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A nurse is collecting data from a client who has pulmonary tuberculosis. Which of the following findings should the nurse expect?
- A. High fever in the early morning.
- B. Fatigue.
- C. Increased appetite.
- D. Night sweats.
Correct Answer: D
Rationale: Night sweats are a classic symptom of pulmonary tuberculosis, resulting from the body's immune response to the infection.
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A nurse is preparing to administer levothyroxine 275 mcg PO to a client. The amount available is levothyroxine 137 mcg/tablet. How many tablets should the nurse administer?
- A. 2 tablets
- B. 1 tablet
- C. 3 tablets
- D. 4 tablets
Correct Answer: A
Rationale: 275 mcg ÷ 137 mcg/tablet = 2.007 tablets, rounded to 2 tablets.
A nurse is caring for a client who has tuberculosis and is about to start taking pyrazinamide. The nurse should identify that the client needs which of the following tests while taking this medication therapy?
- A. Blood glucose levels.
- B. Gallbladder studies.
- C. Liver function tests.
- D. Thyroid function studies.
Correct Answer: C
Rationale: Liver function tests are required for pyrazinamide due to its potential for hepatotoxicity, necessitating regular monitoring.
A nurse is administering morning medications and realizes that nifedipine was administered to the wrong client. Which of the following is the priority nursing action?
- A. Notify the charge nurse.
- B. Check the client's vital signs.
- C. Fill out an occurrence report according to institutional policy.
- D. Document an objective description of what has happened in the client's chart.
Correct Answer: B
Rationale: Checking the client's vital signs is the priority to assess for adverse effects, such as hypotension, ensuring immediate safety.
A nurse is reinforcing discharge teaching with a client who has osteoarthritis. Which of the following statements by the client indicates an understanding of the teaching?
- A. Osteoarthritis is caused by inflammation that affects both joints and other body tissues.
- B. Osteoarthritis occurs due to the aging process and results in disintegration of cartilage in a joint.
- C. Osteoarthritis is due to loss of calcium in the bones, which can lead to increased risk for bone fractures.
- D. Osteoarthritis happens in several phases when deposits of crystals develop in joints and soft tissues.
Correct Answer: B
Rationale: Osteoarthritis is a degenerative joint disease caused by aging and cartilage disintegration, as correctly stated.
A nurse is reinforcing teaching with a client who has osteoarthritis and is taking acetaminophen for pain management. Which of the following statements should the nurse include in the teaching?
- A. Apply an ice pack to painful joints for 20 minutes, 3 times a day.
- B. Take a dose of aspirin on days when you have more pain.
- C. Increase your water intake to 2 liters per day.
- D. Participate in high impact aerobics to increase joint mobility.
Correct Answer: C
Rationale: Increasing water intake to 2 liters daily supports joint lubrication and overall health in osteoarthritis management.