Nokea
A nurse is teaching a client who has a new prescription for zolpidem. The nurse should instruct the client that which of the following is an adverse effect of zolpidem?
- A. Memory loss
- B. Dry mouth
- C. Hypertension
- D. Urinary retention
Correct Answer: A
Rationale: The correct answer is A: Memory loss. Zolpidem is a sedative-hypnotic medication commonly used for insomnia. One of its adverse effects is memory loss, particularly short-term memory impairment. Zolpidem works by enhancing the effects of GABA, which can lead to memory issues. Dry mouth (B) is a common side effect of many medications but not typically associated with zolpidem. Hypertension (C) and urinary retention (D) are not common adverse effects of zolpidem. It is important to educate the client about memory loss as a potential side effect to ensure they are aware and can report any concerning symptoms to their healthcare provider.
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A nurse is preparing to administer furosemide 30 mg IV bolus stat. Available is furosemide injection 10 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: 3
Rationale: To determine the correct mL of furosemide to administer, we can use the formula: Desired dose (30 mg) / Available dose (10 mg/mL) = mL to administer. So, 30 mg / 10 mg/mL = 3 mL. The correct answer is therefore 3 mL.
Choice A: Incorrect. This answer does not provide the correct calculation based on the given information.
Choice B: Incorrect. This answer does not demonstrate the correct calculation based on the given information.
Choice C: Incorrect. This answer does not reflect the accurate calculation using the provided data.
Choice D: Incorrect. This choice does not show the correct calculation based on the information presented.
Choice E: Incorrect. This response does not align with the correct calculation method for determining the mL to administer.
Choice F: Incorrect. This choice does not offer the accurate calculation based on the provided data.
Choice G: Incorrect. This answer does not demonstrate the correct calculation using the
The nurse is caring for a client who has had partial removal of the parathyroid gland. The client reports numbness and tingling of the hands and fingers. Which lab value would the nurse expect to see?
- A. Chloride 112
- B. Calcium 7.5
- C. Potassium 4.0
- D. Calcium 12.1
Correct Answer: B
Rationale: The correct answer is B: Calcium 7.5. With partial removal of the parathyroid gland, there may be decreased production of parathyroid hormone leading to hypocalcemia. Numbness and tingling in the hands and fingers are classic symptoms of hypocalcemia. A low calcium level of 7.5 is indicative of this condition.
Choice A: Chloride 112 is not related to symptoms of numbness and tingling.
Choice C: Potassium 4.0 is within the normal range and not associated with symptoms of hypocalcemia.
Choice D: Calcium 12.1 indicates hypercalcemia, not hypocalcemia, which would not cause numbness and tingling.
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?
- A. Crushing the medication would release all the medication at once, rather than over time
- B. Crushing the medication might cause you to have a stomachache or indigestion
- C. Crushing the medication is a good idea, and I can mix in some ice cream for you
- D. Crushing is unsafe, as it destroys the ingredients in the medication
Correct Answer: B
Rationale: The correct answer is B. Crushing enteric-coated aspirin can lead to stomachache or indigestion because the coating is designed to protect the stomach lining from irritation. By crushing it, the medication can be released too quickly, causing irritation. Choice A is incorrect because it focuses on the timing of medication release rather than the potential harm of crushing it. Choice C is incorrect as adding ice cream does not address the issue of medication safety. Choice D is incorrect as it does not provide a specific reason why crushing is unsafe.
A nurse in an emergency department is performing triage on a group of clients. Which of the following clients should the nurse see first?
- A. A client who has heart failure and peripheral edema
- B. A client who reports urinary burning and a temperature of 29.2° C (102.51 F)
- C. A client who has cirrhosis of the liver and bruising on their arms
- D. A client who has a new onset of atrial fibrillation and a heart rate of 152/min
Correct Answer: D
Rationale: The correct answer is D because a new onset of atrial fibrillation with a heart rate of 152/min indicates a potentially life-threatening cardiac condition requiring immediate attention to prevent complications such as stroke or heart failure. Atrial fibrillation can lead to decreased cardiac output and increase the risk of blood clots forming in the heart. The high heart rate can also lead to hemodynamic instability. A prompt assessment and intervention are crucial to stabilize the client's condition.
Choice A is incorrect as heart failure with peripheral edema, while concerning, does not pose an immediate life-threatening risk compared to a new onset of atrial fibrillation.
Choice B is incorrect as urinary burning and a temperature of 29.2° C (102.51 F) may indicate a urinary tract infection, which is important but not as urgent as the cardiac issue in choice D.
Choice C is incorrect as bruising in a client with cirrhosis of the liver is concerning for potential bleeding disorders, but it is not
A nurse is preparing to perform hand hygiene with an alcohol-based hand sanitizer. Which of the following actions should the nurse plan to take?
- A. Use hot water to rinse hand sanitizer off
- B. Dry hands with a reusable towel
- C. Rub hands together 20 seconds
- D. Rub hand sanitizer around rings on fingers
Correct Answer: D
Rationale: The correct answer is D: Rub hand sanitizer around rings on fingers. This is important because rings can harbor bacteria and viruses, and by rubbing hand sanitizer around them, the nurse ensures that all surfaces of the hands, including under the rings, are effectively sanitized. This action helps prevent the transmission of pathogens.
A: Using hot water to rinse hand sanitizer off is unnecessary and can actually be harmful as it can cause skin irritation.
B: Drying hands with a reusable towel is not recommended as it can harbor germs and compromise hand hygiene.
C: Rubbing hands together for 20 seconds is a good practice, but the specific action related to rings is more crucial.
E, F, G: No information provided.