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A nurse is caring for a client who has a prescription for a narcotic medication. After administration, the nurse is left with an unused portion. What should the nurse do?
- A. Discard the medication in the trash
- B. Return the medication to the pharmacy
- C. Discard the medication with another nurse as a witness
- D. Store the medication for future use
Correct Answer: C
Rationale: Controlled substances should be discarded in the presence of another nurse to ensure accountability.
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A nurse is planning a community education program about colorectal cancer. Which of the following risk factors should the nurse identify as modifiable?
- A. Family history
- B. Smoking
- C. Age
- D. Gender
Correct Answer: B
Rationale: Smoking is a modifiable risk factor for colorectal cancer.
A charge nurse is making assignments for the upcoming shift. What assignment should the charge nurse give to an LPN?
- A. A client who requires complex medication management
- B. A client who has dehydration and inflammatory bowel disease (IBD)
- C. A client needing assessment of a new diagnosis
- D. A client requiring a nursing care plan update
Correct Answer: B
Rationale: A client with dehydration and IBD does not require complex medication administration, making this an appropriate assignment for an LPN.
A nurse in an acute care facility is caring for a client who is postop following abdominal surgery. Which of the following behaviors should the nurse identify as increasing the client's risk for constipation?
- A. Regular fluid intake
- B. Urge suppression
- C. Increased physical activity
- D. Adequate dietary fiber
Correct Answer: B
Rationale: Urge suppression can lead to constipation, especially in postoperative patients.
A nurse is performing a focused assessment for a client who has dysrhythmias. What indicates ineffective cardiac contractions?
- A. Increased blood pressure
- B. Pulse deficit
- C. Normal heart rate
- D. Elevated oxygen saturation
Correct Answer: B
Rationale: A pulse deficit indicates ineffective cardiac contractions and the presence of cardiac dysrhythmias.
A nurse is performing a focused assessment on a client who has a history of COPD and is experiencing dyspnea. Which of the findings should the nurse expect?
- A. Flaring of the nostrils
- B. Normal respiratory rate
- C. Clear lung sounds
- D. Decreased work of breathing
Correct Answer: A
Rationale: Flaring of the nostrils indicates increased respiratory effort, common in clients with dyspnea due to COPD.