Nokea
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? (Round to the nearest whole number. Use a leading zero if it applies. (Do not use a trailing zero))
Correct Answer: 2 tablets
Rationale: 275 mcg ÷ 137 mcg/tablet = 2.007 tablets, rounded to 2 tablets.
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A nurse is reinforcing teaching with a client who has neutropenia. Which of the following instructions should the nurse include in the teaching?
- A. Take temperature weekly.
- B. Participate in gardening for mild exercise.
- C. Eat plenty of fresh fruits and vegetables.
- D. Avoid crowded places.
Correct Answer: D
Rationale: Avoiding crowded places reduces infection risk in neutropenic clients with low white blood cell counts.
A nurse is reinforcing nutrition teaching for a client who has chronic kidney disease about limiting foods high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)
- A. Orange juice.
- B. White rice.
- C. Corn flakes cereal.
- D. Watermelon.
- E. Bananas.
Correct Answer: A,D,E
Rationale: Orange juice, watermelon, and bananas are high in potassium and should be avoided by clients with chronic kidney disease to prevent hyperkalemia.
A nurse is reviewing the urinalysis results of a client who reports urinary frequency and burning. Which of the following findings should the nurse report to the provider?
- A. Urine specific gravity 1.020.
- B. Microscopic hematuria.
- C. Amber yellow urine color.
- D. Absence of glucose in the urine.
Correct Answer: B
Rationale: Microscopic hematuria indicates red blood cells in the urine, suggesting possible urinary tract infection or other pathology requiring further evaluation.
A nurse is preparing to administer 0.9% sodium chloride IV infusion 1000 mL bag at a rate of 200 mL/hr for a client who has rhabdomyolysis. The nurse should expect the IV pump to infuse over how many hours? (Round the answer to the nearest whole number. (Use a leading zero if it applies. Do not use a trailing zero))
- A. 5 hours
- B. 4 hours
- C. 6 hours
- D. 7 hours
Correct Answer: A
Rationale: 1000 mL ÷ 200 mL/hr = 5 hours. The infusion will take 5 hours.
A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following risk factors should the nurse identify as contributing?
- A. High-purine diet.
- B. Female gender.
- C. Dehydration.
- D. Family history.
Correct Answer: C
Rationale: Dehydration is a major risk factor for urolithiasis, concentrating urine and promoting stone formation.