Nokea
A patient is being discharged home on Doxycycline for treatment of pneumonia. Which statement by the patient indicates they understood your education material?
- A. I will wear sunscreen when outdoors.'
- B. I will avoid green leafy vegetables while taking this medication.'
- C. I will monitor my blood glucose regularly due to the side effects of hypoglycemia.'
- D. I will take this medication with a full glass of milk.'
Correct Answer: A
Rationale: Doxycycline causes photosensitivity, so wearing sunscreen is correct. Green leafy vegetables are relevant for warfarin, hypoglycemia is not a side effect, and milk can reduce doxycycline absorption.
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The client diagnosed with ARDS is transferred to the intensive care department and placed on a ventilator. Which intervention should the nurse implement first?
- A. Confirm that the ventilator settings are correct.
- B. Verify that the ventilator alarms are functioning properly.
- C. Assess the respiratory status and pulse oximeter reading.
- D. Monitor the client's arterial blood gas results.
Correct Answer: C
Rationale: Assessing respiratory status and SpO2 (C) ensures immediate patient stability. Ventilator settings (A), alarms (B), and ABGs (D) follow.
You're developing a plan of care for a patient who is at risk for the development of a deep vein thrombosis after surgery. What nursing intervention below would the nurse NOT include in the patient's plan of care to prevent DVT formation?
- A. The patient will eat all meals out of the bed daily by sitting in the bedside chair.
- B. The nurse will apply sequential compression devices (SCDs) per physician's order to the patient's lower extremities every night at bedtime.
- C. The nurse will administer per physician's order Enoxaparin in the subcutaneous tissue of the abdomen.
- D. The patient will ambulate daily.
Correct Answer: B
Rationale: Yes, the nurse would apply SCDs per MD order to help prevent DVTs, BUT they are to be applied and worn by the patient anytime they are in bed or sitting. The only time a patient should not wear the SCDs is when they're ambulating. Therefore, the nurse would NOT just apply them at bedtime but during the day too.
A patient has exercise-induced asthma. Which of the following actions can the patient perform to help prevent an attack during exercise. Select all that apply:
- A. Avoid warming up before exercise.
- B. Administer a short-acting beta agonist before exercise.
- C. Administer a short-acting beta agonist after exercise.
- D. Avoid exercising when experiencing a respiratory illness.
Correct Answer: B,D
Rationale: Using a short-acting beta agonist before exercise and avoiding exercise during respiratory illness help prevent exercise-induced asthma attacks. Warming up is beneficial, and post-exercise beta agonists are not preventive.
The nurse observes the client sitting on the side of the bed with the arms propped on the over-bed table. The chest is barrel shaped and the client is breathing though lips spaced close together and is exhaling slowly. Which concept is priority for this client?
- A. Mobility.
- B. Nutrition.
- C. Activity intolerance.
- D. Oxygenation.
Correct Answer: D
Rationale: Tripod position, barrel chest, and pursed-lip breathing (D) indicate COPD with oxygenation as the priority. Mobility (A), nutrition (B), and activity (C) are secondary.
Which statement is correct regarding mycobacterium tuberculosis?
- A. This bacterium is an anaerobic type of bacteria.
- B. It is an alkali bacterium that stains bright red during an acid-fast smear test.
- C. It is known as being an aerobic type of bacteria.
- D. It's an acid-fact bacterium that stains bright green during an acid-fast smear test.
Correct Answer: C
Rationale: Mycobacterium tuberculosis is AEROBIC (it thrives in conditions that are high in oxygen), and it is an ACID-FAST bacterium, which means when it is stained during an acid-fast smear it will turn BRIGHT RED.