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A client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is at least likely to exacerbate asthma?
- A. Pindolol (Visken)
- B. Carteolol (Ocupress)
- C. Metoprolol tartrate (Lopressor)
- D. Propranolol hydrochloride (Inderal)
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is preparing to administer a scheduled dose of digoxin (Lanoxin) to a client. Which assessment finding should the nurse report to the healthcare provider?
- A. Heart rate of 90 beats per minute.
- B. Serum potassium level of 4.0 mEq/L.
- C. Blood pressure of 130/80 mm Hg.
- D. Client reports seeing halos around lights.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
After assessing the health care needs of an elementary school, the nurse determines that an increased prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the goal to eradicate the condition in the school. The program includes educational pamphlets sent home to parents and regular assessment of children by the school nurse. What action should the nurse implement to evaluate the effectiveness of the program?
- A. evaluate the teachers' ability to identify pediculosis capitis 2 months after initiation of the program
- B. conduct an initial examination of each child in the school to obtain baseline data
- C. survey parents 3 weeks after pamphlets are sent home to assess their understanding of the condition
- D. measure the prevalence of pediculosis capitis among the children after four months
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The healthcare provider is caring for a client with a chest tube. Which observation indicates that the chest tube is functioning effectively?
- A. Continuous bubbling in the water-seal chamber.
- B. Intermittent bubbling in the suction control chamber.
- C. No fluctuation (tidaling) in the water-seal chamber.
- D. Drainage of clear, pale yellow fluid from the chest tube.
Correct Answer: B
Rationale: Intermittent bubbling in the suction control chamber is the correct observation indicating effective functioning of the chest tube. This bubbling signifies that the suction system is working correctly and maintaining the desired negative pressure in the pleural space. Continuous bubbling in the water-seal chamber suggests an air leak, which is not a normal finding. No fluctuation (tidaling) in the water-seal chamber may indicate a blockage or lack of communication between the pleural space and the water-seal, which is not ideal. Drainage of clear, pale yellow fluid from the chest tube is a normal finding, but it does not specifically indicate the effectiveness of the chest tube function.
access t o heal thcare Downloaded by Dawson maxwell (maxwelldawson083@gmail.com) lOMoARcPSD|38437257 The nurse worki ng i n a community health clinic that serves recent Somali immi grants notes that most mothers refuse to give permi ssion for routine immunizati ons of thei r preschool ers. Which i ndi vidu al i s l ikel y to have the most i nfl uential on these women's perceptions about their chil dren's heal thcare needs?
- A. husbands
- B. cl i ni c heal thcare provi der
- C. ol der femal es
- D. tri bal chief -
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is assessing a client with a suspected deep vein thrombosis (DVT). Which finding supports this diagnosis?
- A. Positive Homan's sign.
- B. Unilateral leg swelling.
- C. Bilateral calf pain.
- D. Redness and warmth in the affected leg.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.