Nokea
A client is admitted with sickle cell crises and sequestration. Upon assessing the client, the nurse would expect to find:
- A. Decreased blood pressure
- B. Moist mucus membranes
- C. Decreased respirations
- D. Increased blood pressure
Correct Answer: A
Rationale: Sickle cell crisis with sequestration can lead to hypovolemia due to blood pooling in organs, resulting in decreased blood pressure.
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Twenty micrograms (g) are equal to how many milligrams? Record your answer using a decimal number.
Correct Answer: 0.02
Rationale: 1 mg = 1,000 g, so 20 /1,000 = 0.02 mg.
The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include:
- A. Hypoglycemia
- B. Jaundice
- C. Urinary retention
- D. Tinnitus
Correct Answer: B
Rationale: Tacrine (Cognex) is associated with hepatotoxicity, and jaundice is a sign of liver dysfunction that should be monitored.
A client requires insertion of a nasogastric tube. When preparing the client for the procedure, the nurse should place the client in which of the following positions?
- A. High Fowler's position with the head tilted forward.
- B. High Fowler's position with the head tilted backward.
- C. Semi-Fowler's position with the head in a neutral position.
- D. Semi-Fowler's position with the head tilted backward.
Correct Answer: A
Rationale: High Fowler's position with the head tilted forward (A) facilitates nasogastric tube insertion by aligning the esophagus and reducing the risk of aspiration. Tilting the head backward (B, D) or using a neutral position in semi-Fowler's (C) is less effective for this procedure.
A 16-year-old girl presents with peptic ulcers, constipation, low self-esteem, irregular menstrual cycle, and dental erosion. Her weight has fluctuated between 96 and 128 pounds over the past year. The nurse suspects the girl is suffering from
- A. binge eating disorder.
- B. bulimia nervosa.
- C. pernicious anemia.
- D. anorexia nervosa.
Correct Answer: B
Rationale: Bulimia nervosa is characterized by binge-purge cycles, leading to dental erosion, peptic ulcers, irregular menses, and weight fluctuations.
A client receiving high doses of hydromorphone (Dilaudid®) develops acute respiratory depression with a drop in blood pressure. Which of the following treatments is most indicated?
- A. Naloxone
- B. Naproxen
- C. Flumazenil
- D. Nortriptyline
Correct Answer: A
Rationale: Naloxone (A) reverses opioid-induced respiratory depression. Naproxen (B), flumazenil (C), and nortriptyline (D) are not appropriate.