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A nurse is reinforcing teaching with a client who has osteoarthritis and is taking acetaminophen for pain management. Which of the following statements should the nurse include in the teaching?
- A. Apply an ice pack to painful joints for 20 minutes, 3 times a day.
- B. Take a dose of aspirin on days when you have more pain.
- C. Increase your water intake to 2 liters per day.
- D. Participate in high impact aerobics to increase joint mobility.
Correct Answer: C
Rationale: Increasing water intake to 2 liters daily supports joint lubrication and overall health in osteoarthritis management.
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A nurse is preparing to administer diphenhydramine 30 mg IM stat to a client who is having an allergic reaction. Available is diphenhydramine 50 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. (Do not use a trailing zero))
Correct Answer: 0.6 mL
Rationale: 30 mg ÷ 50 mg/mL = 0.6 mL. The nurse should administer 0.6 mL per dose.
A nurse is reinforcing teaching with a middle-aged client about hypertension. Which of the following information should the nurse include in the teaching?
- A. Plan to have potassium blood levels checked when taking thiazide diuretics.
- B. Limit alcohol consumption to 3 drinks a day when hypertensive.
- C. Set your goal body weight within 25% of ideal body weight.
- D. Plan to lower sodium intake to 3,000 mg each day.
Correct Answer: A
Rationale: Monitoring potassium levels is essential with thiazide diuretics, which can cause hypokalemia, ensuring safe management of hypertension.
A nurse is caring for a client who is scheduled for a blood sampling for a serum creatinine level. The client asks the nurse, "What is the purpose of this test?" Which of the following responses should the nurse give?
- A. This test will inform your provider if you are anemic.
- B. This test will inform your provider if you have an infection.
- C. This test will inform your provider how your kidneys are functioning.
- D. This test will inform your provider if you have a thyroid disorder.
Correct Answer: C
Rationale: A serum creatinine test measures the level of creatinine in the blood, which is an indicator of kidney function. Elevated creatinine levels can indicate impaired kidney function or kidney disease.
A nurse is providing care for an older adult client who has hyperglycemia, polydipsia, and polyuria. Which of the following manifestations supports the clinical presentation of hyperosmolar hyperglycemic syndrome (HHS)? (Select All that Apply.)
- A. Acetone breath.
- B. Fever.
- C. Serum glucose 800 mg/dL (74 to 106 mg/dL).
- D. Serum bicarbonate 15 mEq/L (21 to 28 mEq/L).
- E. Insidious onset.
Correct Answer: B,C,E
Rationale: Fever, serum glucose of 800 mg/dL, and insidious onset are characteristic of HHS, often triggered by infection and marked by extreme hyperglycemia without significant ketoacidosis.
A nurse is caring for a client who has a prescription for clopidogrel. Which of the following actions should the nurse plan to take?
- A. Administer the medication with each meal.
- B. Initiate contact precautions.
- C. Have suction equipment at the bedside.
- D. Monitor the client for black, tarry stools.
Correct Answer: D
Rationale: Monitoring for black, tarry stools is crucial as clopidogrel increases bleeding risk, indicating potential gastrointestinal bleeding.