Nokea
Homocysteine may be cleared from the blood with the help of which of the following vitamins?
- A. Vitamin C
- B. Vitamin E
- C. Vitamin K
- D. Vitamin B6
Correct Answer: D
Rationale: Vitamin B6 (pyridoxine) aids in homocysteine metabolism, reducing blood levels. Other vitamins listed do not have this effect.
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A pregnant woman at 22 weeks' gestation is diagnosed with gonorrhea. The physician orders doxycycline (Vibramycin). The nurse should first:
- A. Inform the client about the effects of the drug.
- B. Make sure the record notes that the baby must receive eyedrops when born.
- C. Have the physician add a single dose of ceftriaxone (Rocephin).
- D. Discuss with the physician the need to change the order.
Correct Answer: D
Rationale: Doxycycline is contraindicated in pregnancy due to risks to the fetus. The nurse should discuss changing the order to a safer alternative, such as ceftriaxone, which is recommended for gonorrhea in pregnancy.
A client with a history of breast cancer is admitted with bone metastases. The nurse should include which of the following in the plan of care?
- A. Administer bisphosphonates as prescribed.
- B. Restrict calcium intake.
- C. Encourage bed rest.
- D. Apply cold packs to affected areas.
Correct Answer: A
Rationale: Bisphosphonates reduce bone resorption and pain in bone metastases.
A client with a history of cystitis is admitted to the hospital with a diagnosis of pyelonephritis. The nurse should assess the client for which of the following?
- A. Suprapubic pain.
- B. Dysuria.
- C. Urine retention.
- D. Costovertebral tenderness.
Correct Answer: D
Rationale: Costovertebral tenderness is a hallmark of pyelonephritis, indicating kidney involvement, unlike the other symptoms, which are more typical of cystitis.
The nurse is caring for a client who has just undergone a coronary artery bypass graft (CABG). Which of the following interventions is most important in the immediate postoperative period?
- A. Monitor for signs of bleeding.
- B. Encourage deep breathing exercises.
- C. Administer oral pain medications.
- D. Restrict all visitors.
Correct Answer: A
Rationale: Monitoring for bleeding is critical post-CABG due to the risk of hemorrhage from the surgical site or anticoagulation therapy.
A client with chronic kidney disease prescribed a protein restrictive diet should be instructed by the nurse to select which incomplete protein option for inclusion in her or his diet? Select all that apply.
- A. Fish
- B. Eggs
- C. Milk
- D. Nuts
- E. Grains
Correct Answer: D,E
Rationale: The client whose diet has a protein restriction should be careful to ensure that the proteins eaten are incomplete proteins with the highest biological value. Nuts and grains are the only options that are not complete proteins. Foods such as meat, fish, milk, and eggs are complete proteins, which are not recommended for the client with chronic kidney disease.