Nokea
A nurse is caring for a patient whose right leg is in Buck's traction. Which interventions should the nurse implement to promote the patient's mobility? Which intervention promotes mobility in Buck's traction?
- A. Perform passive range of motion exercises on the right leg.
- B. Perform isometric exercises on both legs.
- C. Perform active range-of-motion exercises on the left leg.
- D. Log roll the patient every 2 hours.
Correct Answer: C
Rationale: Rationale: Performing active range-of-motion exercises on the left leg promotes mobility in Buck's traction by maintaining muscle strength and joint flexibility, preventing muscle atrophy, and improving circulation. This helps prevent complications and supports eventual rehabilitation. Passive range of motion exercises on the right leg are not recommended as it may cause discomfort. Isometric exercises on both legs may not address the specific immobilization of the right leg. Log rolling every 2 hours is not directly related to promoting mobility in Buck's traction.
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A nurse is preparing to administer clonidine 0.3 mg at bedtime to a patient. The available amount is clonidine 0.1 mg/tablet. How many tablets should the nurse administer per dose? How many clonidine tablets should the nurse administer?
Correct Answer: 3
Rationale: Correct Answer: 3
Rationale: To calculate the number of tablets needed, divide the total dose needed (0.3 mg) by the dose per tablet (0.1 mg). 0.3 mg ÷ 0.1 mg = 3 tablets. Therefore, the nurse should administer 3 tablets per dose.
Summary:
A: Incorrect - Not the correct number of tablets based on the dosage calculation.
B: Incorrect - Not the correct number of tablets based on the dosage calculation.
C: Incorrect - Not the correct number of tablets based on the dosage calculation.
D: Incorrect - Not the correct number of tablets based on the dosage calculation.
E: Incorrect - Not the correct number of tablets based on the dosage calculation.
F: Incorrect - Not the correct number of tablets based on the dosage calculation.
G: Incorrect - Not the correct number of tablets based on the dosage calculation.
A nurse is caring for a patient who wants to know how albuterol aids his breathing. What should the nurse's response be? How does albuterol aid breathing?
- A. The medication will decrease coughing episodes.
- B. The medication will prevent wheezing.
- C. The medication will open the airways.
- D. The medication will stimulate the flow of mucus.
- E. The medication will reduce inflammation.
Correct Answer: B,C
Rationale: The correct answers are B and C. Albuterol aids breathing by preventing wheezing (choice B) and opening the airways (choice C). Albuterol is a bronchodilator that works by relaxing the muscles around the airways, allowing them to widen and making it easier to breathe. Choices A, D, and E are incorrect because albuterol does not directly decrease coughing episodes, stimulate mucus flow, or reduce inflammation. The key is understanding albuterol's mechanism of action in dilating the airways to improve breathing.
A nurse is caring for a child who is allergic to penicillin. Which prescription should the nurse verify with the provider?,Which prescription should be verified for a penicillin-allergic child?
- A. Amoxicillin-clavulanate.
- B. Gentamicin
- C. Erythromycin.
- D. Amphotericin
Correct Answer: A
Rationale: The correct answer is A: Amoxicillin-clavulanate. This is because amoxicillin-clavulanate belongs to the penicillin class of antibiotics and can potentially trigger an allergic reaction in a child who is allergic to penicillin. The nurse should verify this prescription with the provider to avoid any adverse reactions. Gentamicin (B) is an aminoglycoside antibiotic and is not related to penicillin. Erythromycin (C) is a macrolide antibiotic, which is also unrelated to penicillin. Amphotericin (D) is an antifungal medication and does not belong to the penicillin class. It is crucial for the nurse to ensure that the child does not receive any medication that could cause an allergic reaction due to their penicillin allergy.
A nurse is preparing to replace a nearly empty container of total parenteral nutrition (TPN) for a patient. There has been a delay in receiving the new TPN solution from the pharmacy. Which of the following solutions should the nurse infuse until the next TPN solution is available? Which solution should the nurse infuse during TPN delay?
- A. Lactated Ringer's.
- B. 0.9% sodium chloride.
- C. Sodium chloride.
- D. Dextrose 10% in water.
Correct Answer: D
Rationale: The correct answer is D: Dextrose 10% in water. During a delay in receiving TPN, it is important to provide a source of glucose to prevent hypoglycemia. Dextrose 10% in water provides a source of glucose for the patient. Lactated Ringer's (A) and 0.9% sodium chloride (B) are isotonic solutions but do not provide glucose. Sodium chloride (C) is a saline solution and does not provide any nutritional value. Therefore, Dextrose 10% in water is the most appropriate choice to prevent hypoglycemia in this situation.
A nurse in an emergency department is caring for a patient who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. What prescription should the nurse anticipate from the provider? What prescription should the nurse anticipate for DKA?
- A. Glucocorticoid medications.
- B. Dextrose 5% in 0.45% sodium chloride.
- C. Oral hypoglycemic medications.
- D. 0.9% sodium chloride IV bolus.
Correct Answer: D
Rationale: The correct answer is D: 0.9% sodium chloride IV bolus. In DKA, the primary concern is severe dehydration and electrolyte imbalances due to high blood glucose levels. 0.9% sodium chloride helps to rehydrate the patient and correct electrolyte imbalances. Glucocorticoids (A) are not typically used in the treatment of DKA. Dextrose 5% in 0.45% sodium chloride (B) would worsen hyperglycemia. Oral hypoglycemic medications (C) are not appropriate for managing acute DKA. Therefore, the nurse should anticipate the prescription of 0.9% sodium chloride IV bolus to address the immediate needs of the patient with DKA.