A parent of a school-age child is receiving discharge teaching following a cardiac catheterization. Which of the following instructions should be included by the nurse?
- A. Allow the child to bathe 6 hours after the procedure.
- B. Keep the child on bed rest for 12 hours.
- C. Maintain a pressure dressing on the site for 8 hours.
- D. Resume regular activities the day after the procedure.
Correct Answer: B
Rationale: The correct instruction that the nurse should include is to keep the child on bed rest for 12 hours following a cardiac catheterization. This is important to prevent bleeding at the insertion site and ensure proper healing. Allowing the child to bathe soon after the procedure, maintaining a pressure dressing for only 8 hours, or resuming regular activities the day after the procedure can increase the risk of complications such as bleeding or infection.
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Upper respiratory infections (URI) in children may increase the risk of reactive airway disease. Which of the following is NOT a typical feature of URI?
- A. Fever
- B. Clear rhinorrhea
- C. Injected sclerae
- D. Productive cough
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse assesses a male patient who has developed gynecomastia while receiving treatment for peptic ulcers. Which medication from the patient’s history should the nurse recognize as a contributing factor?
- A. Amoxicillin (Amoxil)
- B. Cimetidine (Tagamet)
- C. Metronidazole (Flagyl)
- D. Omeprazole (Prilosec)
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When teaching a school-age child and the parent how to administer insulin, which of the following instructions should the nurse include?
- A. Store the insulin in the refrigerator after each use.
- B. Rotate injection sites each time you give the injection.
- C. You should give the insulin at room temperature.
- D. Administer the insulin within 30 minutes of each meal.
Correct Answer: C
Rationale: It is essential to give insulin at room temperature to prevent discomfort during administration. Cold insulin can cause stinging and pain, which can be avoided by allowing the insulin to reach room temperature before administration. Storing insulin in the refrigerator is correct for long-term storage, but it should be brought to room temperature before use. Rotating injection sites is important to prevent lipohypertrophy, a condition characterized by fatty lumps that can develop if injections are consistently given in the same area. Administering insulin within 30 minutes of a meal is generally recommended to match the insulin peak action with the peak glucose levels after eating, but giving insulin at room temperature is more crucial to ensure comfort and proper absorption.
The closeness of a measured value to a standard or known value is termed as
- A. accuracy
- B. precision
- C. sensitivity
- D. specificity
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When teaching an adolescent about managing tinea pedis, which statement indicates an understanding of the teaching?
- A. I should buy some plastic shoes to wear at the swimming pool
- B. I should wear sandals as much as possible
- C. I should place the permethrin cream between my toes twice daily
- D. I should seal my non-washable shoes in plastic bags for a couple of weeks
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.