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?
- A. 2 tablets
- B. 1 tablet
- C. 3 tablets
- D. 4 tablets
Correct Answer: A
Rationale: 275 mcg ÷ 137 mcg/tablet = 2.007 tablets, rounded to 2 tablets.
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A nurse is caring for a client who is postoperative following a right total hip arthroplasty. In which of the following positions should the nurse place the client's right leg?
- A. Abduction.
- B. Internal rotation.
- C. External rotation.
- D. Adduction.
Correct Answer: A
Rationale: Abduction prevents hip dislocation by keeping the leg away from the midline, maintaining joint stability post-arthroplasty.
A nurse is preparing to administer ondansetron 4 mg IM stat. The amount available is ondansetron for injection 2 mg/mL. How many mL 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 mL
Rationale: 4 mg ÷ 2 mg/mL = 2 mL. The nurse should administer 2 mL.
A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on his breath. The nurse should anticipate a prescription for which of the following types of insulin to treat the client?
- A. Regular.
- B. NPH.
- C. Glargine.
- D. Detemir.
Correct Answer: A
Rationale: Regular insulin is a short-acting insulin used to treat diabetic ketoacidosis (DKA), which is indicated by the client's symptoms of confusion, flushed appearance, and acetone odor on the breath.
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 caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take? (Select all that apply.)
- A. Contact the surgeon if the client reports a continual need to void.
- B. Use sterile technique when preparing the irrigation solution.
- C. Add the amount of bladder irrigation to the total output.
- D. Notify the surgeon if the urine is bright red or has large clots.
- E. Make sure the drainage tubing is patent and without obstruction.
Correct Answer: B,D,E
Rationale: Using sterile technique, notifying the surgeon for bright red urine or clots, and ensuring tubing patency are critical to prevent infection, manage bleeding, and maintain irrigation effectiveness.