Nokea
A client taking isoniazid (INH) for tuberculosis asks the nurse about side effects of the medication. The client should be instructed to immediately report which of these?
- A. Double vision and visual halos
- B. Extremity tingling and numbness
- C. Confusion and lightheadedness
- D. Sensitivity of sunlight
Correct Answer: B
Rationale: Extremity tingling and numbness. Peripheral neuropathy is the most common side effect of INH and should be reported to the provider. It can be reversed.
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Which of the following interventions is appropriate when caring for a client who has lost function of cranial nerve $\mathrm{V}$ on the left side?
- A. Helping the client select foods that are easy to swallow
- B. Speaking to the client on his right side
- C. Applying an eye patch to the left eye
- D. Speaking to the client on his left side
Correct Answer: C
Rationale: Cranial nerve V (trigeminal) loss may impair corneal sensation, increasing risk of eye injury; an eye patch protects the left eye. Swallowing and hearing are unrelated.
The nurse is preparing a client for a kidney-ureter-bladder x-ray (KUB). What is included in the preparation?
- A. Keeping the client NPO
- B. Explaining the procedure
- C. Catheterizing the client
- D. Administering an enema
Correct Answer: B
Rationale: Explaining the procedure reduces anxiety and ensures cooperation, a key preparation for a non-invasive KUB x-ray.
A client with end-stage renal failure is to receive a kidney transplant from her sister. Prior to surgery, the client will be scheduled for:
- A. An intravenous pyelogram
- B. Hemodialysis
- C. A voiding cystogram
- D. A renal biopsy
Correct Answer: B
Rationale: Hemodialysis is typically performed before a kidney transplant to optimize the client's electrolyte and fluid balance, ensuring a stable condition for surgery.
The nurse is to suction a client. What action is essential prior to inserting the suction catheter?
- A. Clear the mouth and throat of secretions.
- B. Lower the head of the bed.
- C. Oxygenate the client.
- D. Check the suction pressure.
Correct Answer: C
Rationale: Pre-oxygenation prevents hypoxia during suctioning, a critical step. Clearing secretions, lowering the bed, or checking pressure are secondary.
The nurse is talking to parents about nutrition in school aged children. Which of the following is the most common nutritional disorder in this age group?
- A. Bulimia
- B. Anorexia
- C. Obesity
- D. Malnutrition
Correct Answer: C
Rationale: Obesity. Factors like sedentary lifestyles and poor nutrition knowledge contribute to high obesity rates in school-aged children.