Nokea
A patient taking Isoniazid (INH) should be monitored for what deficiency?
- A. Vitamin C
- B. Calcium
- C. Vitamin B6
- D. Potassium
Correct Answer: C
Rationale: This medication can lead to low Vitamin B6 levels. Most patients will take a supplement of B6 while taking this medication.
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The charge nurse on a surgical floor is making assignments. Which client should be assigned to the most experienced registered nurse (RN)?
- A. The 36-year-old client who has undergone an antral irrigation for sinusitis yesterday and has moderate pain.
- B. The six-(6)-year-old client scheduled for a tonsillectomy and adenoidectomy this morning who will not swallow medication.
- C. The 18-year-old client who had a Caldwell-Luc procedure three (3) days ago and has purulent drainage on the drip pad.
- D. The 45-year-old client diagnosed with a peritonsillar abscess who requires IVPB antibiotic therapy four (4) times a day.
Correct Answer: C
Rationale: Purulent drainage post-Caldwell-Luc (C) suggests infection, requiring experienced assessment. Antral irrigation (A), tonsillectomy refusal (B), and antibiotics (D) are less complex.
The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. Which intervention should the nurse implement?
- A. Discuss implementing an advance directive.
- B. Explain the use of chemotherapy for brain involvement.
- C. Teach the client to discontinue driving.
- D. Have the significant other make decisions for the client.
Correct Answer: C
Rationale: Brain metastasis impairs cognition, making driving unsafe (C). Advance directives (A), chemotherapy (B), and proxy decisions (D) are secondary or inappropriate.
In regards to question 10, which action by the patient demonstrates they know how to properly use this medication?
- A. The patient rinses their mouth after using the Spiriva inhaler.
- B. The patient rinses their mouth after using the Pulmicort inhaler.
- C. The patient dispenses of the inhalers.
- D. The patient coughs 2 times after using the Pulmicort inhaler.
Correct Answer: B
Rationale: Pulmicort (corticosteroid) requires mouth rinsing to prevent oral thrush. Spiriva doesn't require rinsing, and coughing or disposing are incorrect.
Which nursing rationale best explains the reason for using a cuffed tracheostomy tube on the client?
- A. The cuff prevents skin breakdown.
- B. The cuff prevents aspiration.
- C. The cuff is more comfortable.
- D. The cuff reduces infection.
Correct Answer: B
Rationale: The cuff on a tracheostomy tube seals the airway, preventing aspiration of secretions or food into the lungs.
Which position is best for the client to be in while the nurse prepares to assess breath sounds?
- A. Sitting
- B. Standing
- C. Lying on the back
- D. Lying on the side
Correct Answer: A
Rationale: Sitting upright allows optimal lung expansion, making it easier to assess breath sounds accurately in a client with asthma.