Nokea
A client is receiving atenolol (Tenormin) 25 mg PO after a myocardial infarction. The nurse determines the client's apical pulse is 65 beats per minute. What action should the nurse implement next?
- A. Hold the medication.
- B. Call the healthcare provider.
- C. Administer the medication.
- D. Check the blood pressure.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which bioterrorism agent is at high risk for use as a potential biological weapon that i s readily transmitted by several portals of entry?
- A. anthrax
- B. smallpox
- C. botulism
- D. tularemia
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client who is receiving intravenous heparin therapy has an activated partial thromboplastin time (aPTT) of 90 seconds. Which action should the nurse take?
- A. Continue the heparin infusion as prescribed.
- B. Decrease the heparin infusion rate.
- C. Increase the heparin infusion rate.
- D. Stop the heparin infusion and notify the healthcare provider.
Correct Answer: D
Rationale: An aPTT of 90 seconds is significantly elevated, indicating a high risk of bleeding due to excessive anticoagulation. In this case, the heparin infusion should be stopped immediately to prevent further anticoagulation and an increased bleeding risk. Notifying the healthcare provider is essential to discuss alternative anticoagulation strategies or interventions. Continuing heparin therapy without action could lead to severe bleeding complications. Decreasing or increasing the heparin infusion rate would exacerbate the risk of bleeding, making options A, B, and C incorrect.
What information should the nurse provide a client who has undergone cryosurgery for stage 1A cervical cancer?
- A. Expect heavy, watery vaginal discharge for 3 to 6 weeks.
- B. Use a tampon instead of a sanitary napkin.
- C. Report any severe cramping immediately.
- D. Avoid sexual intercourse for 3 to 6 weeks.
Correct Answer: D
Rationale: After cryosurgery for stage 1A cervical cancer, clients should avoid sexual intercourse for 3 to 6 weeks to reduce the risk of infection. Heavy, watery vaginal discharge is expected but not the focus of post-procedure instructions. Using tampons is contraindicated as they can introduce bacteria into the healing cervix. While reporting severe cramping is important, avoiding sexual intercourse is the priority to prevent complications.
The school nurse who is reviewing immunization records of students who will start kindergarten within the next month notes that most of the students have only received one dose of the measles, mumps, rubella (MMR) vaccine. Which intervention should the nurse implement?
- A. note in the student records that the second dose of the MMR vaccine should be administered prior to entering first grade
- B. send notices home with the children on the first day of class advising that MMR vaccine series must be completed
- C. contact kindergarten parents to remind them that the second dose of MMR is due at the start of the school year
- D. speak at the next parent teacher association meeting to teach parents the benefits of immunizing their children
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for a client with the sexually transmitted disease HPV. The client reports having had prior sexually transmitted infections. Which response should the nurse provide?
- A. emphasize that using safe sex practices removes the risk of transmission
- B. instruct the client of the importance of notifying sexual partners
- C. reassure that complications will not occur if infection is treated
- D. provide counseling that most contraceptive prevent against infection
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.