Nokea
A nurse is reinforcing teaching about monitoring weight with a client who has chronic kidney disease. Which of the following instructions should the nurse include in the teaching?
- A. Use several different scales to obtain the weight.
- B. Weigh at the same time each day.
- C. Calibrate weight scales every week.
- D. Measure weight just prior to voiding.
Correct Answer: B
Rationale: Weighing at the same time each day ensures consistent measurements, critical for monitoring fluid retention in CKD.
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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.
Phenazopyridine hydrochloride turns the urine which color?
- A. Purple.
- B. Orange.
- C. Blue.
- D. Green.
Correct Answer: B
Rationale: Phenazopyridine hydrochloride turns the urine orange, a common and harmless side effect due to its dye properties.
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client:
- A. Sweating.
- B. Tachycardia.
- C. Polydipsia.
- D. Polyuria.
Correct Answer: D
Rationale: Polyuria is a symptom of hyperglycemia, and effective diabetes management aims to reduce such symptoms.
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 reinforcing teaching for a client about following a low-purine diet to manage gout. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
- A. I'll drink white wine, not red.
- B. I'll limit the number of fruit servings I eat each day.
- C. I'll choose red meat instead of poultry.
- D. I'll eliminate liver from my diet.
Correct Answer: D
Rationale: Organ meats like liver are high in purines and should be eliminated to manage gout effectively, as purines increase uric acid levels.