Nokea
A patient is prescribed a nonsteroidal anti-inflammatory drug (NSAID) for the management of pain. Which adverse effect should the nurse monitor closely in the patient?
- A. Hypotension
- B. Hyperkalemia
- C. Gastrointestinal bleeding
- D. Hyperglycemia
Correct Answer: C
Rationale: NSAIDs are commonly known to increase the risk of gastrointestinal adverse effects, including gastritis, ulcers, and gastrointestinal bleeding. This risk is due to the inhibition of prostaglandin synthesis, which plays a protective role in the gastrointestinal mucosa. Gastrointestinal bleeding can manifest as symptoms such as black, tarry stools, vomiting blood, or abdominal pain. Therefore, it is crucial for the nurse to closely monitor the patient for signs and symptoms of gastrointestinal bleeding while taking NSAIDs to prevent potentially serious complications. Hypotension, hyperkalemia, and hyperglycemia are not commonly associated with NSAIDs use, making them less likely adverse effects to monitor for in this scenario.
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Which type of research allows researchers to be neutral observers
- A. Quantitative research
- B. Case studies
- C. Ethnographic research
- D. Qualitative research
Correct Answer: C
Rationale: Ethnographic research allows researchers to be neutral observers because it involves immersing oneself in the culture or community being studied without imposing their own biases or preconceptions. Ethnographers aim to understand the perspectives and behaviors of the people they are studying by observing them in their natural environment and engaging in participant observation. This approach enables researchers to gain insights into the social and cultural context of their subjects without influencing the outcomes or reactions. By maintaining neutrality and objectivity, ethnographic researchers can produce more authentic and unbiased results.
A woman in active labor experiences frequent and intense uterine contractions with minimal rest intervals, leading to maternal fatigue and decreased fetal oxygenation. What maternal condition should the nurse assess for that may contribute to this abnormal labor pattern?
- A. Maternal dehydration
- B. Uterine hyperstimulation
- C. Pelvic outlet obstruction
- D. Maternal exhaustion
Correct Answer: B
Rationale: Uterine hyperstimulation is a condition in which the uterus contracts too frequently or too intensely, leading to decreased blood flow and oxygenation to the placenta. This can result in maternal fatigue and decreased fetal oxygenation due to the lack of sufficient rest intervals between contractions. Uterine hyperstimulation can be caused by factors such as the use of synthetic oxytocin (Pitocin) to induce or augment labor, uterine abnormalities, or maternal conditions like pre-eclampsia. It is important for the nurse to assess for uterine hyperstimulation in a woman experiencing frequent and intense contractions to intervene promptly and prevent adverse outcomes for both the mother and the baby.
The best prevention management of contact latex allergy is ______.
- A. applying lotion before gloving
- B. avoidance of latex products
- C. avoiding rubberized goods
- D. resigning from the job
Correct Answer: B
Rationale: The best prevention management of contact latex allergy is to avoid latex products entirely. Latex allergies can range from mild skin irritation to severe reactions such as anaphylaxis. This means that even applying lotion before using latex gloves may not be sufficient to prevent an allergic reaction in individuals who are sensitized to latex. It is important for individuals with latex allergy to completely avoid exposure to latex products, including rubberized goods, to prevent triggering an allergic response. Resigning from the job is not a practical solution and should not be necessary if proper precautions are taken to avoid latex exposure.
A patient with chronic kidney disease is prescribed calcium carbonate as a phosphate binder. Which instruction should the nurse provide to the patient regarding calcium carbonate administration?
- A. Take with meals
- B. Take on an empty stomach
- C. Take with a full glass of water
- D. Crush tablets before administration
Correct Answer: A
Rationale: Calcium carbonate should be taken with meals because it requires the presence of stomach acid to be properly absorbed. Taking it with meals helps ensure optimal absorption and effectiveness as a phosphate binder in patients with chronic kidney disease. Administering calcium carbonate on an empty stomach may lead to gastrointestinal side effects such as upset stomach, bloating, and constipation. Taking it with a full glass of water is also recommended to help prevent potential gastrointestinal issues and to ensure proper hydration. Crushing tablets before administration is not advised unless specifically instructed by a healthcare provider, as it can alter the drug's release and absorption properties.
During a support group meeting, Nurse Donato, in a teasing manner, has made several provocative remarks about your appearance and behavior as a group leader. Select your MOST appropriate response.
- A. "Donato, see me after this meeting"
- B. "Donato, you are excused from the group"
- C. "What do you think Donato is trying to tell us?"
- D. "Donato, what are you saying is inappropriate"
Correct Answer: D
Rationale: Choosing option D, "Donato, what you are saying is inappropriate," is the most appropriate response in this situation. It directly addresses Nurse Donato's behavior without escalating the situation or being overly confrontational. By calmly pointing out that the remarks are inappropriate, you are setting a boundary and letting Nurse Donato know that such behavior is not acceptable in a professional setting. This response also signals to the rest of the group that you are aware of the inappropriate comments and are taking action to address them. It is important to address such behavior professionally and assertively to maintain a respectful and supportive environment during the support group meeting.