Nokea
The nurse is applying the Centers for Disease Control and Prevention (CDC) recommendations for the possibility of bioterrorism. What action should the nurse perform?
- A. Post updated information on signs and symptoms of infections caused by biological agents
- B. Provide guidelines for treating clients exposed to, or potentially exposed to, biological agents
- C. Remain current on recognition and treatment of infections caused by biological weapons
- D. Advocate for increased funding for research involving bioterrorism and client treatment
Correct Answer: C
Rationale: Staying current on recognition and treatment aligns with CDC recommendations for nurse preparedness in bioterrorism scenarios.
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Children who should receive meningococcal conjugate vaccine (Hib-MenCY, MenHibrix) include:
- A. Children traveling to the Haj
- B. Infants, routinely at 2, 4, 6, and 12 to 15 months
- C. Infants with functional asplenia (including sickle cell disease)
- D. Two-year olds with complement deficiencies
Correct Answer: C
Rationale: Hib-MenCY is indicated for infants with asplenia (e.g., sickle cell); Haj travel applies to older meningococcal vaccines.
Which statement is correct regarding glucagon:
- A. Causes hypoglicemia
- B. Causes hyperglicemia
- C. Haven't affect blood glucose level in blood
Correct Answer: B
Rationale: Glucagon causes hyperglycemia by stimulating glycogenolysis and gluconeogenesis in the liver.
Education of patients who are taking warfarin includes discussing their diet. Instructions include:
- A. Avoiding all vitamin K-containing foods
- B. Avoiding high-vitamin K-containing foods
- C. Increasing intake of iron-containing foods
- D. Making sure they eat 35 grams of fiber daily
Correct Answer: B
Rationale: High vitamin K foods antagonize warfarin; total avoidance is unnecessary, and iron or fiber aren't relevant.
Which of the following is a disadvantage of using oral drugs
- A. First pass effect
- B. Low bioavailability
- C. Overdose overcome by antidotes
- D. A and B
Correct Answer: D
Rationale: Oral drugs face the first-pass effect and often have lower bioavailability due to liver metabolism, making D (A and B) the correct combined disadvantage.
A nurse is admitting a client and completing a preassessment before administering medications. Which of the following data should the nurse include in the preassessment? (Select ONE that does not apply.)
- A. Use of herbal teas
- B. Daily fluid intake
- C. Current health status
- D. Previous surgical history
Correct Answer: B
Rationale: Herbal teas , health status , surgical history , and allergies impact medication safety; fluid intake is less critical.