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The nurse should question a prescription for docusate sodium (Colace)
for a client with which problem?
A. First day post myocardial infarction
B. Abdominal pain of unknown etiology
C. Two days following a knee replacement
D. History of liver disease - ANSWER-B. Abdominal pain of unknown
etiology
A client with an anterior wall myocardial infarction is admitted to the
intensive care unit with persistently low blood pressure. The nurse
determines the client's pulmonary capillary wedge pressure (PCWP) is 28
mm Hg and systemic vascular resistance (SVR) is 2000 dynes/sec/cm5.
Which classification of medication is likely to optimize the client's SVR?
A. Adrenergic
B. Vasodilator
C. Diuretic
D. Positive inotropic agent - ANSWER-B. Vasodilator
,The nurse is evaluating discharge teaching of an adolescent who had a
long log cast applied in the emergency department. Which statement by
the adolescent indicates an understanding of cast care?
A. " I should wrap a cloth around a stick before using it to scratch under
my cast."
B. " I will not be able to take a shower until the cast is removed from my
leg."
C. " I will put adhesive tape around the edges of the cast if they become
sharp."
D. " If my toes are tingling I will elevate my leg above my heart, on several
pillows." - ANSWER-C. " I will put adhesive tape around the edges of the
cast if they become sharp."
Which technique should the nurse use to assess for manifestations of
erythema infectiosum (fifth disease) in a 4 year-old?
A. Auscultate breath sounds
B. Observe physical appearance
C. Visualize oropharynx
D. Palpate lymph nodes - ANSWER-B. Observe physical appearance
,A client is taking cromolin sodium (Intal) Inhaler for chronic asthma.
Which statement indicates the client understands the medication
teaching?
A. " I will have my liver enzymes checked monthly."
B. " It is more important to take this medication with food."
C. "I should keep my inhaler with me at all time."
D. "I will not discontinue taking this medication abruptly." - ANSWER-D. "I
will not discontinue taking this medication abruptly."
A female client is admitted to the psychiatric department on an emrgency
commitment. The client's husband asks the nurse, "What is going to
happen to my wife? Can I take her home now?" Which information should
the nurse provide?
A. Discharge can be completed after arrangements with the business
B. Emergency commitment extends to a maximum of 90 days.
C. Hospitalization is mandated until a mental health court hearing is held.
D. A pschiatric evaluation is required for continued hospitalization. -
ANSWER-C. Hospitalization is mandated until a mental health court hearing
is held.
, A client with a diagnosis of bipolar disorder is taking lithium and
divalproex sodium (Depakote). In assessing this client, which symptom
should the nurse report to the healthcare provider immediately?
A. Recent significant hair loss
B. Noticeable hand tremors
C. Describes having a dry mouth.
D. Complains of blurred vision - ANSWER-B. Noticeable hand tremors
At a routine prenatal visit, a client at 24-weeks gestation complains of
nasal stuffiness and occasional nosebleeds. Which hormone is responsible
for these changes?
A. Human chorionic gonadotropin.
B. Progesterone.
C. Relaxin.
D. Estrogen. - ANSWER-D. Estrogen.
A client who has localized eczematous eruptions on b oth hands is
diagnosed as having contact dermatitis. What instruction should the nurse
include in this client's discharge teaching plan?
A. Wear latex gloves whenever outdoors.