Nokea
Other than obtaining a vaccination against influenza, which nursing advice is most helpful to high-risk clients who want to avoid getting influenza?
- A. Consume adequate vitamin C.
- B. Avoid crowded places.
- C. Dress warmly in cold weather.
- D. Reduce daily stress and anxiety.
Correct Answer: B
Rationale: Avoiding crowded places reduces exposure to influenza, a highly contagious respiratory virus.
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A patient taking Isoniazid (INH) should be monitored for what deficiency?
- A. Vitamin C
- B. Calcium
- C. Vitamin B6
- D. Potassium
Correct Answer: C
Rationale: Isoniazid can cause peripheral neuropathy due to vitamin B6 (pyridoxine) deficiency. Patients are often given B6 supplements and monitored for this deficiency.
Which assessment finding noted by the nurse on the client's return to the room is an early indication that the client's oxygenation status is compromised?
- A. The client's dressing is bloody.
- B. The client appears restless.
- C. The client's heart rate is irregular.
- D. The client indicates feeling cold.
Correct Answer: B
Rationale: Restlessness is an early sign of hypoxia, indicating compromised oxygenation status, which requires immediate attention.
The nurse is caring for a client who is admitted with histoplasmosis. What drug is most likely to be prescribed for this client?
- A. Penicillin
- B. Chloromycetin
- C. Streptomycin
- D. Amphotericin B
Correct Answer: D
Rationale: Amphotericin B is the primary antifungal drug used to treat histoplasmosis.
Which pulse oximetry reading indicates to the nurse that the client has normal tissue oxygenation?
- A. 80 to 90 mm Hg
- B. 95 to 100 mm Hg
- C. 80% to 85%
- D. 95% to 100%
Correct Answer: D
Rationale: A pulse oximetry reading of 95% to 100% indicates normal tissue oxygenation, reflecting adequate oxygen saturation.
The nurse suspects the client may be developing ARDS. Which assessment data confirm the diagnosis of ARDS?
- A. Low arterial oxygen when administering high concentration of oxygen.
- B. The client has dyspnea and tachycardia and is feeling anxious.
- C. Bilateral breath sounds clear and pulse oximeter reading is 95%.
- D. The client has jugular vein distention and frothy sputum.
Correct Answer: A
Rationale: Refractory hypoxemia (A) despite high oxygen confirms ARDS. Dyspnea/tachycardia (B) are nonspecific, clear sounds/95% SpO2 (C) are normal, and JVD/sputum (D) suggest heart failure.