Nokea
The nurse reinforces teaching for a client newly prescribed buspirone for generalized anxiety disorder. Which client statement indicates that teaching has been effective?
- A. Driving is not recommended until I stop taking this medication.
- B. If I experience a panic attack I should take an extra dose of medication.
- C. It will be 2-4 weeks before I feel the full effect of this medication.
- D. Withdrawal symptoms will occur if I abruptly stop taking this medication.
Correct Answer: C
Rationale: Buspirone takes 2-4 weeks for full effect, indicating effective teaching. Extra doses are unsafe, driving is generally allowed, and withdrawal is minimal.
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The nurse is teaching an elderly client how to use MDIs (multi-dose inhalers). The nurse is concerned that the client is unable to coordinate the release of the medication with the inhalation phase. What is the nurse's best recommendation to improve delivery of the medication?
- A. Nebulized treatments for home care
- B. Adding a spacer device to the MDI canister
- C. Asking a family member to assist the client with the MDI
- D. Request a visiting nurse to follow the client at home
Correct Answer: B
Rationale: If the client is not using the MDI properly, the medication can get trapped in the upper airway, resulting in dry mouth and throat irritation. Using a spacer will allow more drug to be deposited in the lungs and less in the mouth.
The nurse has just completed a dressing change on an elderly client who is allowed bathroom privileges. Which action is most essential for the nurse to take before leaving the client's bedside?
- A. Wash hands
- B. Lower the bed
- C. Toilet the client
- D. Assess for pain
Correct Answer: A
Rationale: Hand washing prevents infection transmission post-dressing change, a critical step. Lowering the bed, toileting, or pain assessment are secondary.
To prevent keratitis in an unconscious client, the nurse should apply moisturizing ointment to the
- A. Finger and toenail quicks
- B. Eyes
- C. Perianal area
- D. External ear canals
Correct Answer: B
Rationale: Eyes. Keratitis is a corneal ulcer or abrasion. Keratitis is caused by exposure and requires application of moisturizing ointment to the exposed cornea and a plastic bubble shield or eye patch.
Which group of food selections would be appropriate for a client on a full liquid diet 3 days after bariatric surgery?
- A. Apple juice, mashed potatoes, and chocolate pudding
- B. Chicken broth, low-fat cheese omelet, and strawberry ice cream
- C. Creamy wheat cereal, blended cream of chicken soup, and a protein shake
- D. Low-fat vanilla yogurt, smooth peanut butter, and vegetable juice
Correct Answer: C
Rationale: Creamy wheat cereal, blended soup, and protein shakes are full liquids suitable post-bariatric surgery. The other options include solid foods.
The nurse is talking by telephone with a parent of a 4 year-old child who has chickenpox. Which of the following demonstrates appropriate teaching by the nurse?
- A. Chewable aspirin is the preferred analgesic
- B. Topical cortisone ointment relieves itching
- C. Supples, vesicles, and crusts will be present at one time
- D. The illness is only contagious prior to lesion eruption
Correct Answer: C
Rationale: Supples, vesicles, and crusts will be present at one time. Chickenpox lesions appear in multiple stages simultaneously.