Nokea
How many tablets should be administered daily using the below information? Doctor's order: 200 mg of medication once a day Medication label: 1 tablet = 150 mg
- A. 1.5 tablets
- B. 1.25 tablets
- C. 1.33 tablets
- D. 1 tablet
Correct Answer: C
Rationale: To calculate: 200 mg ÷ 150 mg/tablet = 1.33 tablets, which is the closest option for daily administration.
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The mother of a 2-year-old who has been bitten by the family dog asks the nurse what to do about the bite. What should the nurse tell the mother?
- A. You need to take the child to the local urgent recommended by the 1980'
- B. Wash the bite area with lots of running water, and then check the injury.'
- C. Determine when the child's latest tetanus vaccine was administered.'
- D. Make an appointment to see the child's physician now to start rabies shots.'
Correct Answer: B
Rationale: Washing the bite area with running water helps clean the wound and reduce infection risk. Tetanus status and rabies risk can be assessed afterward, but immediate cleaning is the priority.
Your client has presented in the emergency department with a sudden onset of shortness of breath, dysphagia, dyspnea, coughing, and pain in the chest, arms, neck, and back. Which of the following would you most likely suspect?
- A. Hypovolemic shock
- B. Septic shock
- C. A dissected thoracic aortic aneurysm
Correct Answer: C
Rationale: Sudden onset of these symptoms, especially chest and back pain, suggests a dissected thoracic aortic aneurysm, a life-threatening condition requiring urgent intervention.
The nurse has administered aminophylline to a client with emphysema. The medication is effective when there is:
- A. Relief from spasms of the diaphragm.
- B. Relaxation of smooth muscles in the bronchioles.
- C. Efficient pulmonary circulation.
- D. Stimulation of the medullary respiratory center.
Correct Answer: B
Rationale: Aminophylline, a bronchodilator, is effective when it relaxes bronchial smooth muscles, improving airflow in emphysema.
A woman is being seen to confirm a possible pregnancy. When the nurse asks the woman how she has been feeling, which statement reflects the expected signs of pregnancy? Select all that apply.
- A. I have been so nauseous.
- B. I am having so much trouble with diarrhea.
- C. I have not had a menstrual period in 2 months.
- D. I have to go to the restroom to urinate all the time.
- E. I have been going to the health club regularly because I have so much energy.
Correct Answer: A,C,D
Rationale: Because the nurse is asking the woman, she would expect presumptive signs of pregnancy to be vocalized. Specifically the presumptive signs of pregnancy are nausea, vomiting, breast changes, amenorrhea, urinary frequency, fatigue, and quickening. Diarrhea is not a typical sign of early pregnancy, and increased energy is less common as fatigue is more typical.
A client with a history of type 2 diabetes mellitus is prescribed liraglutide (Victoza). The nurse should monitor the client for which of the following side effects?
- A. Hypoglycemia.
- B. Pancreatitis.
- C. Hypertension.
- D. Weight gain.
Correct Answer: B
Rationale: Liraglutide can cause pancreatitis, a serious side effect requiring monitoring for symptoms like abdominal pain.