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 who has come to the clinic is diagnosed with endometriosis. What would the nurse expect the primary care provider to prescribe as a first-line treatment?
- A. Antiestrogens
- B. Progestins
- C. Gonadotropin-releasing hormone analogues
- D. NSAIDs
- G. B
Correct Answer: Progestins are first-line for endometriosis as they suppress endometrial tissue growth and reduce pain and bleeding. Antiestrogens and GnRH analogues are second-line due to severe side effects, and NSAIDs only provide symptomatic relief.
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A breast biopsy indicates the presence of malignant cells, and the client is scheduled for a mastectomy. When preparing the client's preoperative plan of care, which area would the nurse most likely address as the priority?
- A. Fluid balance
- B. Body image
- C. Urinary elimination
- D. Activity
- G. B
Correct Answer: Body image is a priority due to the psychosocial impact of mastectomy on identity and self-esteem. Fluid balance, urinary elimination, and activity are less immediate concerns.
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A nurse is assessing a male client recently diagnosed with genital herpes. Which finding would most likely correlate with this diagnosis?
- A. Reports of itching, tingling, and pain in the genital area
- B. Painful urination with a penile discharge present
- C. Wart-like flesh-colored lesions on the scrotal area
- D. A chancre on the penis
- G. A
Correct Answer: Genital herpes causes itching, tingling, and pain before painful blisters appear. Discharge suggests gonorrhea/chlamydia, warts suggest HPV, and a chancre indicates syphilis.
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A nurse is reading a journal article about the care of a woman with pelvic organ prolapse. Would expect to find information on which disorder. Select all that apply.
- A. Rectal incontinence
- B. Rectocele
- C. Urinary incontinence
- D. Cystocele
- E. Enterocele
- G. B,C,D,E
Correct Answer: Pelvic organ prolapse involves disorders like rectocele (rectum bulging into vagina), urinary incontinence (bladder control loss), cystocele (bladder bulging into vagina), and enterocele (small intestine bulging into vagina). Rectal incontinence is not directly related.
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A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use. Which of the following responses should the nurse make?
- A. A provider can help you with that after a physical examination.
- B. You are so young. Are you ready for the responsibilities of a sexual relationship?
- C. Because of your age, I think that a barrier method would be the best choice.
- D. Before I can help you, I need to know more about your sexual activity.
- G. A
Correct Answer: Referring to a provider ensures personalized advice after assessing health and needs. Judgmental or assumptive responses can deter adolescents from seeking care, and probing sexual activity may violate privacy.
Rationale: