The preschooler has manifestations of respiratory syncytial virus.
A nurse is assisting with the care of a preschooler who has manifestations of respiratory syncytial virus. Which of the following actions should the nurse take?
- A. Administer fluconazole to the preschooler.
- B. Monitor the preschooler's urine for protein.
- C. Request an x-ray of the preschooler's neck.
- D. Initiate droplet precautions.
Correct Answer: D
Rationale: Droplet precautions prevent RSV transmission.
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The client reports he has headaches after taking chewable isosorbide dinitrate.
A nurse is caring for a client who reports he has headaches after taking chewable isosorbide dinitrate. Which of the following statements should the nurse make?
- A. Swallow the tablet whole to minimize your headaches.
- B. You can discontinue the medication until the headache goes away.
- C. You should take the medication on an empty stomach to prevent a headache.
- D. The headaches should decrease as you get used to the medication.
Correct Answer: D
Rationale: Headaches are a common side effect of isosorbide that typically lessen over time.
The client is dependent on nicotine and wishes to discontinue smoking.
A nurse is reinforcing teaching with a client who is dependent on nicotine and wishes to discontinue smoking. The nurse should inform the client that which of the following is a manifestation of nicotine withdrawal?
- A. Weight loss
- B. Diaphoresis
- C. Insomnia
- D. Diarrhea
Correct Answer: C
Rationale: Insomnia is a common nicotine withdrawal symptom.
A nurse is reinforcing teaching with a client about advanced directives. Which of the following information should the nurse include?
- A. Once you have completed a living will, it cannot be changed.
- B. You should appoint a family member as your health care surrogate.
- C. Your health care surrogate will make decisions on your behalf if you are unable.
- D. You will need an attorney to appoint a health care surrogate.
Correct Answer: C
Rationale: A health care surrogate acts on the client's behalf if incapacitated.
A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's school-age brother should the nurse expect?
- A. Believes that his brother's death will be reversible
- B. Alienates himself from his peers
- C. Believes his bad behavior is causing his brother's death
- D. Regresses to an earlier developmental level
Correct Answer: A
Rationale: School-age children often see death as reversible, like sleep.
The client has pyelonephritis and is receiving gentamicin via IV infusion.
A nurse is collecting data from a client who has pyelonephritis and is receiving gentamicin via IV infusion. Which of the following manifestations should the nurse identify as an adverse effect of the treatment?
- A. New onset of hearing loss
- B. Slurred speech
- C. Constipation
- D. Hypotension
Correct Answer: A
Rationale: Gentamicin can cause ototoxicity, leading to hearing loss.
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