Nokea
A client is taking an antacid for treatment of a peptic ulcer. Which of the following statements best indicates that the client understands how to correctly take the antacid?
- A. I should take my antacid at the same time as my other medications.'
- B. I need to decrease my intake of fluids so that I don't dilute the effects of my antacid.'
- C. My antacid will be most effective if I take it whenever I experience stomach pains.'
- D. It is best for me to take my antacid 1 to 3 hours after meals.'
Correct Answer: D
Rationale: Antacids are most effective when taken 1 to 3 hours after meals, as they neutralize gastric acid during peak acid secretion. Taking antacids with other medications can interfere with absorption, and fluid intake does not need to be restricted.
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The nurse is planning a staff development conference about medication reconciliation. Which of the following information should the nurse include?
- A. Obtain a list of the medications instead of reviewing the list with the client
- B. Medication reconciliation should occur just at discharge to prevent omissions.
- C. Prescribed medications should be obtained and omit herbs and supplements.
- D. This process should occur at admission, client transfer, and discharge.
Correct Answer: C
Rationale: Medication reconciliation at admission, transfer, and discharge ensures accuracy and continuity of care.
The client tells the nurse that he is allergic to shellfish. The nurse should ask the client if he is also allergic to:
- A. All other seafood.
- B. Iodine skin preparations.
- C. Caffeine.
- D. Alcohol-based skin preparations.
Correct Answer: B
Rationale: Shellfish allergies are often associated with iodine sensitivity, as shellfish contain iodine. Iodine-based skin preparations used in surgery could trigger an allergic reaction, so this must be assessed. Other options are unrelated to shellfish allergies.
A client with a hip fracture is using a walker. Which observation indicates incorrect use of the walker?
- A. The client leans forward over the walker.
- B. The client advances the walker before stepping.
- C. The client uses the walker on both sides.
- D. The client keeps elbows slightly bent.
Correct Answer: A
Rationale: Leaning forward over the walker compromises balance and increases fall risk.
A client with a hip fracture has undergone surgery for insertion of a femoral head prosthesis. Which of the following activities should the nurse instruct the client to avoid?
- A. Crossing the legs while sitting down.
- B. Sitting on a raised commode seat.
- C. Using an abductor splint while lying on the side.
- D. Rising straight from a chair to a standing position.
Correct Answer: A
Rationale: Crossing the legs risks hip dislocation post-surgery.
In providing care to the client with leukemia who has developed thrombocytopenia, the nurse assesses the most common sites for bleeding. Which of the following is not a common site?
- A. Biliary system.
- B. Gastrointestinal tract.
- C. Brain and meninges.
- D. Pulmonary system.
Correct Answer: A
Rationale: Thrombocytopenia in leukemia increases bleeding risk in the gastrointestinal tract, brain/meninges, and pulmonary system due to mucosal surfaces and vascularity. The biliary system is not a common site for bleeding.