Nokea
A 12-year-old boy injured his right knee yesterday during a soccer game.
- A. Which medication is best for a 12-year-old boy with a painful, swollen knee and hemophilia A?
- B. Oxycodone terephthalate (Percodan).
- C. Ibuprofen (Motrin).
- D. Enteric-coated aspirin.
- E. Codeine phosphate (Paveral).
Correct Answer: D
Rationale: Codeine is an appropriate analgesic for moderate to severe pain in hemophilia A, as it does not increase bleeding risk. Oxycodone (contains aspirin), ibuprofen, and aspirin prolong bleeding time and are contraindicated in bleeding disorders.
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The nurse is caring for a 33-year-old woman after delivering an 8 lb 4 oz girl with talipes equinovarus. The woman confides to the nurse, 'I feel so bad that my baby is abnormal.' Which of the following responses by the nurse is BEST?
- A. It's understandable that you feel this way, but there are treatments to correct your baby's problem.
- B. Your baby is not really abnormal. Her feet just look different because of the way the muscles pull.
- C. You have nothing to feel guilty about. The abnormality is not your fault.
- D. Don't feel bad. You baby's abnormality can be corrected surgically.
Correct Answer: A
Rationale: accepts feelings and gives correct information, serial casting is used
A client is admitted to the unit with pregnancy-induced hypertension (PIH).
Which of the following actions is the priority nursing action?
- A. Start an IV.
- B. Obtain the vital signs.
- C. Administer magnesium sulfate.
- D. Notify the lab to draw blood.
Correct Answer: B
Rationale: Strategy: Answers are a mix of assessments and implementations. Does this situation require assessment? Yes. Is there an appropriate assessment? Yes. (1) implementation, not a priority action (2) correct-assessment, important to do a baseline assessment in order to successfully evaluate the treatment (3) implementation, not a priority action (4) implementation, not a priority action
The nurse is obtaining a health history on a client in the medical clinic. The client states, 'I think I have an ulcer.' Which of the following responses by the nurse is BEST?
- A. Do you have a burning pain in the epigastric region?
- B. Do you have sharp pain in your lower abdomen?
- C. Do you have right shoulder pain with vomiting?
- D. Do you have heartburn when you lie down?
Correct Answer: A
Rationale: Burning epigastric pain is a classic ulcer symptom, guiding further assessment. Options B, C, and D suggest other conditions.
A brace is ordered for a young teen with scoliosis. The nurse knows that teaching has been effective if the client makes which of the following statements?
- A. I will have my parents put bed-boards on my bed.
- B. I should decrease my caloric intake.
- C. I should only take tub baths.
- D. I can remove the brace for one hour a day.
Correct Answer: D
Rationale: should be worn at all times, except when bathing
A 68-year-old woman comes to the outpatient clinic for a routine health screening. The nurse learns the client is a retired teacher who lives alone on a limited income. A history indicates the client drinks about 1,500 cc a day and her diet consists primarily of starches. It is MOST important for the nurse to encourage the client to
- A. increase her intake of protein.
- B. increase her intake of vitamins.
- C. reduce her caloric intake.
- D. reduce her fluid intake.
Correct Answer: A
Rationale: protein needed to slow down degeneration process of aging