Nokea
A 10-year-old child with asthma is prescribed an albuterol inhaler. The nurse should teach the child to:
- A. Use the inhaler daily regardless of symptoms
- B. Rinse the mouth after each use
- C. Inhale rapidly during administration
- D. Use the inhaler before a spacer
Correct Answer: B
Rationale: Rinsing the mouth after using an albuterol inhaler prevents oral irritation and reduces the risk of thrush, especially if used with a corticosteroid.
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The nurse is caring for a client with a history of glaucoma who is prescribed timolol (Timoptic) eye drops. The nurse should instruct the client to report which of the following side effects?
- A. Blurred vision.
- B. Bradycardia.
- C. Eye redness.
- D. Dry eyes.
Correct Answer: B
Rationale: Timolol, a beta-blocker, can cause systemic effects like bradycardia, which should be reported immediately.
During a home visit to a primiparous client 1 week postpartum who is bottle-feeding her neonate, the clientiant tells the nurse that her mother has suggested that she feed the neonate cereal so he will sleep through the night. Which of the following would be the nurse's best response?
- A. It is permissible to give the baby cereal if it is thinned with formula.'
- B. The time for starting cereal varies, so check with your pediatrician.'
- C. Formula is the food best digested by the baby until about 4 to 6 months of age.'
- D. If cereal is given too early in life, the undigested food can lead to a need for surgery.'
Correct Answer: C
Rationale: Formula is best for infants until 4-6 months, as early introduction of solids like cereal can cause digestive issues.
The nurse is teaching a client with hypertension about dietary modifications. Which food should the nurse recommend limiting?
- A. Fresh fruits
- B. Lean proteins
- C. Canned soups
- D. Whole grains
Correct Answer: C
Rationale: Canned soups are high in sodium, which can exacerbate hypertension. Limiting sodium intake is a key dietary modification for blood pressure control.
After going through the necessary procedures for collecting physical evidence after a rape, a client is crying and talking about what happened to her. The nurse should:
- A. Advise the client to try to forget about what happened
- B. Recommend that the client be thankful for the fact that she's alive
- C. Question the client about what she could have done to deter the attack
- D. Listen to the client's descriptions about what occurred
Correct Answer: D
Rationale: Listening to the client's descriptions provides emotional support and validates her experience, which is therapeutic post-trauma. Other responses may minimize or blame the client.
The nurse is caring for a client with a history of osteoarthritis. Which of the following non-pharmacologic interventions should be included in the plan of care?
- A. Apply heat to affected joints.
- B. Restrict weight-bearing activities.
- C. Encourage a low-protein diet.
- D. Limit range-of-motion exercises.
Correct Answer: A
Rationale: Heat therapy reduces stiffness and pain in osteoarthritis.