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Mebendazole (Vermox) is prescribed for an 8-year-old child with pinworms. The child has an 18-month-old brother and a 4-year-old sister. The nurse should be sure that the parents are also treating which of the following family members with this drug?
- A. Both of the child's siblings
- B. The child's parents and brother
- C. Everyone who lives in the household
- D. The parents and sister
Correct Answer: C
Rationale: Pinworms are highly contagious, so all household members should be treated with mebendazole to prevent reinfection, regardless of symptoms.
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A nurse is caring for a woman who delivered a term neonate at 6 a.m. At 4 p.m., the woman has a distended bladder and is reporting pain of 5 on a scale of 1 to 10. The nurse reviews the client's output record. What should the nurse do first?
- A. Apply a warm, moist towel over the bladder.
- B. Ask the woman to sit on the toilet while the nurse runs water from the faucet.
- C. Administer Tylenol with codeine.
- D. Use an in-and-out catheter to empty the bladder.
Correct Answer: D
Rationale: A distended bladder causing pain requires immediate relief via catheterization to prevent complications like urinary retention or bladder injury.
A nurse is assessing a client with metastatic lung cancer. The nurse should assess the client for:
- A. Diarrhea.
- B. Constipation.
- C. Hoarseness.
- D. Weight gain.
Correct Answer: C
Rationale: Hoarseness is a common symptom of metastatic lung cancer due to tumor effects on the larynx or recurrent laryngeal nerve. Constipation, diarrhea, and weight gain are less specific.
A nurse is planning care for a 7-year-old who is hospitalized for a hernia repair. The nurse should assess the client for which of the following fears common in this age group?
- A. Separation from parents.
- B. Trying something new.
- C. Injury and pain.
- D. Opposite-sex relationships.
Correct Answer: C
Rationale: School-age children (7 years) commonly fear injury and pain, especially in medical settings, due to their growing awareness of bodily harm.
Select the nurse case management model used for patient care delivery that is accurately paired with one of its descriptors:
- A. The ProACT Model: Registered nurses perform the role of the primary nurse in addition to the related coding and billing functions
- B. The Collaborative Practice Model: The registered nurse performs the role of the primary nurse in addition to the role of the clinical case manager with administrative, supervisory and fiscal responsibilities
- C. The Case Manager Model: The management and coordination of care for clients throughout a facility who share the same DRG or medical diagnosis
- D. The Triad Model of Case Management: The joint collaboration of the social worker, the nursing case manager, and the utilization review team
Correct Answer: D
Rationale: The Triad Model of Case Management accurately describes the collaboration among the social worker, nursing case manager, and utilization review team to coordinate care and optimize outcomes.
A client with a diagnosis of Cushing's syndrome is prescribed ketoconazole. The nurse should monitor the client for which of the following side effects?
- A. Hypoglycemia.
- B. Liver toxicity.
- C. Weight gain.
- D. Hypertension.
Correct Answer: B
Rationale: Ketoconazole can cause liver toxicity, requiring regular monitoring of liver function tests.