Nokea
A client with Anemia has been prescribed liquid iron. Which would the nurse expect to be included in the teaching plan?
- A. Take the medication through a straw.
- B. Administer this drug mixed with coffee.
- C. The drug causes the urine to turn black.
- D. The drug must be stored in the refrigerator.
Correct Answer: A
Rationale: Liquid iron should be administered through a straw to prevent dental staining. Answers B, C, and D are not correct instructions for taking liquid iron, so they are incorrect.
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Homonymous hemianopsia:
Homonymous hemianopsia:
- A. Half of the visual field of the affected eye is lost.
- B. The pupil in the affected eye is always dilated.
- C. Lost of vision on the affected eye.
- D. The pupil in the affected eye is not constricting.
Correct Answer: A
Rationale: Homonymous hemianopsia involves loss of half the visual field in both eyes, same side.
You were about to give AM care, a patient requested for pain medication after returning from surgery 24 hours ago.
What do you do first?
- A. Take VS, assess pain, do AM care.
- B. Give medication, take VS, assess pain, do AM care.
- C. Take VS, give medication, do AM care.
- D. Perform AM care, give medication, assess pain.
Correct Answer: C
Rationale: Vital signs must be assessed before administering pain medication to ensure the patient is stable and to establish a baseline.
In a client who's predisposed to bipolar disorder, a bipolar episode might be triggered by:
- A. hypothyroidism
- B. hyperglycemia
- C. hypertension
- D. antiseizure medication
Correct Answer: A
Rationale: Hypothyroidism might trigger a bipolar episode in a client predisposed to bipolar disorder. Episodes aren't known to be triggered by hyperglycemia, hypertension, or antiseizure medications.
The parent of a young adult recently diagnosed as being HIV positive calls the clinic in a panic saying, 'My son just cut himself shaving, and there is blood all over the bathroom. What should I do?' How should the nurse respond?
- A. Tell the parent to call 911 and ask for the Hazmat Team to come and assist.
- B. Suggest that the parent clean the bathroom with hot soapy water while wearing gloves.
- C. Recommend that the parent put on rubber gloves and use household bleach to clean the blood spills.
- D. Tell the parent to put on rubber gloves and clean the area with hydrogen peroxide.
Correct Answer: C
Rationale: Household bleach effectively disinfects HIV in blood spills, and gloves protect the parent, following standard precautions.
A patient who sustained massive internal injuries in a car crash becomes hypotensive and develops acute renal failure.
Which acid-base imbalance is he most likely to experience?
- A. Respiratory acidosis
- B. Metabolic acidosis
- C. Respiratory alkalosis
- D. Metabolic alkalosis
Correct Answer: B
Rationale: Renal failure causes metabolic acidosis due to impaired acid excretion.