Nokea
The client has ingested the remaining amount of a bottle of analgesic medication. The medication comes 500 mg per capsule. Two (2) doses of two (2) capsules each have been used by another member of the family. The bottle originally had 250 capsules. How many mg of medication did the client take?
Correct Answer: 123000
Rationale: Total capsules: 250. Used: 2 doses * 2 capsules = 4 capsules. Remaining: 250 - 4 = 246 capsules. Total mg: 246 * 500 mg = 123,000 mg.
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A nurse is at the lake when a person nearly drowns. The nurse determines the client is breathing spontaneously. Which data should the nurse assess next?
- A. Possibility of drug use.
- B. Spinal cord injury.
- C. Level of confusion.
- D. Amount of alcohol.
Correct Answer: B
Rationale: Spinal cord injury assessment is critical post-near-drowning due to potential diving-related trauma, affecting stabilization. Confusion, drug use, and alcohol are secondary.
The male client presents to the emergency department stating he vomited a 'large' amount of bright red blood. Which should the nurse implement first?
- A. Start an intravenous line with an 18-gauge needle.
- B. Have the UAP take the client’s vital signs.
- C. Ask the client to provide a stool specimen for blood.
- D. Send the client to radiology for an abdominal CT scan.
Correct Answer: A
Rationale: Hematemesis suggests GI bleeding, requiring immediate IV access for fluids or blood. Vital signs, stool specimens, and CT scans follow stabilization.
The nurse is caring for clients on a medical floor. Which client is most likely to experience sudden cardiac death?
- A. The 84-year-old client exhibiting uncontrolled atrial fibrillation.
- B. The 60-year-old client exhibiting asymptomatic sinus bradycardia.
- C. The 53-year-old client exhibiting ventricular fibrillation.
- D. The 65-year-old client exhibiting supraventricular tachycardia.
Correct Answer: C
Rationale: Ventricular fibrillation is a lethal arrhythmia causing sudden cardiac death if untreated. Atrial fibrillation, bradycardia, and SVT are less immediately fatal.
Which expected outcome is priority for the nurse who is caring for a client with chest trauma from a gunshot injury?
- A. The client will have an absence of pain.
- B. The client will maintain a BP of 90/60.
- C. The client will have symmetrical chest expansion.
- D. The client will maintain urine output of 30 mL/hr.
Correct Answer: C
Rationale: Symmetrical chest expansion ensures adequate ventilation, critical in chest trauma to prevent pneumothorax or hemothorax. Pain, low BP, and urine output are secondary.
The nurse is providing discharge teaching for the client with intermaxillary wiring to repair a fractured mandible. Which statement by the client indicates teaching has been effective?
- A. Iced alcoholic drinks may be consumed by using a straw.
- B. Only one (1) food item should be consumed at one (1) time.
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- D. Teeth can be brushed after tenderness and edema subside.
Correct Answer: D
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