Nokea
Which of the following is one of the discharge criteria from ambulatory surgery for patients following surgery?
- A. Able to drive self home
- B. IV narcotics given less than 30 minutes
- C. Has home telephone before discharge
- D. Understands discharge instructions
Correct Answer: D
Rationale: Understanding discharge instructions is one of the key criteria for discharging patients following surgery in an ambulatory setting. It ensures that the patient comprehends how to care for themselves post-surgery and reduces the risk of complications or the need for readmission. While the other options may also be important factors, having a clear understanding of discharge instructions is crucial for the patient's recovery and overall well-being.
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Which medication is most likely included in post-operative care of a child with repair of bladder exstrophy?
- A. Lasix
- B. Mannitol
- C. Meperidine
- D. Oxybutynin
Correct Answer: D
Rationale: Oxybutynin helps control bladder spasms and improves comfort after urinary reconstructive surgery.
Which instruction about insulin administration should the nurse give to a client?
- A. "Always follow the same order when drawing the different insulin into the syringe."
- B. "Shake the vial before withdrawing the insulin."
- C. "Store unopened vials of insulin in the freezer at temperatures well below freezing."
- D. "Discard the intermediate-acting insulin if it disappears cloudy."
Correct Answer: A
Rationale: The correct instruction the nurse should give to the client is to "Always follow the same order when drawing the different insulin into the syringe." This is important because mixing different insulins in the same syringe can alter their action profiles and lead to inaccurate dosing. It is crucial to follow a consistent order to prevent mixing the insulins inadvertently. It is advisable to consult a healthcare provider or pharmacist for specific instructions on insulin administration to ensure safety and effectiveness.
Poor prognostic factors in Hodgkin lymphoma include all the following EXCEPT
- A. age of more than 15 year at the time of diagnosis
- B. stage IV disease
- C. manifested by positron emission tomography (PET) scan positivity
- D. presence of bulky mediastinal mass
Correct Answer: A
Rationale: Older age is generally considered a poor prognostic factor, but not necessarily worse than other listed options.
Which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for developmental delay?
- A. My child is able to stand but is not yet taking steps independently.
- B. My child has a vocabulary of approximately 15 words.
- C. My child is still sucking his thumb.
- D. My child seems to be quite wary of strangers.
Correct Answer: A
Rationale: By 15 to 18 months, most toddlers should be walking independently. An 18-month-old who is not yet walking warrants further evaluation.
Which of the following should be included when developing a teaching plan to prevent urinary tract infection? Select all that apply.
- A. Maintaining adequate fluid intake
- B. Avoiding urination before and after intercourse
- C. Emptying bladder with urination
- D. Wearing underwear made of synthetic material such as nylon
Correct Answer: A
Rationale: Maintaining adequate fluid intake: Adequate fluid intake helps to flush out bacteria from the urinary tract, reducing the risk of infection.