Nokea
The health care provider is starting an elderly client on terazosin to treat benign prostatic hyperplasia. Which information should be included when reinforcing teaching to this client about the new medication?
- A. Change positions slowly when going from lying to standing
- B. Do not drink grapefruit juice when taking this drug
- C. Take this medication first thing in the morning, before breakfast
- D. Your stool may become darker and that's normal
Correct Answer: A
Rationale: Terazosin can cause orthostatic hypotension, so changing positions slowly prevents dizziness or falls, especially in the elderly. Grapefruit juice, morning dosing, and stool color changes are not specific concerns with terazosin.
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Quality is defined as a combination of all of the following except:
- A. conforming to standards.
- B. performing at the minimally acceptable level.
- C. meeting or exceeding customer requirements.
- D. exceeding customer expectations.
Correct Answer: B
Rationale: Quality care involves meeting or exceeding standards and expectations, not merely performing at a minimal level, which is insufficient for quality. Coordinated Care
The nurse will administer liquid medicine to a 9 month-old child. Which of the following methods is appropriate?
- A. Allow the infant to drink the liquid from a medicine cup
- B. Administer the medication with a syringe next to the tongue
- C. Mix the medication with the infant's formula in the bottle
- D. Hold the child upright and administer the medicine by spoon
Correct Answer: B
Rationale: Using a needle-less syringe to give liquid medicine to an infant is often the safest method. If the nurse directs the medicine toward the side or the back of the mouth, gagging will be reduced.
The nurse in the outpatient mental health clinic is evaluating the effectiveness of the treatment regimen for a client with dependent personality disorder. Which of the following statements by the client would indicate that the treatment regimen has been effective?
- A. I took the bus here today because my parents could not drive me.
- B. I appreciate all the time you have spent trying to help me feel better.
- C. I know I am not good at my job because I made a mistake at work today.
- D. I plan to stay with my cousin while my parents go away on vacation next week.
Correct Answer: A
Rationale: Clients with dependent personality disorder have a persistent and extreme need to be taken care of that manifests as submissive and clinging behaviors and fear of separation. Additional characteristics of dependent personality disorder may include:• Difficulty in making day-to-day decisions • An excessive need for advice, reassurance, and nurturing from others • Lack of self-confidence or fear of doing things independently • Fear of confrontation or expressing disagreement with others • Feelings of helplessness and anxiety when alone or fear of being unable to take care of oneself The ability to make decisions about and carry out daily activities without assistance (eg, planning alternate transportation) indicate that the treatment plan has been effective
An adolescent tells the nurse that she is afraid she will get AIDS and asks how she can avoid this. What should be included in the nurse's response? Select all that apply.
- A. Avoid using public toilets because the virus may be on the seat.
- B. Do not have sexual intercourse until you are married.
- C. Using a condom lowers the risk of contracting HIV.
- D. Oral contraceptives lower the risk of contracting HIV.
- E. Do not share razors with anyone else.
- F. The virus may be transmitted by drinking from the same glass.
Correct Answer: C,E
Rationale: Condoms reduce HIV transmission risk during sexual activity, and not sharing razors prevents bloodborne exposure. Public toilets, abstinence until marriage, oral contraceptives, and sharing glasses are not relevant to HIV prevention.
The practical nurse is assisting the registered nurse in caring for 4 clients in the pediatric emergency department. Which client should be seen first?
- A. Adolescent with abdominal pain, heart rate 120/min, and respirations 26/min
- B. Child with history of cystic fibrosis has new yellow sputum and cough today
- C. Crying infant with fiery redness and moist papules in the diaper region
- D. Grade-school child with swollen ecchymotic ankle after playing basketball
Correct Answer: A
Rationale: The adolescent with abdominal pain, tachycardia (heart rate 120/min), and tachypnea (respirations 26/min) may have a serious condition like appendicitis or perforation, requiring urgent evaluation. The other clients' conditions are less acute.