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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?
- B. 1 tablet
- C. 3 tablets
- D. 4 tablets
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 a urinary tract infection (UTI). Which of the following risk factors should the nurse include in the teaching?
- A. COPD.
- B. Anemia.
- C. Diabetes mellitus.
- D. Osteoporosis.
Correct Answer: C
Rationale: Diabetes mellitus increases UTI risk due to high blood sugar levels promoting bacterial growth and impaired immune function.
A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. (Do not use a trailing zero))
Correct Answer: 2 tablets
Rationale: 100 mcg ÷ 50 mcg/tablet = 2 tablets. The nurse should administer 2 tablets.
A nurse is caring for an older adult client who has left-sided heart failure. Which of the following findings should the nurse expect?
- A. Frothy sputum.
- B. Dependent edema.
- C. Jugular distention.
- D. Nocturnal polyuria.
Correct Answer: A
Rationale: Frothy sputum is a symptom of left-sided heart failure due to pulmonary congestion and edema.
A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of the following statements should the nurse include in the teaching?
- A. The medication causes amenorrhea if taken along with an oral contraceptive.
- B. You should wear glasses instead of contacts while taking this medication.
- C. A yellow tint to the skin is an expected reaction to the medication.
- D. Lifelong treatment with this medication is necessary.
Correct Answer: B
Rationale: Rifampin can cause discoloration of body fluids, including tears, which can stain contact lenses. Therefore, it is recommended to wear glasses instead of contacts while taking this medication.
A nurse is contributing to the plan of care for a client who is postoperative following a total hip arthroplasty. Which of the following information should the nurse include?
- A. Position the lower extremities so that they are touching.
- B. Ensure that the client's heels are touching the bed.
- C. Instruct the client to avoid movement of the affected leg.
- D. Prevent hip flexion of the affected extremity.
Correct Answer: D
Rationale: Preventing hip flexion of the affected extremity is correct because excessive hip flexion can increase the risk of dislocation after a total hip arthroplasty.