Nokea
A client with a diagnosis of gout is prescribed febuxostat (Uloric). The nurse should instruct the client to:
- A. Take the medication with food to reduce stomach upset.
- B. Avoid drinking alcohol.
- C. Limit fluid intake.
- D. Take the medication at bedtime only.
Correct Answer: A,B
Rationale: Taking febuxostat with food reduces gastrointestinal upset, and avoiding alcohol prevents uric acid buildup.
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Select the complication of a blood transfusion that is accurately paired with its preventive measure.
- A. Hemolysis: Typing and cross matching the blood and checking for ABO compatibility prior to administration
- B. Hemolysis: Insuring that the client does not have a prior history of hemolysis in the past
- C. Febrile reactions: Insuring that the client does not have a prior history of hemolysis in the past
- D. Febrile reactions: Typing and cross matching the blood and checking for ABO compatibility prior to administration
Correct Answer: A
Rationale: Hemolysis is prevented by ensuring ABO compatibility and proper typing and cross-matching to avoid immune reactions.
A client at 37 weeks' gestation is scheduled for a biophysical profile. Which of the following should the nurse instruct the client to do before the test?
- A. Drink 1 to 2 L of fluid.
- B. Take nothing by mouth after midnight before the test.
- C. Plan to remain in the clinic for 4 hours after the test.
- D. Eat a high-fiber meal after the test.
Correct Answer: A
Rationale: Drinking 1-2 L of fluid ensures adequate amniotic fluid volume, which is assessed during a biophysical profile.
After a lobectomy for lung cancer, the nurse instructs the client to perform deep-breathing exercises to:
- A. Decrease blood flow to the lungs for rest and increased surface alveoli ventilation.
- B. Elevate the diaphragm to enlarge the thorax so that the lung surface area available for gas exchange is increased.
- C. Control the rate of air flow to the remaining lobe to decrease the risk of hyperinflation.
- D. Expand the alveoli and increase lung surface available for ventilation.
Correct Answer: D
Rationale: Deep-breathing exercises expand alveoli, increasing lung surface area for ventilation post-lobectomy.
The nurse is assessing a client with suspected dehydration. Which finding supports this diagnosis?
- A. Bounding pulse.
- B. Dry mucous membranes.
- C. Hypertension.
- D. Increased urine output.
Correct Answer: B
Rationale: Dry mucous membranes are a classic sign of dehydration due to reduced fluid volume in the body.
Select the electrolyte that is accurately paired with its normal level.
- A. Phosphate: From 0.81 to 1.45 mmol/L.
- B. Chloride: From 60 to 110 mEq/L.
- C. Calcium: From 6.5 - 10.6 mg/dL.
- D. Potassium: From 3.7 to 7.2 mEq/L.
Correct Answer: A
Rationale: Normal phosphate levels are 0.81 to 1.45 mmol/L (2.5 to 4.5 mg/dL), making this the correct pairing.