Nokea
A client taking phenelzine (Nardil) eating another client's lunch, then complaining of headache, nausea, rapid heartbeat, and vomiting.
The nurse anticipates administering which of the following medication?
- A. Buspirone (Buspar).
- B. Fluoxetine (Prozac).
- C. Prochlorperazine (Compazine).
- D. Nifedipine (Procardia).
Correct Answer: D
Rationale: Strategy: Think about the action of each medication. (1) antianxiety; side effects include light-headedness, confusion, hypotension, palpitations (2) SSRI antidepressant; side effects include palpitation, bradycardia, nausea and vomiting (3) antiemetic; side effects include drowsiness, orthostatic hypotension (4) correct-antihypertensive; client experiencing hypertensive crisis due to ingesting tyramine; side effects include dizziness, headache, nervousness
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An adult is admitted through the outpatient department for elective surgery today. The client is coughing and sneezing and has a temperature of 100.6°F. What should the nurse do next?
- A. Prepare the client for surgery as scheduled
- B. Explain to the client that a cold increases risks during surgery and ask if he/she is willing to assume those risks
- C. Call the physician before continuing preparations for surgery
- D. Ask what type of anesthesia the client is receiving
Correct Answer: C
Rationale: Infection increases surgical risks; notifying the physician allows for evaluation and possible postponement.
The nurse is preparing to administer a medication to a client via a nasogastric tube. Which of the following actions should the nurse perform FIRST?
- A. Check the placement of the nasogastric tube.
- B. Crush the medication and mix with water.
- C. Flush the tube with 30 mL of water.
- D. Position the client in a supine position.
Correct Answer: A
Rationale: Verifying nasogastric tube placement prevents aspiration, a priority before medication administration. Options B, C, and D follow placement confirmation.
A 60-year-old man with a diagnosis of pneumonia.
The nurse should place the patient in a room with which of the following patients?
- A. A 20-year-old in traction for multiple fractures of the left lower leg.
- B. A 35-year-old with recurrent fever of unknown origin.
- C. A 50-year-old recovering alcoholic with cellulitis of the right foot.
- D. An 89-year-old with Alzheimer's disease awaiting nursing home placement.
Correct Answer: C
Rationale: Strategy: Determine the transmission of organisms. (1) patient with fractures are considered 'clean,' don't place with an infectious patient (2) don't know the cause of the fever (3) correct-generalized nonfollicular infection that involves deeper connective tissue, both patients have infections (4) elderly are high risk for developing pneumonia
Which laboratory test conducted on the client with diabetes mellitus indicates compliance?
- A. Fasting blood glucose
- B. Two-hour post-prandial
- C. Hgb A-1C
- D. Dextrostix
Correct Answer: C
Rationale: Hgb A-1C reflects average blood glucose over 2-3 months, indicating long-term compliance. Options A, B, and D provide short-term snapshots and are less reliable for compliance.
The nurse is teaching a client with a new diagnosis of type 2 diabetes about glipizide (Glucotrol). Which of the following statements by the client indicates a need for further teaching?
- A. I should take this medication 30 minutes before breakfast.
- B. I should avoid drinking alcohol while taking this medication.
- C. I should report sweating or shakiness to my doctor.
- D. I should stop this medication if my blood sugar is normal.
Correct Answer: D
Rationale: Stopping glipizide when blood sugar is normal is incorrect, as type 2 diabetes requires ongoing treatment to maintain control. Options A, B, and C are correct: pre-breakfast dosing maximizes efficacy, alcohol increases hypoglycemia risk, and sweating/shakiness indicate hypoglycemia.