Nokea
A nurse is caring for a client who has a new diagnosis of sarcoidosis. Which of the following findings should the nurse expect?
- A. Lung nodules
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Lung nodules are a common finding in sarcoidosis due to granuloma formation in the lungs.
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A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on seizure precautions. Which of the following materials should the AP place in the client's room?
- A. Oral suction equipment
- B. Tongue depressor
- C. Tracheostomy tray
- D. Wrist restraints
Correct Answer: A
Rationale: Oral suction equipment is correct. During a seizure, there is a risk of aspiration due to the loss of airway control. Oral suction equipment should be readily available in the room to clear the airway if needed, especially if the client experiences a seizure with oral secretions.
A nurse is reinforcing teaching with a client who is scheduled for a nerve conduction study. Which of the following instructions should the nurse include?
- A. Avoid caffeine before the study.
- B. Remove all jewelry before the study.
- C. Expect sedation during the study.
- D. Fast for 8 hours before the study.
Correct Answer: B
Rationale: Removing all jewelry before a nerve conduction study prevents interference with the electrical signals measured.
A nurse is caring for a client who has a new prescription for prednisone. Which of the following adverse effects should the nurse monitor for?
- A. Hypoglycemia
- B. Weight loss
- C. Bradycardia
- D. Insomnia
Correct Answer: D
Rationale: Prednisone, a corticosteroid, can cause insomnia due to its stimulatory effect on the central nervous system.
A nurse overhears two assistive personnel (AP) in the nurses' station discussing a client who was recently admitted. Which of the following actions should the nurse take?
- A. Tell the APs to stop the conversation.
- B. Document the event in the client's progress notes.
- C. Inform the client of the APs' actions.
- D. Submit an incident report to the risk manager.
Correct Answer: A
Rationale: Telling the APs to stop the conversation is correct. Discussing client information in a public area violates HIPAA (Health Insurance Portability and Accountability Act) privacy regulations. The nurse should immediately intervene and remind the APs about maintaining client confidentiality.
A nurse is preparing to administer ibuprofen solution 60 mg orally to a 7-month-old infant who is febrile. Available is ibuprofen 50 mg/1.25 mL. How many should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
- A. 1.0 mL
- B. 1.2 mL
- C. 1.5 mL
- D. 2.0 mL
Correct Answer: C
Rationale: The correct dose is 1.5 mL. To calculate: (60 mg / 50 mg) * 1.25 mL = 1.5 mL. This ensures the infant receives the prescribed 60 mg of ibuprofen.