Nokea
A nurse is reinforcing discharge teaching with a client who has osteoarthritis. Which of the following statements by the client indicates an understanding of the teaching?
- A. Osteoarthritis is caused by inflammation that affects both joints and other body tissues.
- B. Osteoarthritis occurs due to the aging process and results in disintegration of cartilage in a joint.
- C. Osteoarthritis is due to loss of calcium in the bones, which can lead to increased risk for bone fractures.
- D. Osteoarthritis happens in several phases when deposits of crystals develop in joints and soft tissues.
Correct Answer: B
Rationale: Osteoarthritis is a degenerative joint disease caused by aging and cartilage disintegration, as correctly stated.
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A nurse is reinforcing teaching with a client who is to self-administer regular insulin and NPH insulin from the same syringe. Which of the following instructions should the nurse provide?
- A. Discard regular insulin if it appears cloudy.
- B. Draw up the NPH insulin into the syringe first.
- C. Shake the NPH insulin until it is well-mixed.
- D. Inject air into the regular insulin first.
Correct Answer: A
Rationale: Regular insulin should be clear; if it appears cloudy, it may be contaminated or expired and should be discarded to ensure safe administration.
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 to this diagnosis?
- A. High-purine diet.
- B. Low levels of serum calcium.
- C. Female gender.
- D. Drinking large quantities of fluids.
Correct Answer: A
Rationale: A high-purine diet increases uric acid, forming crystals and stones, contributing to urolithiasis.
A nurse is reinforcing teaching with a client who has a new prescription for phenazopyridine. The nurse should reinforce to the client to expect which of the following while taking this medication?
- A. Lethargy.
- B. Reddish-orange urine.
- C. Burning during urination.
- D. Visual disturbances.
Correct Answer: B
Rationale: Reddish-orange urine is a common and expected side effect of phenazopyridine, which is harmless but can stain clothing.
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.
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.