Nokea
Signs of impaired breathing in infants and children include all of the following except:
- A. nasal flaring.
- B. grunting.
- C. seesaw breathing.
- D. quivering lips.
Correct Answer: D
Rationale: Lip quivering is a distracter. Signs of impaired breathing in infants and children include all the other options.
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Since taking the antidepressant doxepin, the female client has been reporting a decrease in sexual desire. She tells the nurse she “just isn't that interested†because she “just doesn't enjoy sex anymore.†She and her partner agree that they miss the excitement they used to share. Which is the most helpful response by the nurse?
- A. Perhaps you could try some alternatives to your normal sexual routines to enhance your sexual relationship.
- B. This often happens when couples are together for a longer period of time. Tell me how you would feel about a referral for counseling.
- C. This may be due to your medication. How would you feel about talking to your doctor about changing to a different type of antidepressant?
- D. Try to wait for a while. This is a temporary effect of your therapy, and as your depression gets better your interest in sexual activity should increase.
Correct Answer: C
Rationale: The most therapeutic response is to ask the client how she feels about contacting the HCP; switching to another antidepressant may be necessary if sexual dysfunction side effects become intolerable.
The 5-year-old is receiving an IV infusion of D5 with 0.45 NaCl at 100 mL/hr. Which assessment findings suggest excessive parenteral fluid intake? Select all that apply.
- A. Dyspnea
- B. Lethargy
- C. Gastric distention
- D. Crackles in lung bases
- E. Temperature of 102°F (38.9°C)
Correct Answer: A,B,D
Rationale: A: Dyspnea indicates fluid volume overload and occurs from fluid rapidly shifting between the intracellular and extracellular compartments. B: Lethargy and change in level of consciousness can occur from fluid shifting in brain cells. C: Gastric distention can occur from excessive oral (not IV) fluid intake or infection. D: Crackles indicate fluid volume overload and occur from fluid rapidly shifting into the alveoli. E: An elevated temperature is a sign of fluid volume deficit, not excess.
A dose of albuterol 5 mg by nebulization is prescribed for the pediatric client experiencing wheezing from an asthma episode. The medication vial contains 2.5 mg per 3 mL. How many milliliters of medication should the nurse prepare for administration by nebulization?
Correct Answer: 6
Rationale: Use a proportion formula: 2.5 mg : 3 mL :: 5 mg : X mL; multiply the outside values and then the inside values and solve for X; 2.5X = 15; X = 6 mL.
A client with stress incontinence should be advised:
- A. to purchase absorbent undergarments.
- B. that Kegel exercises might help.
- C. that effective surgical treatments are nonexistent.
- D. that behavioral therapy is ineffective.
Correct Answer: B
Rationale: Kegel exercises, tightening and releasing the pelvic floor muscles, might improve stress incontinence. Choice A is not an appropriate treatment for stress incontinence. Several effective surgical treatments exist. Lifestyle and dietary modifications can also be helpful.
The LPN is on a home visit with a client taking Amiodarone. Which of these statements would indicate that the client understands the potential drug side effects.
- A. It is normal if I have numbing or tingling in my feet.
- B. I need to make sure I wear sunblock when going outdoors.
- C. I need to take supplemental vitamin B12.
- D. I should avoid eating leafy vegetables.
Correct Answer: B
Rationale: Amiodarone can cause increased photosensitivity, so the client should ensure that he or she wears protection.