Nokea
A nurse is preparing to administer hydrocortisone 100 mg IM daily to a client. Available as hydrocortisone 250 mg/2 mL. How many mL should the nurse administer per dose?(Round the answer to the nearest tenth number. Use a leading zero if it applies. Do not use a trailing zero.)
- G. 0.8 mL
Correct Answer: Using the ratio 250 mg/2 mL = 100 mg/x mL, cross-multiply to get 250x = 200, so x = 0.8 mL. This is the correct dose, rounded to the nearest tenth.
Rationale:
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A client is diagnosed with uterine fibroids. When reviewing the client's health history, the nurse would identify which finding is associated with the client's condition.
- A. Upper back pain
- B. Chronic pelvic pain
- C. Amenorrhea
- D. Diarrhea
- G. B
Correct Answer: Uterine fibroids cause chronic pelvic pain due to pressure on nerves and organs. Back pain, amenorrhea, and diarrhea are not typical symptoms.
Rationale:
A nurse is reviewing contraception options for four clients. The nurse should identify which of the following clients has a contraindication for receiving oral contraceptives.
- A. A 26-year-old client who has migraine headaches at the start of each menstrual cycle
- B. A 28-year-old client who has a history of pelvic inflammatory disease
- C. A 32-year-old client who has benign breast disease
- D. A 38-year-old client who reports smoking one pack of cigarettes every day
- G. D
Correct Answer: Smoking, especially over age 35, increases cardiovascular risks with oral contraceptives, making it a contraindication. Migraines, PID history, and benign breast disease are not absolute contraindications.
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Which factors are the main causes of the high infant mortality rate? Select all that apply.
- A. Cardiac complications
- B. Necrotizing enterocolitis
- C. Viral infections
- D. Prematurity
- E. Sudden infant death syndrome
- F. Low birth weight
- G. B,D,E,F
Correct Answer: Prematurity (35%), low birth weight (25%), sudden infant death syndrome (15%), and necrotizing enterocolitis (10%) are major causes of infant mortality. Cardiac complications (5%) and viral infections (2%) are less significant.
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A nurse in the ambulatory surgery center is providing discharge teaching to a client who had a dilation and curettage (D&C) following a spontaneous miscarriage. Which of the following should be included in the teaching?
- A. Vaginal intercourse can be resumed after 2 weeks.
- B. Products of conception will be present in vaginal bleeding.
- C. Increased intake of zinc-rich foods is recommended.
- D. Aspirin may be taken for cramps.
- G. A
Correct Answer: After a D&C, vaginal intercourse should be avoided for about 2 weeks to allow healing and reduce infection risk. Products of conception are removed during the procedure, so bleeding should not contain them. There's no specific need for zinc-rich foods post-D&C, and aspirin is avoided due to bleeding risk; NSAIDs like ibuprofen are preferred.
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To assist the woman in regaining control of the urinary sphincter after bladder surgery, the nurse should teach the client to perform which action?
- A. Limit the intake of fluid.
- B. Void every hour while awake.
- C. Perform Kegel exercises daily.
- D. Take a laxative every night.
- G. C
Correct Answer: Kegel exercises strengthen pelvic floor muscles, improving urinary sphincter control. Limiting fluids risks dehydration, frequent voiding may irritate the bladder, and laxatives address constipation, not sphincter control.
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