Nokea
A client has recently been diagnosed with primary open-angle glaucoma. The nurse should tell the client to avoid taking:
- A. Aleve (naprosyn)
- B. Benadryl (diphenhydramine)
- C. Tylenol (acetaminophen)
- D. Robitussin (guaifenesin)
Correct Answer: B
Rationale: Benadryl, an antihistamine, can increase intraocular pressure, worsening primary open-angle glaucoma, so it should be avoided.
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The nurse is caring for a client with a history of peptic ulcer disease. Which medication should the nurse anticipate being prescribed?
- A. Omeprazole (Prilosec)
- B. Ibuprofen (Motrin)
- C. Cimetidine (Tagamet)
- D. Both A and C
Correct Answer: D
Rationale: Peptic ulcer disease is treated with proton pump inhibitors like omeprazole and H2 blockers like cimetidine to reduce acid production and promote healing. Ibuprofen, an NSAID, can worsen ulcers and is avoided.
A client with a history of a burn injury is receiving Hydrotherapy. The nurse should:
- A. Use hot water for cleaning
- B. Apply petroleum-based products
- C. Monitor the water temperature
- D. Cover the wounds with plastic wrap
Correct Answer: C
Rationale: Monitoring water temperature during hydrotherapy prevents further burn injury, ensuring it’s lukewarm. Hot water, petroleum products, and plastic wrap are contraindicated.
The nurse is educating a group of caregivers about the West Nile virus. A participant asks, 'How can you get the West Nile virus?' The nurse explains that the virus can be transmitted by which source(s)?
- A. Mosquitoes
- B. Blood transfusions
- C. Transplanted organs
- D. Birds
- E. Horses
Correct Answer: A, B, C
Rationale: West Nile virus is transmitted by mosquitoes (A), blood transfusions (B), and organ transplants (C). Birds (D) and horses (E) are hosts but not direct vectors to humans.
During discharge planning, parents of a child with rheumatic fever should be able to identify which of the following as toxic symptoms of sodium salicylate?
- A. Tinnitus and nausea
- B. Dermatitis and blurred vision
- C. Unconsciousness and acetone odor of the breath
- D. Chills and an elevation of temperature
Correct Answer: A
Rationale: These are toxic symptoms of sodium salicylate. (B, C, D) These are not symptoms associated with sodium salicylate.
A 9-year-old child was in the garage with his father, who was repairing a lawnmower. Some gasoline ignited and caused an explosion. His father was killed, and the child has split-thickness and full-thickness burns over 40% of his upper body, face, neck, and arms. All of the following nursing diagnoses are included on his care plan. Which of these nursing diagnoses should have top priority during the first 24-48 hours postburn?
- A. Pain related to tissue damage from burns
- B. Potential for infection related to contamination of wounds
- C. Fluid volume deficit related to increased capillary permeability
- D. Potential for impaired gas exchange related to edema of respiratory tract
Correct Answer: D
Rationale: (A, B, C) These answers are all correct; however, maintenance of airway is the top priority. Persons burned about the face and neck during an explosion are also likely to suffer burns of the respiratory tract, which can lead to edema and respiratory arrest.