Nokea
An adult is admitted with gastroenteritis. The physician has ordered prochlorperazine (Compazine) 10 mg PO tid PRN or prochlorperazine (Compazine) 5 mg suppository every 6 hours PRN and loperamide (Imodium) 2 mg PO PRN. The client has an episode of diarrhea and complains of nausea. What should the nurse administer?
- A. Prochlorperazine (Compazine) PO
- B. Loperamide (Imodium)
- C. Prochlorperazine (Compazine) PO and loperamide (Imodium)
- D. Prochlorperazine (Compazine) via suppository
Correct Answer: C
Rationale: Nausea and diarrhea warrant both prochlorperazine (anti-emetic) and loperamide (anti-diarrheal) orally, addressing both symptoms effectively.
You may also like to solve these questions
A client is admitted to the outpatient oncology unit for his routine chemotherapy transfusion. The client's current lab report is WBC 2,500 mm³, RBC 5.1 ml/mm³, and calcium 5 mEq/L. Based on these assessments, which of the following should be the priority nursing diagnosis?
- A. Risk for activity intolerance related to decrease in red cells.
- B. Risk for infection related to low white cell count.
- C. Risk for anxiety; secondary to hypoparathyroid disease.
- D. Risk for fluid volume deficit due to decreased fluid intake.
Correct Answer: B
Rationale: clients with a low WBC count are susceptible to infection
An adult has the following blood gasses: pH=7.52, pCO2=50, HCO3=35, and pO2=90. What is most likely to be in the client's history of presenting signs and symptoms?
- A. Persistent diarrhea
- B. Frequent vomiting
- C. Anxiety attack
- D. Emphysema
Correct Answer: B
Rationale: High pH and HCO3 indicate metabolic alkalosis, commonly caused by frequent vomiting, losing gastric acid.
The nurse is assessing a client with suspected appendicitis.
- A. Which finding supports a diagnosis of appendicitis in a client with right lower quadrant pain?
- B. Pain relieved by lying in a supine position.
- C. Positive rebound tenderness at McBurney’s point.
- D. Absence of bowel sounds on auscultation.
- E. A white blood cell count of 8,000/mm³.
Correct Answer: B
Rationale: Positive rebound tenderness at McBurney’s point is a hallmark of appendicitis, indicating peritoneal irritation. Supine positioning may worsen pain, absent bowel sounds suggest obstruction, and a normal WBC count does not rule out appendicitis.
The nursing care plan for a toddler diagnosed with Kawasaki disease (mucocutaneous lymph node syndrome) should be based on the high risk for development of which problem?
- A. Chronic vessel plaque formation
- B. Pulmonary embolism
- C. Occlusions at the vessel bifurcations
- D. Coronary artery aneurysms
Correct Answer: D
Rationale: Coronary artery aneurysms. Kawasaki disease can lead to inflammation and aneurysms in coronary arteries.
A client who has had an above-knee amputation (AKA) with an immediate prosthetic fitting.
It is MOST important for the nurse to
- A. assess drainage from Penrose drains.
- B. observe dressings for signs of excessive bleeding.
- C. elevate the stump for no less than 40 hours.
- D. provide cast care to the affected extremity.
Correct Answer: D
Rationale: Strategy: Answers are a mix of assessments and implementations. Is there an appropriate assessment? No. Determine the outcome of each implementation. (1) drains not usually used with amputations (2) rigid cast dressing frequently used to create a socket for prosthesis (3) elevation of extremity unnecessary, rigid cast dressing prevents swelling (4) correct-cast applied to provide uniform compression, prevent pain and contractures