Nokea
The client tells the nurse they do not want to be resuscitated in the event of a cardiac arrest.
A nurse is caring for a client who has lung cancer. The client tells the nurse they do not want to be resuscitated in the event of a cardiac arrest. Which of the following statements should the nurse make?
- A. Let me explain the pros and cons of your decision.
- B. I will support your decision and help you explain it to others.
- C. I will send the social worker in to discuss this decision with you.
- D. I suggest you discuss this decision with your family first.
Correct Answer: B
Rationale: Supporting the client's decision respects autonomy and facilitates communication, aligning with ethical care.
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A nurse is reinforcing teaching about newborn care with a new guardian. Which of the following statements by the guardian indicates an understanding of the teaching?
- A. I will bathe my baby under a faucet of running water.
- B. I will wash my baby's face with a warm, wet washcloth without soap.
- C. I will wash my baby's head using a moist towelette.
- D. I will give my baby a bath every day.
Correct Answer: B
Rationale: Washing the face with a warm, wet washcloth without soap prevents irritation, showing understanding.
The client was prescribed azithromycin 1 g PO once.
A nurse in a health clinic is assisting in the care of a client diagnosed with chlamydia. The client was prescribed azithromycin 1 g PO once. Which of the following allergy findings in the client's history should the nurse report to the provider?
- A. Allergy to tetracyclines
- B. Allergy to sulfonamides
- C. Allergy to macrolides
- D. Allergy to penicillins
Correct Answer: C
Rationale: Azithromycin is a macrolide; an allergy to macrolides contraindicates its use.
An assistive personnel reports that the client has a blood pressure of 190/110 mm Hg.
A nurse is collecting data from a client who has chronic kidney failure. An assistive personnel reports that the client has a blood pressure of 190/110 mm Hg. Which of the following actions should the nurse take first?
- A. Remeasure the client's blood pressure.
- B. Administer an antihypertensive medication.
- C. Report the blood pressure reading to the charge nurse.
- D. Instruct the client to remain in bed.
Correct Answer: A
Rationale: Remeasuring verifies the accuracy of the elevated reading before further action.
A nurse is reinforcing teaching with a client who has an electrolyte imbalance. Which of the following foods should the nurse include as the lowest in potassium?
- A. Cantaloupe
- B. Orange juice
- C. Sweet potato
- D. Baked chicken breast
Correct Answer: D
Rationale: Baked chicken breast has the lowest potassium content compared to the other options, which are potassium-rich.
The client's prescription for erythromycin 500 mg four times per day.
A nurse is transcribing a client's prescription for erythromycin 500 mg four times per day. Which of the following information should the nurse clarify with the provider?
- A. Medication
- B. Dosage
- C. Route
- D. Time
Correct Answer: C
Rationale: The route (e.g., PO, IV) is unspecified and requires clarification.