Nokea
A client with a history of gout is admitted with joint swelling. The nurse should include which of the following in the plan of care?
- A. Apply warm compresses to affected joints.
- B. Encourage a high-purine diet.
- C. Administer indomethacin as prescribed.
- D. Restrict fluid intake.
Correct Answer: C
Rationale: Indomethacin reduces inflammation and pain in acute gout attacks.
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In the early postoperative period, the nurse notes a bright red, 3' x 5' area of drainage on the client's abdominal laparotomy dressing. What should be the nurse's first action in response to this observation?
- A. Ignore it because drainage is normal.
- B. Increase the I.V. flow rate.
- C. Take the client's vital signs.
- D. Change the dressing.
Correct Answer: C
Rationale: Bright red drainage suggests active bleeding, so taking vital signs to assess for hemodynamic instability is the priority.
The nurse should suspect that the client taking disulfiram (Antabuse) has ingested alcohol when the client exhibits which of the following symptoms?
- A. Sore throat and muscle aches.
- B. Nausea and flushing of the face and neck.
- C. Fever and muscle soreness.
- D. Bradycardia and vertigo.
Correct Answer: B
Rationale: Disulfiram causes an adverse reaction with alcohol, leading to symptoms like nausea and flushing due to acetaldehyde accumulation.
The nurse is administering a dose of ondansetron hydrochloride to a client for nausea and vomiting. Which frequent side effect of this medication should the nurse instruct the client to report?
- A. Dizziness
- B. Blurred vision
- C. A warm feeling
- D. Urinary frequency
Correct Answer: A
Rationale: Ondansetron hydrochloride is a selective receptor antagonist used as an antinausea and antiemetic. Frequent side effects include anxiety, drowsiness, dizziness, headache, fatigue, constipation, diarrhea, urinary retention, and hypoxia. Occasional side effects include abdominal pain, diminished saliva secretion, fever, feeling cold, paresthesia, and weakness. Rare side effects include hypersensitivity reaction and blurred vision.
Which sign/symptom indicates that a client being treated with haloperidol may be experiencing an adverse effect of this medication?
- A. Nausea
- B. Hypotension
- C. Blurred vision
- D. Excessive drooling
Correct Answer: D
Rationale: Adverse effects of antipsychotic medications such as haloperidol include marked drowsiness and lethargy; extrapyramidal symptoms, including parkinsonism effects (drooling); dystonias; akathisia; and tardive dyskinesia. The correct option is a parkinsonism effect of this medication, excessive drooling. Nausea, hypotension, and blurred vision are occasional side effects of the medication.
A client with a history of depression is prescribed bupropion (Wellbutrin). The nurse should instruct the client to:
- A. Avoid alcohol consumption.
- B. Take the medication at bedtime.
- C. Take the medication with meals.
- D. Stop the medication if mood improves.
Correct Answer: A
Rationale: Alcohol should be avoided with bupropion to prevent seizures.