Nokea
A toddler with otitis media has just completed antibiotic therapy. A recheck appointment should be made to:
- A. Determine whether the ear infection has affected her hearing
- B. Make sure that she has taken all the antibiotic
- C. Document that the infection has completely cleared
- D. Obtain a new prescription, in case the infection recurs
Correct Answer: C
Rationale: A recheck appointment confirms that the otitis media has resolved, ensuring no residual infection or complications.
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The client with color blindness will most likely have problems distinguishing which of the following colors?
- A. Orange
- B. Violet
- C. Red
- D. White
Correct Answer: C
Rationale: Red-green color blindness is the most common type, making it difficult to distinguish red.
The nurse is the first person to arrive at the scene of a motor vehicle accident. When rendering aid to the victim, the nurse should give priority to:
- A. Establishing a patent airway
- B. Checking the quality of respirations
- C. Observing for signs of active bleeding
- D. Determining the level of consciousness
Correct Answer: A
Rationale: Establishing a patent airway is the top priority in trauma care to ensure oxygenation and prevent hypoxia.
The nurse has rounded on all the assigned clients. While rounding, several health care providers have written orders on the nurse's clients. Which order would be the priority for the nurse to address?
- A. furosemide (Lasix) 80 mg IV push STAT for a client with fluid overload
- B. a new insulin sliding scale for a client with a glucose level of 242
- C. perform a dressing change on a client with a stage 2 diabetic foot ulcer
- D. discharge a client who was admitted for removal of an abdominal abscess
Correct Answer: A
Rationale: STAT orders for furosemide address acute fluid overload, a potentially life-threatening condition, making it the priority over insulin, dressing changes, or discharge.
The client has recently been diagnosed with diabetes. Which of the following indicates understanding of the management of diabetes?
- A. The client selects a balanced diet from the menu.
- B. The client can tell the nurse the normal blood glucose level.
- C. The client asks for brochures on the subject of diabetes.
- D. The client demonstrates correct insulin injection technique.
Correct Answer: D
Rationale: Demonstrating correct insulin injection technique indicates practical understanding and ability to manage diabetes effectively.
A nurse assessing a client charts his blood pressure as 134/86. The pulse pressure would be
- A. 48
- B. 86
- C. 220
- D. 96
Correct Answer: A
Rationale: Pulse pressure is calculated as systolic BP minus diastolic BP: 134 - 86 = 48 mmHg.