Nokea
The nurse caring for a client scheduled for an angiogram should prepare the client for the procedure by telling him to expect:
- A. Dizziness as the dye is injected.
- B. Nausea and vomiting after the procedure is completed.
- C. A decreased heart rate for several hours after the procedure is completed.
- D. A warm sensation as the dye is injected.
Correct Answer: D
Rationale: A warm sensation is common during dye injection in an angiogram. Dizziness , nausea , and decreased heart rate are not typical.
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Which test for diabetes measures the long-term management of the disease?
- A. Fasting blood sugar
- B. Glucose tolerance test
- C. Finger stick glucose test
- D. Glycosylated hemoglobin
Correct Answer: D
Rationale: Glycosylated hemoglobin (HbA1c) measures average blood glucose over 2-3 months, assessing long-term diabetes control, unlike fasting, tolerance, or finger stick tests, which are short-term.
The nurse is preparing to administer several medications through a client's feeding tube. None of the medications are extended release. Which of the following actions should the nurse implement? Select all that apply.
- A. Combine all medications and administer together
- B. Crush each medication separately before administration
- C. Determine if the medications are available in liquid form
- D. Flush the tube before and after medication administration
- E. Mix medications with enteral feeding formula before administration
Correct Answer: B, C, D
Rationale: Crushing separately (B) prevents interactions, liquid forms (C) are preferred, and flushing (D) ensures patency. Combining all medications (A) or mixing with formula (E) can cause clogs or interactions.
The nurse is teaching about nonsteroidal anti-inflammatory drugs (NSAIDs) to a group of arthritic clients. To minimize the side effects, the nurse should emphasize which of the following actions?
- A. Reporting joint stiffness in the morning
- B. Taking the medication 1 hour before or 2 hours after meals
- C. Using alcohol in moderation unless driving
- D. Continuing to take aspirin for short term relief
Correct Answer: B
Rationale: Taking the medication 1 hour before or 2 hours after meals. Taking the medication 1 hour before or 2 hours after meals will result in a more rapid effect.
The nurse is discussing positioning with the family of a client who is at home following a total hip replacement a week ago. Which should be included in the discussion?
- A. Keep the client on his unaffected side most of the time.
- B. Position the client to maintain hip flexion.
- C. Keep a pillow between his legs when turning him.
- D. Position the client so the hip is adducted.
Correct Answer: C
Rationale: A pillow between the legs maintains hip abduction, preventing dislocation post-hip replacement, a critical positioning instruction.
A nurse aide is taking care of a 2 year-old child with Wilm's tumor. The nurse aide asks the nurse why there is a sign above the bed that says DO NOT PALPATE THE ABDOMEN? The best response by the nurse would be which of these statements?
- A. Touching the abdomen could cause cancer cells to spread.'
- B. Examining the area would cause difficulty to the child.'
- C. Pushing on the stomach might lead to the spread of infection.'
- D. Placing any pressure on the abdomen may cause an abnormal experience.'
Correct Answer: A
Rationale: Manipulation of the abdomen can lead to dissemination of cancer cells to nearby and distant areas. Bathing and turning the child should be done carefully.