Nokea
A nurse is teaching a client about preventing Otitis Externa. Which of the following instructions should the nurse include?
- A. Clean the ear with a cotton-tipped swab daily
- B. Place earplugs in the ears when sleeping at night.
- C. Use a cool water irrigation solution to remove earwax.
- D. Tip the head to the side to remove water from the ears after showering
Correct Answer: D
Rationale: Tipping the head removes water, preventing moisture that promotes otitis externa.
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While receiving treatment for kidney stones, a man complains of swelling and pain in his big toe and is found to have hyperuricemia
- A. Clomiphene
- B. Hydrochlorothiazide
- C. Furosemide
- D. Mifepristone
Correct Answer: B
Rationale: Thiazides like hydrochlorothiazide reduce uric acid excretion, causing hyperuricemia and gout.
In Ayurvedic medicine, treatment is based on the 'tistidever' dosha, which is referred to as the person's:
- A. Vata
- B. Pitta
- C. Kapha
- D. Prakriti
Correct Answer: D
Rationale: Prakriti is the individual's constitution in Ayurveda, guiding treatment based on dosha balance.
The nurse is assessing a client with diabetes who reports several hypoglycemic episodes during the past 3 weeks. What assessment question best addresses a potential causative factor?
- A. Do you ever take St. John's wort?'
- B. Have you used any recreational drugs in the past few weeks?'
Correct Answer: A
Rationale: St. John's wort can affect glucose metabolism and drug interactions, potentially causing hypoglycemia in diabetics.
Which medication order requires nursing judgment and means administer if needed?
- A. Morphine 4 mg IV stat
- B. Morphine 4 mg IV prior to procedure
- C. Morphine 4 mg IV four times a day
- D. Morphine 4 mg IV every 4 hours PRN
Correct Answer: D
Rationale: PRN indicates for the nurse to administer morphine every 4 hours if needed and requires nursing judgment. Stat means the dose of morphine would be given immediately, not as needed. The orders for the dose of morphine to be given prior to the patient's scheduled procedure and four times a day, do not indicate to give the dose as needed.
While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary teaching has been effective if the patient includes which of the following foods in his daily menus?
- A. Broccoli and kiwi
- B. Oranges and sweet potatoes
- C. Kale and cucumbers
- D. Bananas and melon
Correct Answer: D
Rationale: Furosemide (Lasix) is a loop diuretic that can cause potassium loss; bananas and melon are potassium-rich, aiding in replacing this electrolyte, unlike the other options.