Nokea
A client is admitted to the unit for chemotherapy. To prevent an acid-base problem, which of the following would you instruct the nursing assistant to report?
- A. Repeated episodes of nausea and vomiting
- B. Complaints of pain associated with exertion
- C. Failure to eat all food on breakfast tray
- D. Client hair loss during morning bath
Correct Answer: A
Rationale: Nausea and vomiting can lead to metabolic alkalosis due to loss of gastric acid, making it important to report promptly to prevent acid-base imbalances.
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What is the primary role of lubricating eye drops?
- A. Moisten the eyes
- B. Treat infections
- C. Correct refractive errors
- D. None of the above
Correct Answer: A
Rationale: Lubricating drops relieve dryness and discomfort by moisturizing the ocular surface.
A client has periodic outbreaks of cold sores long after the initial infection of herpes simplex virus. Why does this occur?
- A. The client has low resistance.
- B. The client has not received proper treatment.
- C. The viruses are dormant in the client.
- D. The viruses are immune to the therapy.
Correct Answer: C
Rationale: The correct answer is C because the herpes simplex virus can become dormant in nerve cells and reactivate periodically, leading to recurrent outbreaks.
Before administering a benzodiazepine, what should the nurse assess?
- A. Sleep problems
- B. Memory impairment
- C. Cognitive disorder
- D. Behavior changes
Correct Answer: D
Rationale: Behavioral changes may indicate underlying issues or contraindications for benzodiazepines.
While teaching a client about their medications, the client asks how long it will take before the effects of lithium take place. What is the best response of the nurse?
- A. Immediately.
- B. Several days.
- C. 2 weeks.
- D. 1 month.
Correct Answer: C
Rationale: Lithium typically takes 2 weeks to show therapeutic effects.
While caring for a patient following an uvulopalatopharyngoplasty (UPPP), the nurse monitors the patient for which complications in the immediate postoperative period?
- A. Snoring and foul-smelling breath
- B. Infection and electrolyte imbalance
- C. Loss of voice and severe sore throat
- D. Airway obstruction and hemorrhage
Correct Answer: D
Rationale: The correct answer is D. Airway obstruction and hemorrhage are critical complications to monitor after UPPP. Snoring (A) may persist initially, infection (B) is less common, and voice loss (C) is rare.