Nokea
A nurse is caring for a client who has a sulfa allergy. Which of the following prescriptions should the nurse clarify with the provider?
- A. Digoxin
- B. Prednisone
- C. Celecoxib
- D. Atorvastatin
Correct Answer: C
Rationale: Celecoxib, an NSAID, is a sulfa drug and contraindicated in sulfa allergies due to risk of allergic reaction. The other medications do not contain sulfa and are safe in this context.
You may also like to solve these questions
A nurse is reinforcing teaching about high-fiber foods with a client at a health fair. Which of the following foods should the nurse recommend as having the highest fiber content?
- A. 240 mL (8 oz) tomato juice
- B. 240 mL (8 oz) low-fat strawberry Greek yogurt
- C. 1 cup cooked peas
- D. 1 medium banana
Correct Answer: C
Rationale: Fiber content varies widely among foods, and cooked peas top this list. One cup of cooked peas offers about 8-9 grams of fiber, thanks to their legume properties, promoting bowel health and satiety. Tomato juice (8 oz) has roughly 1-2 grams mostly water, low in bulk. Low-fat strawberry Greek yogurt provides minimal fiber (<1 gram), as dairy lacks it naturally, despite added fruit. A medium banana has about 3 grams, decent but far below peas. Recommending peas educates the client on a nutrient-dense, high-fiber choice, aligning with dietary guidelines (e.g., 25-30 grams daily), supporting digestion, and preventing chronic diseases like diverticulosis, making it the best option to highlight.
A nurse is caring for a client who is receiving intermittent bolus enteral feedings through a jejunostomy tube. Which of the following actions should the nurse take?
- A. Elevate the head of the client's bed for 1 hr after the feeding
- B. Administer the feeding solution at a cold temperature.
- C. Rotate the jejunostomy tube once per day.
- D. Flush the tube with 90 mL of sterile water before and after the feeding
Correct Answer: A
Rationale: Elevating the head for 1 hour prevents aspiration, essential for jejunostomy feeding safety. Cold solutions, rotation, and large flushes are not recommended.
A nurse is caring for a client who is 3 days postoperative following an ileostomy placement. Which of the following findings should the nurse report to the provider?
- A. Stoma retracts into the abdominal wall.
- B. Stoma is a cherry red color.
- C. Stool contains scant red blood.
- D. Stool is a dark green color.
- E. Stoma is pale and dry.
- F. Stool is watery and excessive.
- G. Stoma is swollen and painful.
Correct Answer: A
Rationale: A retracted stoma is a complication requiring intervention; cherry red is normal, scant blood and dark green stool are expected early post-op.
A nurse is reinforcing teaching with a newly licensed nurse who is caring for a client who has AIDS. The nurse should instruct the newly licensed nurse to clean spills of the client's blood with a solution of water and which of the following cleaning agents?
- A. Isopropyl alcohol
- B. Bleach
- C. Hydrogen peroxide
- D. Chlorhexidine
Correct Answer: B
Rationale: A 1:10 bleach solution is the standard for decontaminating blood spills in AIDS care, effectively killing HIV. Other agents are less effective against bloodborne pathogens.
A nurse is providing first aid for a client who has a minor burn on one hand. Which of the following actions should the nurse take? (Select all that apply.)
- A. Maintain skin integrity over the blisters
- B. Apply ice to the larger blisters.
- C. Administer ibuprofen for pain.
- D. Run cool water over the affected area.
- E. Allow the affected area to remain open to air.
Correct Answer: A,C,D
Rationale: Blister integrity (A), pain relief with ibuprofen (C), and cool water (D) are correct. Ice can worsen damage, and open air isn't recommended initially.