Nokea
The HCP's progress notes state a plan to initiate an oral NSAID for the child's pain. Based on this information, the nurse should consult with the HCP when noting that which medication was the only analgesic prescribed?
- A. Naproxen
- B. Tolmetin
- C. Ibuprofen
- D. Hydromorphone
Correct Answer: D
Rationale: A: Naproxen (Aleve) is an NSAID. B: Tolmetin (Tolectin) is an NSAID. C: Ibuprofen (Advil, Motrin) is an NSAID. D: Hydromorphone (Dilaudid) is an opioid analgesic, not an NSAID.
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The nurse is leading a group session for clients with panic disorder. Which statement made by the client indicates that further teaching is needed?
- A. I need to be able to identify triggers that escalate my anxiety to the point of panic.
- B. Diazepam is the long-term medication of choice because of its nonaddicting quality.
- C. Citalopram has been found to be helpful in the long-term treatment of panic disorder.
- D. I can use guided imagery and meditation to effectively reduce my anxiety symptoms.
Correct Answer: B
Rationale: Buspirone, not diazepam (Valium), is the long-term medication of choice for panic disorder due to its nonaddicting quality.
Oral ranitidine 2 mg/kg twice daily is prescribed for the infant weighing 16 lb 8 oz. The medication is supplied as 15 mg/mL. How many milliliters should the nurse instruct the parent to withdraw in the syringe provided with the ranitidine to administer one dose?
Correct Answer: 1
Rationale: Use a proportion formula to calculate the dose. First determine the dose for the child's weight: 16 lb 8 ounces = 16.5 lb/ 2.2 lb/kg = 7.5 kg. Next determine the prescribed dose: 7.5 kg x 2 mg = 15 mg. The medication is supplied in 15 mg per 1 mL. The dose to administer is 1 mL of ranitidine (Zantac).
What is pica?
- A. dependency on alcohol
- B. increased iron in the diet
- C. the sickle cell trait
- D. eating ice
Correct Answer: D
Rationale: Pica represents the ingestion of nonfood substances that leads to a clinical iron deficiency and might actually be the first sign of a problem. Clients eat a wide range of nonfood items, including ice, clay, dirt, and paste.
Which statement best describes electrolytes in intracellular and extracellular fluid?
- A. There is a greater concentration of sodium in extracellular fluid and potassium in intracellular fluid
- B. There is an equal concentration of sodium and potassium in extracellular fluid
- C. There is a greater concentration of potassium in extracellular fluid and sodium in intracellular fluid
- D. There is an equal concentration of sodium and potassium between intracellular and extracellular fluid
Correct Answer: A
Rationale: There is a greater concentration of sodium in extracellular fluid and potassium in intracellular fluid, maintaining cellular function and fluid balance.
The client experiencing an acute attack of gouty arthritis is prescribed colchicine 1 mg IV now and then 0.5 mg q6h. Colchicine 0.5 mg/mL in a 2-mL ampule is available. How many milliliters should the nurse administer for the initial dose?
Correct Answer: 2
Rationale: Use a proportion formula; multiply the extremes (outside values) and then the means (inside values), and solve for X. 0.5 mg: 1 mL :: 1 mg: X mL; 0.5X = 1; 1 / 0.5 = 2; X = 2 mL. Colchicine (Colcrys) interferes with the function of WBCs in initiating and perpetuating the inflammatory response to monosodium urate crystals.