetic gastroparesis.)
A nurse is providing information about Probiotic supplements to a male client. Which of the
following information should the nurse include? (Select all that apply.)
A. "Probiotics are micro-organisms that are normally found in the GI tract."
B. "Probiotics are used to treat Clostridium difficile."
C. "Probiotics are used to treat benign prostatic hyperplasia."
D. "You can experience bloating while taking probiotic supplements."
E. "If you are prescribed an antibiotic, you should take it at the same time you take your
probiotic supplement." - CORRECT ANSWER- -a, b, d
(A. Probiotics consist of lactobacilli, bifidobacteria, and Saccharomyces boulardii, which
normally are found in the digestive tract.
B. Probiotics are used to treat a number of GI
conditions, including irritable bowel syndrome, diarrhea associated with Clostridium
difficile, and ulcerative colitis
D. Flatulence and bloating are adverse