Nokea
The 84-year-old male has returned from the recovery room following a total hip repair. He complains of pain and is medicated with morphine sulfate and promethazine. Which medication should be kept available for the client being treated with opioid analgesics?
- A. Naloxone (Narcan)
- B. Ketorolac (Toradol)
- C. Acetylsalicylic acid (aspirin)
- D. Atropine sulfate (Atropine)
Correct Answer: A
Rationale: Naloxone reverses opioid overdose, critical for managing respiratory depression from morphine.
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A client with vaginal cancer is being treated with a radioactive vaginal implant. The client's husband asks the nurse if he can spend the night with his wife. The nurse should explain that:
- A. Overnight stays by family members is against hospital policy.
- B. There is no need for him to stay because staffing is adequate.
- C. His wife will rest much better knowing that he is at home.
- D. Visitation is limited to 30 minutes when the implant is in place.
Correct Answer: D
Rationale: Radiation safety protocols limit visitation to short periods (e.g., 30 minutes) to minimize exposure to radioactive implants.
A client with bipolar disorder is taking lithium to control symptoms. Which of the following statements indicates the need for further education?
- A. I need to have regular tests for thyroid function.
- B. Once I'm stabilized, I won't need further testing.
- C. I should avoid taking ibuprofen.
- D. It's important for me to avoid dehydration.
Correct Answer: B
Rationale: Lithium requires ongoing monitoring (B is incorrect), as levels and side effects need regular checks. Thyroid tests (A), avoiding ibuprofen (C), and hydration (D) are correct.
The nurse is teaching the client with AIDS regarding needed changes in food preparation. Which statement indicates that the client understands the nurse's teaching?
- A. Adding fresh ground pepper to my food will improve the flavor.
- B. Meat should be thoroughly cooked to the proper temperature.
- C. Eating cheese and yogurt will prevent AIDS-related diarrhea.
- D. It is important to eat four to five servings of fresh fruits and vegetables a day.
Correct Answer: B
Rationale: Thoroughly cooking meat reduces the risk of foodborne infections, which is critical for clients with AIDS due to their weakened immune systems.
The nurse assesses a client complaining of a headache. When the nurse shines a light on the frontal and maxillary sinuses, the light does not penetrate the tissues. What is the best interpretation of this finding?
- A. This is a normal finding indicating no problem in the sinuses.
- B. Inflammation is present in the sinuses.
- C. The cavity likely contains fluid or pus.
- D. The client has a sinus infection.
Correct Answer: C
Rationale: Lack of light penetration during transillumination suggests fluid or pus in the sinuses, indicating a potential infection or obstruction.
The nurse is caring for a client receiving theophylline for asthma. In reviewing client labs, the nurse understands that the dose is therapeutic when the drug level is at what concentration?
- A. 0.8-2 mcg/L
- B. 10-20 mg/L
- C. 10-20 mcg/mL
- D. 0.8-12 mmol/L
Correct Answer: C
Rationale: The therapeutic range for theophylline is 10-20 mcg/mL. Other ranges are incorrect for this medication.