The nurse is caring for a child who is immunocompromised and diagnosed with varicella. The nurse should request a prescription from the physician for which medication?
- A. amoxicillin-clavulanate
- B. acyclovir
- C. doxycycline
- D. azithromycin
Correct Answer: B
Rationale: Acyclovir is an antiviral medication used to treat varicella (chickenpox) in immunocompromised patients to reduce severity and complications. Choice A (amoxicillin-clavulanate) and Choice D (azithromycin) are antibiotics, ineffective against viral infections. Choice C (doxycycline) is an antibiotic and not suitable for children under 8 due to the risk of tooth discoloration.
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A client with acute renal failure has metabolic acidosis. The nurse expects:
- A. Sodium bicarbonate administration.
- B. Increased potassium intake.
- C. Fluid bolus.
- D. High-protein diet.
Correct Answer: A
Rationale: Sodium bicarbonate corrects metabolic acidosis in acute renal failure.
The nurse administers fat emulsion solution during TPN as ordered based on the understanding that this type of solution:
- A. Provide essential fatty acids.
- B. Provides extra carbohydrates.
- C. Promotes effective metabolism of glucose.
- D. Maintains a normal body weight.
Correct Answer: A
Rationale: Fat emulsion solutions in TPN provide essential fatty acids to prevent deficiency. They do not primarily provide carbohydrates, promote glucose metabolism, or maintain body weight. CN: Pharmacological and parenteral therapies; CL: Apply
A client is beginning external beam radiation therapy to the right axilla after a lumpectomy for breast cancer. Which of the following should the nurse include in client teaching?
- A. Use a heating pad under the right arm.
- B. Place ice on the area after each treatment.
- C. Apply deodorant only under the left arm.
- D. Use a soft washcloth to gently cleanse the area.
Correct Answer: C
Rationale: Applying deodorant only under the left arm avoids irritation to the radiated right axilla, which is sensitive and prone to skin reactions during treatment.
A nurse is caring for a client with a central venous catheter (CVC) in place. Which action by the nurse is most effective in preventing central line-associated bloodstream infections (CLABSI)?
- A. Performing hand hygiene before and after any manipulation of the CVC.
- B. Monitoring the client's temperature every 4 hours.
- C. Administering prophylactic antibiotics.
- D. Ensuring the client maintains strict bed rest to prevent catheter movement.
Correct Answer: A
Rationale: Hand hygiene is the most effective measure to prevent CLABSI by reducing microbial contamination.
Which of the following should the nurse include in the teaching plan for a client with arterial insufficiency to the feet that is being managed conservatively?
- A. Daily lubrication of the feet.
- B. Soaking the feet in warm water.
- C. Applying antiembolism stockings.
- D. Wearing firm, supportive leather shoes.
Correct Answer: A
Rationale: Daily lubrication prevents skin breakdown in arterial insufficiency, improving circulation.
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