Nokea
A nurse cares for a client who is recovering from a myocardial infarction. The client states, I will need to stop eating so much chili to keep that indigestion pain from returning. How should the nurse respond?
- A. Chili is high in fat and calories; it would be a good idea to stop eating it.
- B. The provider has prescribed an antacid for you to take every morning.
- C. What do you understand about what happened to you?
- D. When did you start experiencing this indigestion?
Correct Answer: C
Rationale: Assessing the client’s understanding of their condition helps the nurse provide appropriate education and address misconceptions about symptoms.
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A child with a known history of asthma is admitted to the hospital with a respiratory infection. Which action is the nurse's priority?
- A. Administer a nebulizer treatment as ordered.
- B. Perform chest physiotherapy.
- C. Monitor oxygen saturation levels closely.
- D. Educate the parents about infection prevention.
Correct Answer: A
Rationale: The priority in asthma management is ensuring the airways are open, which is best achieved by administering a nebulizer treatment as ordered.
A child can be diagnosed as having Kawasaki disease if he has:
- A. Fever > 3 days' duration, > 38°C
- B. Purulent conjunctivitis
- C. Thrombocytosis
- D. Polymorphous rash
Correct Answer: A
Rationale: Kawasaki disease is characterized by a fever lasting more than 3 days, which is a primary diagnostic criterion.
Complications of an infant of a diabetic mother include:
- A. Hypoglycaemia
- B. Hypocalcaemia
- C. Hyperinsulinaemia
- D. Jaundice
Correct Answer: A
Rationale: Infants of diabetic mothers are at risk of hypoglycemia due to maternal hyperglycemia leading to fetal hyperinsulinemia, which persists after birth.
Prevalence of psychiatric disorder:
- A. Is higher in urban than in rural areas
- B. Is increased in children with moderate learning difficulties
- C. Is increased in severe physical disability
- D. Is higher in children in social service care
Correct Answer: A
Rationale: Psychiatric disorders are more prevalent in urban areas compared to rural areas. They are also increased in children with learning difficulties and those in social service care.
A client who has a history of long-standing back pain treated with methadone (Dolophines), is admitted to the surgical unit following urological surgery. Which modifications in the plan of care should the nurse make for this client's pain management during the postoperative period?
- A. Consult with surgeon about increasing methadone in lieu of parenteral opioids.
- B. Use minimal parenteral opioids for surgical pain, in addition to oral methadone
- C. Maintain client's methadone, and medicate surgical pain based on pain rating
- D. Make no changes in the standard pain management for the surgery and hold methadone.
Correct Answer: C
Rationale: Maintaining the client's methadone regimen while addressing surgical pain ensures effective pain control without risking withdrawal or inadequate pain relief.