Nokea
For a patient with osteogenic sarcoma, you would be particularly vigilant for elevations in which laboratory value?
- A. Sodium.
- B. Calcium.
- C. Potassium.
- D. Hematocrit.
Correct Answer: B
Rationale: Elevated calcium levels are commonly associated with osteogenic sarcoma due to bone destruction and release of calcium into the bloodstream.
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Which tubes drain gastric contents (select all that apply)?
- A. T-tube
- B. Hemovac
- C. Nasogastric tube
- D. Indwelling catheter
Correct Answer: D
Rationale: Nasogastric and gastrointestinal tubes drain gastric contents effectively.
The patient will be placed under moderate sedation to allow realignment of a fracture in the emergency department. When the family asks about this anesthesia, what should the nurse tell them?
- A. Includes inhalation agents
- B. Induces high levels of sedation
- C. Frequently used for traumatic injuries
- D. Patients remain responsive and breathe without assistance
Correct Answer: D
Rationale: Moderate sedation keeps patients responsive and maintains spontaneous breathing.
What is the priority nursing action for this patient?
- A. Obtain an order for a blood alcohol level
- B. Contact the family to obtain additional history and baseline information
- C. Administer naloxone (Narcan) 2-4 mg as ordered
- D. Administer IV fluid support with supplemental thiamine as ordered
Correct Answer: D
Rationale: Fluid support and thiamine administration address potential dehydration and nutritional deficits in intoxicated patients.
The nurse is caring for a client with cirrhosis of the liver with ascites. When instructing nursing assistants in the care of the client, the nurse should emphasize that:
- A. The client should remain on bed rest in a semi-Fowler's position.
- B. The client should alternate ambulation with bed rest with legs elevated.
- C. The client may ambulate and sit in chair as tolerated.
- D. The client may ambulate as tolerated and remain in semi-Fowlers positioning bed.
Correct Answer: D
Rationale: Semi-Fowler's position aids in breathing and reduces pressure on the abdomen.
What instruction should the nurse give a client with glaucoma?
- A. Avoid going outdoors in the daylight
- B. Avoid getting up too quickly
- C. Avoid heavy lifting
- D. Use cough syrups containing atropine
Correct Answer: C
Rationale: Heavy lifting can increase intraocular pressure, exacerbating glaucoma.