Nokea
A client with schizophrenia is receiving depot injections of Haldol Deconate (haloperidol decanoate). The client should be told to return for his next injection in:
- A. 1 week
- B. 2 weeks
- C. 4 weeks
- D. 6 weeks
Correct Answer: C
Rationale: Haldol Decanoate is a long-acting depot injection typically administered every 4 weeks for maintenance therapy in schizophrenia.
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A client with a history of phenylketonuria is seen at the local family planning clinic. After completing the client's intake history, the nurse provides literature for a healthy pregnancy. Which statement indicates that the client needs further teaching?
- A. I can help control my weight by switching from sugar to Nutrasweet.
- B. I need to resume my old diet before becoming pregnant.
- C. Fresh fruits and raw vegetables will make excellent betweenmeal snacks.
- D. I need to eliminate most sources of phenylalanine from my diet.
Correct Answer: A
Rationale: Nutrasweet (aspartame) contains phenylalanine, which must be avoided in phenylketonuria, indicating a need for further teaching.
The nurse is teaching the mother of a child with attention deficit disorder regarding the use of Ritalin (methylphenidate). The nurse recognizes that the mother understands her teaching when she states the importance of:
- A. Offering high-calorie snacks
- B. Watching for signs of infection
- C. Observing for signs of oversedation
- D. Using a sunscreen with an SPF of 30
Correct Answer: C
Rationale: Ritalin, a stimulant, can cause side effects like insomnia or agitation, not oversedation. The mother's mention of oversedation indicates a misunderstanding, but the question implies correct teaching, so observing for side effects like overstimulation is key.
The nurse is assessing a client with suspected Addison’s disease. Which of the following findings would the nurse expect?
- A. Weight gain and edema.
- B. Hyperpigmentation of the skin.
- C. Hypertension and tachycardia.
- D. Increased appetite and polyuria.
Correct Answer: B
Rationale: hyperpigmentation of the skin is a classic sign of Addison’s disease due to increased ACTH production
A client with Alzheimer's disease has been prescribed donepezil (Aricept). Which information should the nurse include in the teaching plan for a client on Aricept?
- A. Take the medication with meals.'
- B. The medicine can cause dizziness, so rise slowly.'
- C. If a dose is skipped, take two the next time.'
- D. The pill can cause an increase in heart rate.'
Correct Answer: B
Rationale: Donepezil can cause dizziness due to its cholinergic effects, so clients should rise slowly to prevent falls. It's taken at bedtime, not with meals, and doses shouldn't be doubled.
The nurse is preparing to administer streptomycin 0.25 g. The directions say to reconstitute with 9 mL of sterile water for a concentration of 400 mg/2 mL. How many mLs will the nurse give? Fill in the blank.
Correct Answer: 1.25 mL
Rationale: Dose: 0.25 g = 250 mg. Concentration: 400 mg/2 mL = 200 mg/mL. Volume = 250 mg ÷ 200 mg/mL = 1.25 mL.