Nokea
For which of the following conditions might blood be drawn for uric acid level?
- A. asthma
- B. gout
- C. diverticulitis
- D. meningitis
Correct Answer: B
Rationale: Gout is characterized by elevated uric acid levels, which are measured to confirm diagnosis and monitor treatment. The other conditions do not typically involve uric acid testing. Reduction of Risk Potential
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A 25 year-old client, unresponsive after a motor vehicle accident, is being transferred from the hospital to a long term care facility. To which staff member should the charge nurse assign the client?
- A. Unlicensed assistive personnel (UAP)
- B. Senior nursing student
- C. PN
- D. RN
Correct Answer: D
Rationale: The RN is responsible for teaching and assessment associated with discharge and these activities cannot be delegated to the others listed.
The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephrotic syndrome. The nurse should:
- A. Encourage the client to drink extra fluids.
- B. Request a low-protein diet for the client.
- C. Bathe the client using only mild soap and water.
- D. Provide additional warmth for swollen and inflamed joints.
Correct Answer: A
Rationale: Cyclophosphamide is nephrotoxic; extra fluids promote excretion and reduce bladder toxicity. Low-protein diets are not indicated, mild soap is unrelated, and joints are not typically inflamed in nephrotic syndrome.
The nurse should recognize that further teaching is needed when a patient with glaucoma states, 'it would be dangerous for me to:
The nurse should recognize that further teaching is needed when a patient with glaucoma states, 'it would be dangerous for me to:
- A. use any sedatives.
- B. become constipated.
- C. use atropine in any form.
- D. release my emotions by crying.
Correct Answer: C
Rationale: Atropine increases intraocular pressure, worsening glaucoma, indicating correct understanding.
Physical findings commonly seen in hypothyroidism include:
Coarse hair, thin brittle nails
- A. Malnourished appearance, alopecia
- B. Tachycardia, hyperreflexia
- C. Confusion, stupor
Correct Answer: A
Rationale: Coarse hair and thin brittle nails are classic signs of hypothyroidism due to decreased metabolic rate.
The nurse is caring for a 13 year-old following spinal fusion for scoliosis. Which of the following interventions is appropriate in the immediate post-operative period?
- A. Raise the head of the bed at least 30 degrees
- B. Encourage ambulation within 24 hours
- C. Maintain in a flat position, logrolling as needed
- D. Encourage leg contraction and relaxation after 48 hours
Correct Answer: C
Rationale: Maintain in a flat position, logrolling as needed. The bed should remain flat for at least the first 24 hours to prevent injury.