Nokea
A 60-year-old female is diagnosed with hypothyroidism. The nurse should assess the client for which of the following?
- A. Tachycardia.
- B. Weight gain.
- C. Diarrhea.
- D. Nausea.
Correct Answer: B
Rationale: Hypothyroidism causes a slowed metabolism, leading to weight gain. Tachycardia, diarrhea, and nausea are more associated with hyperthyroidism.
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Which of the following indicates that the client with diabetes insipidus understands how to manage care?
- A. The client will maintain normal fluid and electrolyte balance.
- B. The client will select American Diabetes Association diet correctly.
- C. The client will state dietary restrictions.
- D. The client will exhibit serum glucose level within normal range.
Correct Answer: A
Rationale: Effective management of diabetes insipidus involves maintaining fluid and electrolyte balance through medication and adequate hydration.
After nasal surgery, the client expresses concern about how to decrease facial pain and swelling while recovering at home. Which of the following discharge instructions would be most effective for decreasing pain and edema?
- A. Take analgesics every 4 hours around the clock.
- B. Use a corticosteroid nasal spray as needed to control symptoms.
- C. Use a blood discernible humidity while sleeping.
- D. Apply cold compresses to the area.
Correct Answer: D
Rationale: Cold compresses reduce swelling and pain by constricting blood vessels. Analgesics should be taken as needed, not routinely. Corticosteroid sprays are for inflammation, not acute swelling. Humidifiers help with dryness but not directly with edema.
The nurse is caring for a client who has osteoarthritis. Which of the following medications should the nurse expect to be prescribed for the client?
- A. allopurinol
- B. etanercept
- C. oxaprozin
- D. methotrexate
Correct Answer: C
Rationale: Oxaprozin is a nonsteroidal anti-inflammatory drug (NSAID) commonly prescribed for osteoarthritis to reduce pain and inflammation. Allopurinol is used for gout, etanercept for autoimmune conditions like rheumatoid arthritis, and methotrexate for severe autoimmune diseases, not typically osteoarthritis.
Post-cystectomy, a client asks about the purpose of the ileal conduit. The nurse explains it is to:
- A. Store urine in the bladder.
- B. Divert urine to an external pouch.
- C. Filter blood in the kidneys.
- D. Reabsorb water in the intestines.
Correct Answer: B
Rationale: An ileal conduit diverts urine from the ureters to a stoma, collected in an external pouch.
For breakfast on the morning a client is to have an electroencephalogram (EEG), the client is served a soft-boiled egg, toast with butter and marmalade, orange juice, and coffee. Which of the following should the nurse do?
- A. Remove all the food.
- B. Remove the coffee.
- C. Remove the toast, butter, and marmalade only.
- D. Substitute vegetable juice for the orange juice.
Correct Answer: B
Rationale: Coffee should be removed because caffeine can alter brain wave activity, affecting EEG results. The other foods do not typically interfere with the test.