Nokea
One of the reasons hospital patients are at greater risk for drug-nutrient interactions than they used to be is because:
- A. Hospitalized patients are more acutely ill
- B. Hospital routines interfere with the correct timing of medications
- C. Drugs used today are more toxic and have more side effects
- D. Responsibility for monitoring this is shared by various members of the healthcare team
Correct Answer: A
Rationale: The correct answer is A. Hospitalized patients are more acutely ill, often having multiple conditions and treatments, which increases the risk of drug-nutrient interactions. Choice B is incorrect because hospital routines do not specifically interfere with the timing of medications in relation to drug-nutrient interactions. Choice C is incorrect because the toxicity and side effects of drugs do not directly relate to an increased risk of drug-nutrient interactions. Choice D is incorrect as sharing responsibility for monitoring does not inherently increase the risk of drug-nutrient interactions in hospital patients.
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Which referral would be most appropriate for the client diagnosed with thoracic outlet syndrome?
- A. The physical therapist
- B. The thoracic surgeon
- C. The occupational therapist
- D. The social worker
Correct Answer: C
Rationale: The correct answer is C, the occupational therapist. An occupational therapist specializes in helping clients with conditions like thoracic outlet syndrome by providing exercises, adaptations, and strategies to improve function and reduce symptoms. Choice A, the physical therapist, may also be involved in treatment, but occupational therapists focus more on functional activities for daily living affected by the condition. Choices B and D are not the most appropriate referrals for thoracic outlet syndrome as they do not directly address the functional limitations associated with this condition.
The client is complaining of painful swallowing secondary to mouth ulcers. Which statement by the client indicates appropriate management?
- A. "I will brush my teeth with a soft-bristle toothbrush."
- B. "I will rinse my mouth with Listerine mouthwash."
- C. "I will swish my antifungal solution and then swallow."
- D. "I will avoid spicy foods, tobacco, and alcohol."
Correct Answer: D
Rationale: The correct answer is D. Avoiding irritants like spicy foods, tobacco, and alcohol is crucial in managing mouth ulcers as they can further irritate the ulcers and delay healing. Choices A, B, and C could potentially worsen the condition. Brushing with a soft-bristle toothbrush may cause discomfort, rinsing with Listerine mouthwash can be too harsh on the ulcers, and swallowing antifungal solution is not recommended unless specified by a healthcare provider.
The HCP orders cultures of the urethral urine, bladder urine, and prostatic fluid. Which instructions would the nurse teach to achieve the first two (2) specimens?
- A. Collect the first 15 mL in one jar and then the next 50 mL in another
- B. Collect three (3) early morning, clean voided urine specimens
- C. Collect the specimens after the HCP massages the prostate
- D. Collect a routine urine specimen for analysis
Correct Answer: A
Rationale: The correct answer is to collect the first 15 mL in one jar and then the next 50 mL in another. This method allows for accurate cultures of urethral and bladder urine. Choice B is incorrect because it does not specify the correct method for collecting urethral and bladder urine separately. Choice C is incorrect because prostatic fluid is a separate specimen that does not require prostatic massage for collection. Choice D is incorrect as it suggests collecting a routine urine specimen, which does not fulfill the HCP's orders for specific cultures.
The nurse supervises care of a client in Buck's traction. The nurse determines that care is appropriate if which of the following is observed? (Select all that apply)
- A. The nurse removes the foam boot three times per day to inspect the skin
- B. The staff turn the client to the unaffected side
- C. The staff turn the client to the unaffected side and the nurse asks the client to dorsiflex the foot on the affected leg
- D. The nurse asks the client to dorsiflex the foot on the affected leg
Correct Answer: C
Rationale: The correct answer is C. Turning the client to the unaffected side helps prevent complications such as pressure ulcers. Dorsiflexion of the foot on the affected leg helps maintain proper alignment and prevent foot drop. The incorrect choices are A and D. Removing the foam boot multiple times per day can disrupt traction, and asking the client to dorsiflex the foot may not be appropriate without ensuring proper alignment and direction from the healthcare provider.
The nurse is caring for a client diagnosed with rule-out nephritic syndrome. Which intervention should be included in the plan of care?
- A. Monitor the urine for bright-red bleeding
- B. Evaluate the calorie count of the 500-mg protein diet
- C. Assess the client's sacrum for dependent edema
- D. Monitor for a high serum albumin level
Correct Answer: C
Rationale: The correct intervention to include in the plan of care for a client with rule-out nephritic syndrome is to assess the client's sacrum for dependent edema. Dependent edema is common in nephritic syndrome due to protein loss, and monitoring for this helps manage the condition. Choices A, B, and D are incorrect. Monitoring the urine for bright-red bleeding may be more relevant for a client with a different condition, such as glomerulonephritis. Evaluating the calorie count of a 500-mg protein diet is not directly related to managing nephritic syndrome. Monitoring for a high serum albumin level does not directly address the symptom of dependent edema associated with nephritic syndrome.