Nokea
A nurse is caring for an adolescent client who has a terminal illness. Which of the following statements should the nurse make to the parent?
- A. I will administer pain medication on a schedule.
- B. I will limit visits from siblings who are under the age of 18.
- C. You should go home when your child needs to rest.
- D. You should allow your child to die at home.
Correct Answer: A
Rationale: Scheduled pain medication ensures comfort. Limiting sibling visits, dictating parental presence, or suggesting home death disregard family preferences and needs.
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A nurse is reinforcing teaching with an adolescent client who has oral candidiasis and a new prescription for clotrimazole troche. Which of the following instructions should the nurse include in the teaching?
- A. Place the medication in the refrigerator after each use.
- B. Be sure to let the troche dissolve in your mouth for 15 minutes.
- C. Crush the troche before mixing it with applesauce.
- D. Stop the medication if white patches appear in your mouth.
Correct Answer: B
Rationale: Dissolving the troche slowly maximizes effectiveness. Refrigeration isn't needed, crushing alters delivery, and white patches indicate ongoing infection, not a reason to stop.
A nurse is reinforcing teaching with the parent of a child who has a bacterial upper respiratory infection. Which of the following statements by the parent indicates an understanding of the teaching?
- A. I will force my child to drink fluids when they have a fever.
- B. I will use a dehumidifier in my child's room.
- C. I will keep my child's towels separate from those of the rest of the family.
- D. I will make sure my child eats three meals a day, even though their appetite is not good right now.
Correct Answer: C
Rationale: Separating towels prevents infection spread. Forcing fluids, using a dehumidifier, or insisting on three meals are not specific or recommended for bacterial infections.
A nurse in a provider's office is collecting data from an adolescent who has juvenile idiopathic arthritis and has been taking ibuprofen daily for the last 6 months. Which of the following client statements should the nurse report to the provider?
- A. I have morning stiffness in my joints.
- B. I have been taking a multivitamin that contains iron.
- C. I noticed some blood in my stool this morning.
- D. I skipped taking my ibuprofen last week after I went swimming.
Correct Answer: C
Rationale: Blood in stool suggests possible GI bleeding from long-term ibuprofen use, requiring urgent reporting. Stiffness is expected, vitamins are benign, and a single missed dose is less critical.
A nurse is reinforcing teaching with an adolescent client who has a prescription for lisinopril. Which of the following foods should the nurse instruct the client to avoid?
- A. Foods high in fiber
- B. High-potassium foods
- C. Foods high in vitamin K
- D. Dairy products
Correct Answer: B
Rationale: Lisinopril can raise potassium levels, so avoiding high-potassium foods prevents hyperkalemia. Fiber, vitamin K, and dairy are not contraindicated.
A nurse is preparing to percuss an adolescent's chest and abdomen. Which of the following areas should the nurse expect to hear a dull sound?
- A. This region of the chest is expected to be resonant on percussion because of the air in the lung.
- B. The right upper quadrant of the abdomen is usually dull on percussion because of the underlying liver.
- C. This site is tympanic because of the gas in the intestines.
Correct Answer: B
Rationale: The right upper quadrant is dull due to the liver. The chest is resonant, and intestines are tympanic.