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A nurse is reinforcing teaching with a client who is scheduled for a PET scan. Which of the following instructions should the nurse include?
- A. Avoid strenuous exercise for 24 hours before the scan.
- B. Fast for 12 hours before the scan.
- C. Expect to receive general anesthesia.
- D. Remove all clothing during the scan.
Correct Answer: A
Rationale: Avoiding strenuous exercise for 24 hours before a PET scan prevents false positives from muscle uptake of the tracer.
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A nurse overhears two assistive personnel discussing a client's medical history in the hallway. Which of the following actions should the nurse take first?
- A. Report the incident to the charge nurse.
- B. Tell the staff members to stop their discussion.
- C. Participate in an in-service about client confidentiality.
- D. Speak to the staff members in private about client confidentiality.
Correct Answer: B
Rationale: Telling the staff members to stop their discussion is correct. The nurse should immediately address the situation by asking the APs to stop discussing the client's medical history in the hallway to protect client confidentiality. This is the most immediate and effective action in ensuring the client's privacy is respected.
A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following over-the-counter medications should the nurse identify as safe for use with warfarin?
- A. Docusate
- B. Ibuprofen
- C. Aspirin
- D. Omeprazole
Correct Answer: A
Rationale: Docusate is correct. Docusate is a stool softener, and it does not have a significant effect on blood clotting. Therefore, it is considered safe for use with warfarin, which requires careful monitoring to avoid interactions that may increase bleeding risks.
A nurse is assisting with the care of a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
- A. Check gastric residual volume every 8 hours.
- B. Flush the tube with cold water every 4 hours.
- C. Position the client flat during feeding.
- D. Change the feeding bag every 72 hours.
Correct Answer: C
Rationale: Positioning the client with the head of the bed elevated during feeding reduces the risk of aspiration, a critical safety measure.
A nurse is caring for a client who has a prescription for NPH insulin 10 units and regular insulin 15 units subcutaneously. After injecting 10 units of air into the NPH insulin vial, which of the following actions should the nurse take next?
- A. Inject 15 units of air into the regular insulin vial.
- B. Place the cap over the needle.
- C. Verify the dosage with another nurse.
- D. Withdraw 10 units of NPH insulin.
Correct Answer: A
Rationale: Injecting 15 units of air into the regular insulin vial is correct. When drawing up two types of insulin, the nurse should first inject air into the NPH (cloudy) insulin vial without withdrawing the medication. Then, the nurse should inject air into the regular (clear) insulin vial before withdrawing the regular insulin. This prevents contamination and maintains proper insulin mixing procedures.
A nurse is caring for a client who has a new prescription for allopurinol. Which of the following laboratory values should the nurse monitor?
- A. Uric acid
- B. Hemoglobin A1c
- C. Serum creatinine
- D. Cholesterol
Correct Answer: A
Rationale: Allopurinol reduces uric acid levels, so monitoring uric acid ensures the medication's effectiveness in treating gout.