Nokea
An excited mother calls you for advice. 'My child got cleaning solution in the eyes and I rinsed it out with water. What should I do? She is still screaming!' What do you instruct the caller to do immediately?
- A. Comfort the child and check vision.
- B. Continue to irrigate eyes with water.
- C. Call Poison Control.
- D. Call 911.
Correct Answer: B
Rationale: Continuing to irrigate the eyes helps flush out any remaining chemical irritants and minimizes damage.
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What is the main drawback of the botulism antitoxin that the nurse should be aware of?
- A. It causes 9% hypersensitivity.
- B. It requires monthly booster dosages.
- C. It is not available from the CDC.
- D. It is not available as a pre-exposure vaccine.
Correct Answer: D
Rationale: The correct answer is D because botulism antitoxin is not available as a preventive vaccine.
Instructions for a patient at risk for testicular cancer include
- A. Restrict potassium, phosphate, sodium, protein in diet.
- B. Self-catheterization of ileal reservoir.
- C. Testicular self-exam.
- D. Change in color of urine is to be expected.
Correct Answer: C
Rationale: Regular self-exams help detect testicular cancer early.
A 35-year-old female client has returned to her room following surgery on her right femur. She has an IV of D5 1/2 NS infusing at 125 cc/hr, and is receiving morphine sulfate 10-15 mg IM q4h prn for pain. The client last voided 5 1/2 hours ago when she was given her preoperative medication. To monitor and promote the return of urinary function after surgery, the nurse should:
- A. provide food and fluids at the client's request.
- B. maintain the IV, increasing the rate hourly until the client voids.
- C. report to the surgeon if the client is unable to void within 8 hours of surgery.
- D. hold the morphine sulfate injections for pain until the client voids, explaining to the client that morphine sulfate can cause urinary retention.
Correct Answer: C
Rationale: Provision of food and fluids promotes bowel elimination. Postoperative nutritional needs are physician determined, not client determined. Increasing IV fluids postoperatively will not cause a client to void. Any change in the rate of administration of IV fluids is determined by the physician, not the nurse. If the postoperative client with normal kidney function cannot void 8 hours after surgery, the client is retaining urine. The client may need catheterization or medication. The physician will provide orders for either, as necessary. While morphine sulfate can cause urinary retention, withholding pain medication will not ensure that the client will void. The client with uncontrolled pain will probably not be able to void.
What is the best method of controlling exposure to illness in any occupational environment?
- A. Use of masks
- B. Developing prevention programs
- C. Early diagnosis of illness
- D. Developing rehabilitation programs
Correct Answer: B
Rationale: Prevention programs address root causes, minimizing exposure risks.
Treatment of the patient with appendicitis includes
- A. Transfusion to replace blood loss.
- B. Bowel preparation for cleansing.
- C. Surgical removal of appendix.
- D. Medications to lower pH within stomach.
Correct Answer: C
Rationale: Surgical removal of the appendix is the definitive treatment for appendicitis.