Nokea
The elderly client diagnosed with poison ivy is prescribed a Solu-Medrol (a steroid) dose pack. Which intervention should the nurse teach the client?
- A. Tell the client to return to the office in one (1) week for blood levels.
- B. Instruct the client to take the medication exactly as prescribed.
- C. Explain the medication should be taken on an empty stomach.
- D. Teach to stop the medication immediately if side effects occur.
Correct Answer: B
Rationale: Taking steroids as prescribed ensures efficacy and minimizes risks. Blood levels are unnecessary, food reduces GI upset, and abrupt stopping is harmful.
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Cimetidine [Tagamet] is ordered IV every six hours for a person with severe burns. What is the primary reason for administering Tagamet to this client?
- A. To prevent infection
- B. To restore electrolyte balance
- C. To promote renal function
- D. To prevent Curling's ulcers
Correct Answer: D
Rationale: Cimetidine is used to prevent Curling’s ulcers, stress-induced gastric ulcers common in severe burn clients due to increased gastric acid production.
Once the victim's blood pressure is stabilized, the best indication of successful response to the initial burn treatment is which assessment finding?
- A. Normal body temperature
- B. Minimal level of pain
- C. Adequate urine output
- D. Ability to perform exercises
Correct Answer: C
Rationale: Adequate urine output indicates successful fluid resuscitation.
Which problem should the nurse identify for the client recently diagnosed with leprosy (Hansen’s disease)?
- A. Social isolation.
- B. Altered body image.
- C. Potential for infection.
- D. Alteration in comfort.
Correct Answer: A
Rationale: Leprosy’s stigma often leads to social isolation, a priority psychosocial problem. Body image, infection, and comfort are secondary.
The nurse is discussing the prevention of herpes simplex 2. Which intervention should the nurse discuss with the client?
- A. Encourage the client to get the chickenpox immunization.
- B. Do not engage in oral sex if you have a cold sore on the mouth.
- C. Wear nonsterile gloves when cleaning the genital area.
- D. Do not share any type of towel or washcloth with another person.
Correct Answer: B
Rationale: Avoiding oral sex with a cold sore (HSV-1) prevents HSV-2 transmission to genitals. Chickenpox vaccine, gloves, and towels are unrelated.
Which of the following clients should have his clothing removed immediately?
- A. A 32-year-old man who was burned while working on high-tension wires
- B. A 14-year-old boy who suffered severe smoke inhalation during a fire at school
- C. A 78-year-old man who was burned during a fire that started when the client fell asleep while smoking
- D. A 19-year-old student who spilled chemicals on himself in the chemistry lab at school
Correct Answer: D
Rationale: Clothing must be removed immediately in chemical burns to prevent further skin exposure and damage from the corrosive substance.