Nokea
The client is now over an acute episode of gout. He is to be discharged on allopurinol (Zyloprim). What instruction must the nurse give to this client?
- A. Take your medicine on an empty stomach.'
- B. Report any nausea to your physician at once.'
- C. Drink two to three quarts of fluids daily.'
- D. Do not take over-the-counter cold medicine.'
Correct Answer: C
Rationale: Drinking 2-3 quarts of fluids daily prevents uric acid stone formation, a key instruction for clients on allopurinol.
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The client is scheduled for a magnetic resonance imaging (MRI) scan. Which intervention should the nurse delegate to the unlicensed assistive personnel (UAP)?
- A. Prepare the client by removing all metal objects.
- B. Inject the contrast into the intravenous site.
- C. Administer a sedative to the client to decrease anxiety.
- D. Explain why the client cannot have any breakfast.
Correct Answer: A
Rationale: Removing metal objects is a safe UAP task, ensuring MRI safety. Contrast injection, sedation, and explanations require nursing judgment.
The client must take three (3) grams of calcium supplement a day. The medication comes in 500-mg tablets. How many tablets will the client need to take daily?
Correct Answer: 6
Rationale: 3000 mg ÷ 500 mg = 6 tablets daily.
The client with rheumatoid arthritis has been taking 15 to 20 extra-strength aspirin a day. Which additional statement that the client makes would be of greatest concern to the nurse?
- A. I sometimes have ringing in my ears.'
- B. I have a rash under my arms.'
- C. My fingers are swollen sometimes.'
- D. I don't have very much energy.'
Correct Answer: A
Rationale: Ringing in the ears (tinnitus) is a sign of aspirin toxicity, a serious concern requiring immediate attention.
Which information is most appropriate to teach the client before the arthroscopy procedure?
- A. Signs and symptoms of arthritis
- B. Technique for using crutches
- C. Adverse effects of drug therapy
- D. The need to balance rest and exercise
Correct Answer: B
Rationale: Crutch use is critical post-arthroscopy for safe ambulation.
Which nursing instruction about heating pads is essential to include in the client's teaching plan?
- A. Set the heating pad to the highest setting.
- B. Place the heating pad directly on the skin.
- C. Cover the heating pad with plastic during use.
- D. Apply the heating pad for 2 hours at a time.
Correct Answer: A
Rationale: A low setting prevents burns while providing therapeutic heat.