Nokea
The HCP prescribes cyclobenzaprine 30 mg orally tid for the client hospitalized with acute cervical neck pain. The pharmacy supplied 10-mg tablets. Which action by the nurse is best?
- A. Administer three 10-mg tablets with food
- B. Call the HCP to question the dose prescribed
- C. Observe for drowsiness after administration
- D. Also give prn prescribed morphine sulfate IV
Correct Answer: B
Rationale: B. The nurse should call the HCP to question the dose. If carried out as prescribed, the client would receive a total daily dose of 90 mg of cyclobenzaprine (Flexeril). The total daily dose should not exceed 60 mg.
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The nurse would be correct to request a consultation with a dietitian if the client chooses a meal that includes which food?
- A. Nuts
- B. Milk
- C. Eggs
- D. Liver
Correct Answer: D
Rationale: Liver is high in purines, which increase uric acid levels, worsening gout. Nuts, milk, and eggs are low-purine foods, suitable for a gout diet, necessitating a dietitian consultation for education.
The nurse is discussing osteoporosis with a group of women. Which factor will the nurse identify as a nonmodifiable risk factor?
- A. Calcium deficiency.
- B. Tobacco use.
- C. Female gender.
- D. High alcohol intake.
Correct Answer: C
Rationale: Female gender is a nonmodifiable risk factor for osteoporosis due to lower bone density post-menopause. Calcium deficiency, tobacco, and alcohol are modifiable.
Which illustration demonstrates abduction for a 10-year-old who had an SCI?
- A. ROM-1.png
- B. ROM-2.png
- C. ROM-3.png
- D. ROM-4.png
Correct Answer: A
Rationale: Abduction involves moving a limb away from the body's midline, as shown in the correct illustration.
The clinic nurse assesses a client with complaints of pain and numbness in the left hand and fingers. Which question should the nurse ask the client?
- A. Do you smoke or use any type of tobacco products?'
- B. Do you have to wear gloves when you are out in the cold?'
- C. Do you do repetitive movements with your left fingers?'
- D. Do you have tremors or involuntary movements of your hand?'
Correct Answer: C
Rationale: Repetitive movements are a primary cause of carpal tunnel syndrome, causing pain and numbness. Smoking, cold sensitivity, and tremors are unrelated.
What should the nurse admitting the child with autism do about the room assignment?
- A. Request that the child be transferred to a private room.
- B. Request that the child be transferred to a double room.
- C. Admit the child to the room that has been preassigned.
- D. Request that the child be assigned to an isolation room.
Correct Answer: A
Rationale: A private room is preferred for a child with autism to minimize sensory overload and ensure a calm environment.