Nokea
Before recommending the use of a nonprescription decongestant to a client with a cold, which aspect of the medical history should be assessed? Select all that apply.
- A. Arthritis
- B. Asthma
- C. Hypertension
- D. Diabetes
- E. Glaucoma
- F. Arrhythmias
Correct Answer: C, E, F
Rationale: Decongestants can exacerbate hypertension, glaucoma, and arrhythmias due to their vasoconstrictive effects. Asthma is also a concern as decongestants may worsen respiratory symptoms in some cases.
You may also like to solve these questions
Which instruction regarding the prescribed medication is most appropriate to tell this client?
- A. Do not take the drug more frequently than prescribed.
- B. Avoid taking the medication before going to sleep.
- C. Drink more fluid throughout the day.
- D. Warm the cough syrup to make it more palatable.
Correct Answer: C
Rationale: Drinking more fluids enhances the expectorant effect of guaifenesin, helping to thin and expel mucus.
If the client complains of GI side effects associated with rifampin (Rifadin), which nursing action is best?
- A. Administering the drug at night
- B. Giving the drug with food or at mealtimes
- C. Encouraging the client to drink plenty of water
- D. Providing the client with an antacid
Correct Answer: B
Rationale: Giving rifampin with food can reduce gastrointestinal side effects, such as nausea, without compromising its efficacy.
The nurse is caring for the client diagnosed with pneumonia. Which information should the nurse include in the teaching plan? Select all that apply.
- A. Place the client on oxygen delivered by nasal cannula.
- B. Plan for periods of rest during activities of daily living.
- C. Place the client on a fluid restriction of 1,000 mL/day.
- D. Restrict the client's smoking to two (2) to three (3) cigarettes per day.
- E. Monitor the client's pulse oximetry readings every four (4) hours.
Correct Answer: B,E
Rationale: Rest periods (B) conserve energy, and pulse oximetry (E) monitors oxygenation in pneumonia. Oxygen (A) depends on SpO2, fluid restriction (C) is inappropriate, and smoking (D) must stop.
Which task is most appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)?
- A. Feed a client who is postoperative tonsillectomy the first meal of clear liquids.
- B. Encourage the client diagnosed with a cold to drink a glass of orange juice.
- C. Obtain a throat culture on a client diagnosed with bacterial pharyngitis.
- D. Escort the client diagnosed with laryngitis outside to smoke a cigarette.
Correct Answer: B
Rationale: Encouraging juice intake (B) is within UAP scope and safe. Feeding post-tonsillectomy (A) risks bleeding, throat cultures (C) require training, and smoking (D) is contraindicated.
You are assessing your newly admitted patients who are all presenting with atypical signs and symptoms of a possible lung infection. The physician suspects tuberculosis. So, therefore, the patients are being monitored and tested for the disease. Select all the risk factors below that increases a patient's risk for developing tuberculosis:
- A. Diabetes
- B. Liver failure
- C. Long-term care resident
- D. Inmate
- E. IV drug user
- F. HIV
- G. U.S. resident
Correct Answer: C,D,E,F
Rationale: Remember from our lecture we discussed the risk factors for developing TB and to remember them I said remember the mnemonic "TB Risk". It stands for tight living quarters (LTC resident, prison, homeless shelter etc.), below or at the poverty line (homeless), refugee (especially in high risk countries), immune system issue such as HIV, substance abusers (IV drugs or alcohol), Kids less than the age of 5....all these are risk factors.