Nokea
A nurse is preparing an educational presentation on herbal supplements for the local community center. The nurse anticipates discussion of saw palmetto to what type of clients?
- A. Clients diagnosed with dyslipidemia
- B. Clients experiencing major depression
- C. Clients with benign prostatic hyperplasia
- D. Perimenopausal clients experiencing hot flashes
Correct Answer: C
Rationale: Saw palmetto is commonly used for benign prostatic hyperplasia (C) to relieve urinary symptoms. It is not indicated for dyslipidemia (A), depression (B), or hot flashes (D).
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A housekeeping employee tells the staff nurse of having a headache and asks for acetaminophen. How should the nurse respond?
- A. Ask about liver disease and give acetaminophen from the nurse's personal supply
- B. Check for allergies to drugs before giving acetaminophen from hospital stock
- C. Check the employee's blood pressure
- D. Refer employee to the employee's health care provider
Correct Answer: D
Rationale: Nurses cannot dispense medications without a prescription (A, B). Checking blood pressure (C) is irrelevant. Referring to a provider (D) ensures proper evaluation and treatment.
Which of the following instructions should be included for the client taking calcium supplements?
- A. The client should take her calcium with meals.
- B. The client should take all her daily calcium supplement at one time.
- C. The client should take her calcium supplement after meals to prevent stomach upset.
- D. The client can use calcium-based antacids to supplement her diet.
Correct Answer: A
Rationale: Taking calcium supplements with meals enhances absorption and reduces gastrointestinal upset.
The nurse is caring for a client with acute pancreatitis. While obtaining the client's blood pressure, the nurse notes a carpal spasm. The nurse should obtain a blood specimen to check the client's serum
- A. calcium level
- B. albumin level
- C. troponin T level
- D. potassium level
Correct Answer: A
Rationale: Carpal spasm (Trousseau's sign) suggests hypocalcemia (A), common in pancreatitis. Albumin (B), troponin (C), and potassium (D) are unrelated to this finding.
The nurse is talking with a client who is scheduled for a lumbar puncture. Which of the following statements by the client would require follow-up?
- A. I will need to lie on my stomach during the procedure.
- B. I should go to the bathroom to urinate before the procedure.
- C. I understand that a needle will be inserted between the bones in my lower spine during the procedure.
- D. I may experience a sharp pain radiating down my leg during the procedure, but it should pass quickly.
Correct Answer: A
Rationale: Lumbar punctures are typically performed in a lateral or sitting position, not prone (A), requiring clarification. Urinating beforehand (B), needle insertion (C), and transient pain (D) are correct.
A client scheduled for electroconvulsive therapy tells the nurse, 'I'm so afraid. What will happen to me during the treatment?' Which of the following statements is most therapeutic for the nurse to make?
- A. You will be given medicine to relax you during the treatment
- B. The treatment will produce a controlled tonic clinic seizure
- C. The treatment can produce nausea and headache
- D. You can expect to be sleepy and confused for a time after the treatment
Correct Answer: A
Rationale: Explaining that medication will relax the client addresses their fear and provides reassurance about the procedure's safety, making it the most therapeutic response.