Nokea
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.
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A nurse is planning a meal for a patient who has diverticulitis. Which menu selection should the nurse include in the plan? Which menu is suitable for diverticulitis?
- A. Sliced ham with green salad.
- B. Grilled chicken breast with white rice.
- C. Turkey sandwich with celery sticks.
- D. Pork tenderloin with green peas.
Correct Answer: B
Rationale: The correct answer is B: Grilled chicken breast with white rice. This choice is suitable for diverticulitis because it is low in fiber, which helps reduce irritation to the digestive system. High-fiber foods like green salad, celery sticks, green peas, and whole grain bread from the turkey sandwich can aggravate diverticulitis symptoms. Pork tenderloin may be too fatty for some individuals with diverticulitis, making grilled chicken a better option. White rice is easily digestible and less likely to cause discomfort compared to whole grains.
A nurse is caring for a patient who is postoperative following a bowel resection. Which of the following findings should the nurse report to the provider? Which finding post-bowel resection should the nurse report?
- A. Soft, formed stools
- B. Abdominal distension
- C. Mild incisional pain
- D. Nausea
Correct Answer: B
Rationale: The correct answer is B: Abdominal distension. This finding could indicate a possible complication such as bowel obstruction or ileus post-bowel resection. The nurse should report this symptom promptly to the provider for further evaluation and intervention to prevent potential complications. Soft, formed stools (A) are expected after bowel resection, indicating bowel function is returning. Mild incisional pain (C) is common postoperatively and can be managed with pain medication. Nausea (D) can also be common after surgery but may require monitoring if persistent or severe. There are no additional choices provided, but it is essential for the nurse to prioritize reporting any unusual or concerning findings to ensure the patient's safety and well-being.
A nurse is caring for a patient who is receiving continuous bladder irrigation following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider? Which finding should the nurse report during bladder irrigation?
- A. Urine output of 200 mL/hr
- B. Pink-tinged urine
- C. Clots in the drainage bag
- D. Bladder spasms
Correct Answer: C
Rationale: The correct answer is C: Clots in the drainage bag. This finding should be reported to the provider because it may indicate bleeding or clot formation, which can obstruct the catheter and impair the irrigation process. Clots can also increase the risk of urinary retention or infection. Reporting this finding promptly allows the provider to assess the patient's condition and take appropriate interventions to prevent complications.
Incorrect choices:
A: Urine output of 200 mL/hr is within the expected range for continuous bladder irrigation and does not necessarily indicate a problem.
B: Pink-tinged urine is a common finding following prostate surgery and is expected during bladder irrigation.
D: Bladder spasms are common after prostate surgery and can be managed with appropriate medications.
E, F, G: These choices are not provided, but they would be incorrect as they are not related to complications of bladder irrigation post-prostate surgery.
Nurse's Notes & Physical Examination
• The client is found attempting to climb out of bed, stating, "People are trying to hurt me." They are highly agitated and disoriented, attempting to remove IV lines. The client's behavior is erratic, and they require constant supervision. The skin is now cool and pale, with poor capillary refill. Respirations are labored, and the client is using accessory muscles to breathe. Lung sounds have deteriorated, with coarse crackles heard throughout. The abdomen is firm, and the client expresses significant discomfort. The urinary catheter output has decreased, and urine appears concentrated.
Vital Signs
• Blood Pressure: 100/64 mm Hg
• Temperature: 37.3° C (99.1° F)
• Pulse: 110/min
• Respirations: 28/min
Diagnostic Results
• Hemoglobin: 12.5 g/dL
• Hematocrit: 38.0%
• AST: 52 units/L
• ALT: 49 units/L
Provider's Prescriptions
• Soft wrist restraints if necessary.
• Immediate reassessment and adjustment of care plan.
2100 hrs - Critical Incident
A nurse is providing discharge teaching to a client recently diagnosed with a latex allergy. Which of the following client statements indicates a need for further teaching?
- A. I will apply elastic bandages to cuts.
- B. I will use dishwashing gloves when cleaning the dishes.
- C. I will use ink pens for writing.
- D. I will buy balloons for my son's birthday.
Correct Answer: D
Rationale: The correct answer is D. Latex allergy can be triggered by latex balloons. Therefore, buying balloons for the son's birthday could potentially expose the client to latex, leading to an allergic reaction. Elastic bandages, dishwashing gloves, and ink pens are typically latex-free alternatives. The other choices are incorrect because they do not involve direct exposure to latex.
A charge nurse is reviewing guidelines for initiating airborne precautions. Which of the following patients should the nurse identify as requiring airborne precautions? Which patient requires airborne precautions?
- A. A patient who has streptococcal pharyngitis
- B. A patient who has scabies
- C. A patient who has measles
- D. A patient who has pertussis
Correct Answer: C
Rationale: The correct answer is C: A patient who has measles. Measles is a highly contagious airborne disease spread through respiratory droplets. Airborne precautions are necessary to prevent transmission. Streptococcal pharyngitis (A) is spread through direct contact or respiratory droplets, not airborne. Scabies (B) is transmitted through skin-to-skin contact, not airborne. Pertussis (D) is spread through respiratory droplets, but not as easily as measles, so airborne precautions are not typically required.