Nokea
A nurse is reinforcing teaching with a client who has a new prescription for epinephrine auto-injector PRN. The nurse should reinforce with the client that the medication can help treat which of the following manifestations?
- A. Hand tremors
- B. Shortness of breath
- C. Nausea
- D. Hyperglycemia
Correct Answer: B
Rationale: Epinephrine treats shortness of breath in anaphylaxis.
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A nurse is verifying informed consent for a client who is preoperative for a vaginal hysterectomy. Which of the following statements should the nurse identify as an indication that the client has given informed consent?
- A. I will no longer need regular gynecological examinations.
- B. I will have a large scar on my stomach after this procedure.
- C. I am thankful I am done having children.
- D. I should expect my periods to resume in 1 month.
Correct Answer: C
Rationale: Expressing relief about no more children suggests understanding of the procedure's outcome.
A nurse is assisting with preparing a client who is to have a central venous catheter inserted for the administration of total parenteral nutrition (TPN). Which of the following actions should the nurse take?
- A. Place the client in Sims' position for catheter insertion.
- B. Verify the amount of TPN solution the client is receiving every 4 hr.
- C. Use clean technique when changing the catheter dressing.
- D. Prepare the client for a chest x-ray to verify catheter placement.
Correct Answer: D
Rationale: A chest x-ray confirms correct catheter placement for TPN administration.
A nurse in a provider's office is caring for a group of clients who have communicable diseases. Which of the following infections should the nurse report to the state health department?
- A. Impetigo contagiosa
- B. Neisseria gonorrhoeae
- C. Human papillomavirus
- D. Sarcoptes scabiei
Correct Answer: B
Rationale: Neisseria gonorrhoeae (gonorrhea) is a reportable disease per public health regulations.
A nurse is contributing to the plan of care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include?
- A. Monitor the client for 1 hr after meals.
- B. Weigh the client every 2 days.
- C. Check the client's vital signs two times per week.
- D. Allow the client 2 hr to finish meals.
Correct Answer: A
Rationale: Monitoring for 1 hour after meals prevents purging, a key intervention for anorexia.
The guardian of a 4-year-old child.
A nurse is collecting a health history from the guardian of a 4-year-old child. Which of the following statements by the guardian is the priority for the nurse to address?
- A. I have noticed that my child is withdrawn since we switched day care providers.
- B. My child continually asks me the same questions.
- C. My child still wets the bed at least two times per week.
- D. I have a difficult time getting my child to eat green vegetables.
Correct Answer: A
Rationale: Withdrawal may indicate emotional distress, a priority over typical developmental behaviors.