Which of the following medications might cause upper-gastrointestinal (UGI) bleeding?
- A. Cardizem (diltiazem)
- B. Naprosyn (naproxen)
- C. Elavil (amitriptyline)
- D. Corgard (nadolol)
Correct Answer: B
Rationale: Naprosyn, an NSAID, can irritate the gastric mucosa, increasing the risk of UGI bleeding, unlike the other medications, which are less associated with this risk.
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Which of the following is not a function of parathyroid hormone?
- A. moving calcium from bones to the bloodstream
- B. promoting renal tubular reabsorption of phosphorus
- C. promoting renal tubular reabsorption of calcium
- D. enhancing renal production of vitamin D metabolites
Correct Answer: B
Rationale: Parathyroid hormone depresses renal tubular reabsorption of phosphorus. All of the other choices are functions of parathyroid hormone.
A nurse is caring for a patient who has experienced burns to the right lower extremity. According to the Rule of Nines which of the following percents most accurately describes the severity of the injury?
- A. 36%
- B. 27%
- C. 18%
- D. 9%
Correct Answer: C
Rationale: Each lower extremity is scored as 18% according to the Rule of Nines, which estimates burn severity.
Which of the following indicates a hazard for a client on oxygen therapy?
- A. A No Smoking sign is on the door.
- B. The client is wearing a synthetic gown.
- C. Electrical equipment is grounded.
- D. Matches are removed.
Correct Answer: B
Rationale: A synthetic gown might generate sparks of static electricity, which can be a fire hazard, particularly in the presence of oxygen. The client on oxygen therapy should wear a cotton gown. The remaining options are appropriate safety measures.
A patient has a history of cardiac arrhythmia. A nurse has been ordered to give 2 units of blood to this patient. The nurse should take which of the following actions?
- A. Prep the patient with pain medication.
- B. Notify the patient's family about the procedure via the telephone.
- C. Decrease the temperature of the blood to be given.
- D. Increase the temperature of the blood to be given.
Correct Answer: D
Rationale: Warming the blood will reduce the risk of additional cardiac arrhythmia.
A client begins bleeding from the site of a previous arterial blood gas draw on the right wrist. What should the nurse do first?
- A. Check the blood count.
- B. Apply pressure to the site.
- C. Document the bleeding.
- D. Monitor the bleeding.
Correct Answer: B
Rationale: If a client begins bleeding from the site of a previous arterial blood gas draw on the right wrist, the nurse should first apply pressure to the site. This prevents further bleeding. The remaining choices can be performed later.