Nokea
A nurse is reinforcing discharge instructions with a client who has a new prescription for phenazopyridine hydrochloride. Which of the following statements should the nurse include in the instructions?
- A. Phenazopyridine hydrochloride turns the urine purple.
- B. Administer phenazopyridine hydrochloride before meals.
- C. Yellowing of the sclera is an expected effect of phenazopyridine hydrochloride.
- D. Phenazopyridine hydrochloride works as a urinary tract analgesic.
Correct Answer: D
Rationale: Phenazopyridine hydrochloride works as a urinary tract analgesic, relieving pain, burning, and discomfort caused by urinary tract irritation.
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A nurse is preparing to administer levothyroxine 100 mcg PO to a client who has hypothyroidism. 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: 1 tablet
Rationale: 100 mcg ÷ 50 mcg/tablet = 2 tablets. The nurse should administer 2 tablets.
A nurse is phoning a provider to report a client's serum potassium of 6.2 mEq/L. Which of the following medications should the nurse expect the provider to prescribe?
- A. Potassium iodide.
- B. Lactulose.
- C. Sodium polystyrene sulfonate.
- D. Acetylcysteine.
Correct Answer: C
Rationale: Sodium polystyrene sulfonate is used to treat hyperkalemia by exchanging sodium ions for potassium ions in the intestines, lowering serum potassium levels.
A nurse is collecting data from a client who has systemic lupus erythematosus. Which of the following findings is the highest priority to report to the provider?
- A. Client reports feeling depressed.
- B. Joint pain in hands and knees.
- C. Dry, raised rash on the face.
- D. Presence of peripheral edema.
Correct Answer: D
Rationale: Peripheral edema is the highest priority as it may indicate kidney involvement, a serious SLE complication requiring immediate attention.
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.
A nurse is collecting data from a client whose arterial blood gas values reveal a pH of 7.24, PaCO₂ of 53, and an HCO₃ of 24. The nurse should prepare to treat the client for which of the following acid-base imbalances?
- A. Metabolic acidosis.
- B. Metabolic alkalosis.
- C. Respiratory acidosis.
- D. Respiratory alkalosis.
Correct Answer: C
Rationale: Low pH (7.24) and high PaCO₂ (53) indicate respiratory acidosis due to CO₂ accumulation from inadequate ventilation.