Nokea
A nurse is assisting with providing care for an adolescent client who has neuropathic pain. Which of the following medications should the nurse anticipate administering?
- A. Oxycodone
- B. Gabapentin
- C. Acetaminophen
- D. Duloxetine
Correct Answer: B
Rationale: Gabapentin is effective for neuropathic pain by modulating nerve activity. Oxycodone and acetaminophen are less specific, and duloxetine is not first-line for adolescents.
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A nurse is caring for a child who has pertussis. Which of the following precautions should the nurse initiate?
- A. Droplet
- B. Contact
- C. Airborne
- D. Protective
Correct Answer: A
Rationale: Pertussis spreads via respiratory droplets, requiring droplet precautions. Contact precautions are for direct contact diseases, airborne for smaller particles like TB, and protective precautions are for immunocompromised patients.
A nurse is reinforcing teaching with an adolescent client who has oral candidiasis and a new prescription for clotrimazole troche. Which of the following instructions should the nurse include in the teaching?
- A. Place the medication in the refrigerator after each use.
- B. Be sure to let the troche dissolve in your mouth for 15 minutes.
- C. Crush the troche before mixing it with applesauce.
- D. Stop the medication if white patches appear in your mouth.
Correct Answer: B
Rationale: Dissolving the troche slowly maximizes effectiveness. Refrigeration isn't needed, crushing alters delivery, and white patches indicate ongoing infection, not a reason to stop.
A nurse is reinforcing teaching with the parent of a 15-month-old toddler about nutritional guidelines. Which of the following statements by the parent indicates an understanding of the teaching?
- A. My child will be constipated if they drink more than 6 ounces of juice a day.
- B. My child's intake of calcium should average 500 milligrams every day.
- C. My child should consume 1,500 to 1,800 calories each day by the time they turn 2.
- D. My child's appetite will increase suddenly when they turn 18 months old.
Correct Answer: B
Rationale: A 15-month-old toddler needs about 500 milligrams of calcium per day to support bone growth and development. Excessive juice does not cause constipation but can reduce appetite for other foods. Toddlers need approximately 1,000 to 1,300 calories per day, so 1,500-1,800 calories is excessive. There is no specific age-related sudden appetite increase at 18 months.
A nurse is collecting data from an 8-month-old infant. Which of the following findings indicates expected growth and development?
- A. Inability to hold a bottle
- B. Uses palmar grasp
- C. Sits unsupported
- D. Forces tongue outward when it is touched
Correct Answer: C
Rationale: Sitting unsupported by 8 months is expected. Bottle holding occurs earlier, palmar grasp fades by this age, and tongue thrust typically resolves by 6 months.
A nurse is assisting with care for an adolescent client who has asthma and a new prescription for albuterol by metered-dose inhaler. Which of the following statements by the client indicates that they might be experiencing an adverse effect of albuterol?
- A. My body feels relaxed after taking my medication.
- B. My heart feels like it's fluttering after taking my medication.
- C. I experience forgetfulness after taking my medication.
- D. I become constipated after taking my medication.
Correct Answer: B
Rationale: Heart fluttering indicates palpitations, a known albuterol side effect. Relaxation is desired, while forgetfulness and constipation are not typical.