Nokea
A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to:
- A. Douche after intercourse
- B. Void every 3 hours
- C. Obtain a urinalysis monthly
- D. Wipe from back to front after voiding
Correct Answer: B
Rationale: Voiding every 3 hours prevents urine stasis, reducing the risk of bacterial growth and urinary tract infections.
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Which laboratory finding would indicate a 62-year-old male client is at risk for ventricular dysrhythmia?
- A. magnesium 0.8 mmEq/L
- B. potassium 4.2 mmol/L
- C. creatinine 1.3 mg/dL
- D. total calcium 2.8 mmol/L
Correct Answer: A
Rationale: Low magnesium (0.8 mEq/L; normal 1.5-2.5 mEq/L) increases the risk of ventricular dysrhythmias. Other values are within normal ranges.
Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ?
- A. Antivirals
- B. Antibiotics
- C. Immunosuppressants
- D. Analgesics
Correct Answer: C
Rationale: Immunosuppressants, such as cyclosporine, prevent the immune system from forming antibodies against the transplanted heart.
A 65-year-old client is admitted after a stroke. The nurse is concerned about skin breakdown and decubitus ulcer development. Which nursing intervention would best improve tissue perfusion to prevent skin problems?
- A. Assessing the skin daily
- B. Massaging any erythematous areas on the skin
- C. Changing incontinence pads as soon as they become soiled
- D. Performing range-of-motion exercises and turning and repositioning the client
Correct Answer: D
Rationale: Performing range-of-motion exercises and turning/repositioning the client promotes blood circulation, which enhances tissue perfusion and prevents pressure ulcers. Assessing the skin detects problems but doesn't improve perfusion, massaging erythematous areas can worsen tissue damage, and changing pads addresses hygiene but not perfusion directly.
Which statement is true regarding the infant's susceptibility to pertussis?
- A. If the mother had pertussis, the infant will have passive immunity.
- B. Most infants and children are highly susceptible from birth.
- C. The newborn will be immune to pertussis for the first few months of life.
- D. Infants under 1 year of age seldom get pertussis.
Correct Answer: B
Rationale: Infants are highly susceptible to pertussis from birth, as maternal immunity is minimal, and severe cases are common in this age group.
A pregnant woman has experienced repeated vaginal monilial infections. When educating the client about the infection, which information should the nurse include? Select all that apply.
- A. Advise client to bathe daily.
- B. Explain the effects of increased estrogen production.
- C. Advise client to wear cotton panties and avoid nylon or pantyhose.
- D. Suggest client use panty liners to protect clothing.
- E. Advise the client to avoid wearing any panties.
Correct Answer: A,B,C
Rationale: Daily bathing (A), understanding estrogen's role in yeast growth (B), and wearing cotton panties (C) help manage monilial infections. Panty liners (D) may trap moisture, and avoiding panties (E) is impractical.