Nokea
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.
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Which of the following techniques is correct when administering a subcutaneous injection?
- A. Use a 1-inch needle for injection.
- B. Insert the needle at a 45-degree angle to the skin.
- C. Spread the skin tightly at the injection site.
- D. Draw 0.2 mL of air into the syringe before administration.
Correct Answer: B
Rationale: A subcutaneous injection is correctly administered at a 45-degree angle (or 90 degrees for obese patients) using a 5/8-inch needle, pinching the skin, without an air bubble.
A client with a history of cardiac problems is having severe chest pain. What should be nurse's first response?
- A. Notify the physician
- B. Administer an analgesic to control the pain
- C. Assess the client's pain
- D. Start oxygen at 2L minute via nasal cannula
Correct Answer: C
Rationale: Assessing the client's chest pain is the first step to determine its nature and severity, guiding further actions like notifying the physician or administering oxygen or analgesics.
A client at 12 weeks' gestation tells the nurse that she is a vegetarian and eats 'lots of rice.' To help meet the client's need for protein during pregnancy, the nurse suggests that the client combine the rice with which of the following?
- A. Beans.
- B. Soy milk.
- C. Yogurt.
- D. Corn.
Correct Answer: A
Rationale: Combining rice with beans provides a complete protein, meeting the increased protein needs during pregnancy.
An adolescent tells the school nurse she thinks she has infectious mononucleosis. The nurse should next assess the client for?
- A. Sore throat and malaise.
- B. Fatigue and weight loss.
- C. Coldlike symptoms and fever.
- D. Skin rash and abdominal pain.
Correct Answer: A
Rationale: Sore throat and malaise are hallmark symptoms of mononucleosis, requiring targeted assessment.
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.