Nokea
A client is scheduled for a creatinine clearance test. Which one of the following preparations is appropriate for the nurse to make?
- A. Instruct the client about the need to collect urine for 24 hours.
- B. Prepare to insert an indwelling urethral catheter.
- C. Provide the client with a sterile urine collection container.
- D. Instruct the client to force fluids to 3,000 mL/day.
Correct Answer: A
Rationale: A creatinine clearance test requires a 24-hour urine collection to assess kidney function accurately, making this the appropriate preparation.
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Mebendazole (Vermox) is prescribed for an 8-year-old child with pinworms. The child has an 18-month-old brother and a 4-year-old sister. The nurse should be sure that the parents are also treating which of the following family members with this drug?
- A. Both of the child's siblings
- B. The child's parents and brother
- C. Everyone who lives in the household
- D. The parents and sister
Correct Answer: C
Rationale: Pinworms are highly contagious, so all household members should be treated with mebendazole to prevent reinfection, regardless of symptoms.
A client is trying to lose weight at a moderate pace. The client eliminates 1,000 calories per day from his normal intake, how many pounds would he lose in 1 week?
- A. 2
- B. 3
- C. 4
- D. 5
Correct Answer: A
Rationale: A 1,000-calorie daily deficit equals 7,000 calories per week. Since 3,500 calories approximate one pound of fat, the client would lose about 2 pounds per week.
A client with a diagnosis of Cushing's syndrome is prescribed ketoconazole. The nurse should monitor the client for which of the following side effects?
- A. Hypoglycemia.
- B. Liver toxicity.
- C. Weight gain.
- D. Hypertension.
Correct Answer: B
Rationale: Ketoconazole can cause liver toxicity, requiring regular monitoring of liver function tests.
A comprehensive health assessment includes:
- A. A complete medical history, a general survey and a complete physical assessment.
- B. A complete medical history, a general survey and a focused physical assessment.
- C. A client interview, a significant other interview, a general survey and a complete physical assessment.
- D. A client interview, a significant other interview, a general survey and a focused physical assessment.
Correct Answer: A
Rationale: A comprehensive health assessment includes a complete medical history, a general survey (vital signs, appearance), and a complete physical assessment covering all body systems.
A client with a history of type 1 diabetes mellitus is prescribed insulin detemir (Levemir). The nurse should explain that this insulin:
- A. Is taken as needed for high blood sugar.
- B. Provides a steady basal insulin level.
- C. Should be mixed with short-acting insulin.
- D. Is administered immediately before meals.
Correct Answer: B
Rationale: Insulin detemir provides a steady basal insulin level over 24 hours, used for long-term glucose control.