Nokea
A nurse is admitting a client who reports recurrent flank pain and nausea for 24 hr. Which of the following actions should the nurse take first?
- A. Monitor intake and output.
- B. Administer pain medication.
- C. Ambulate in hall.
- D. Strain the urine.
Correct Answer: B
Rationale: Administering pain medication is the priority to alleviate discomfort, allowing for further assessment and treatment.
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A nurse is reviewing the urinalysis results of a client who reports urinary frequency and burning. Which of the following findings should the nurse report to the provider?
- A. Urine specific gravity 1.020.
- B. Microscopic hematuria.
- C. Amber yellow urine color.
- D. Absence of glucose in the urine.
Correct Answer: B
Rationale: Microscopic hematuria indicates red blood cells in the urine, suggesting possible urinary tract infection or other pathology requiring further evaluation.
A nurse is preparing to administer digoxin 1 mg PO to a client. The amount available is digoxin 0.5 mg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. (Do not use a trailing zero))
Correct Answer: 2 tablets
Rationale: 1 mg ÷ 0.5 mg/tablet = 2 tablets. The nurse should administer 2 tablets.
A nurse is caring for a client who has COPD. Which of the following actions should the nurse take?
- A. Provide the client with a low protein diet.
- B. Instruct the client to cough every 4 hr.
- C. Advise the client to lie down after eating.
- D. Encourage the client to drink 8 glasses of water a day.
Correct Answer: D
Rationale: Encouraging 8 glasses of water daily helps thin mucus secretions, improving airway clearance and reducing infection risk in COPD clients.
A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. (Do not use a trailing zero))
Correct Answer: 2 tablets
Rationale: 100 mcg ÷ 50 mcg/tablet = 2 tablets. The nurse should administer 2 tablets.
A nurse is collecting data from a client whose arterial blood gas values reveal a pH of 7.24, PaCO₂ of 53, and an HCO₃ of 24. The nurse should prepare to treat the client for which of the following acid-base imbalances?
- A. Metabolic acidosis.
- B. Metabolic alkalosis.
- C. Respiratory acidosis.
- D. Respiratory alkalosis.
Correct Answer: C
Rationale: Low pH (7.24) and high PaCO₂ (53) indicate respiratory acidosis due to CO₂ accumulation from inadequate ventilation.