Nokea
The nurse is caring for a client immediately following transsphenoidal hypophysectomy. It would be essential for the nurse to obtain a prescription for which medication?
- A. Ondansetron
- B. Methimazole
- C. Omeprazole
- D. Methylphenidate
Correct Answer: A
Rationale: Transsphenoidal hypophysectomy often causes nausea from surgical manipulation near the pituitary. Ondansetron controls postoperative nausea. Methimazole is for hyperthyroidism, omeprazole for gastric issues, and methylphenidate for attention disorders.
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The nurse is reviewing a client's list of medications who has cystic fibrosis. The nurse anticipates a prescription for which medication?
- A. Pancrelipase
- B. Aspirin
- C. Lactulose
- D. Multivitamin
- E. Clopidogrel
Correct Answer: A,D
Rationale: Cystic fibrosis impairs pancreatic function, requiring pancrelipase for enzyme replacement and multivitamins to address fat-soluble vitamin deficiencies. Aspirin, lactulose, and clopidogrel are not typically indicated.
The nurse is caring for a client with the syndrome of inappropriate antidiuretic hormone (SIADH). Which assessment finding requires immediate follow-up?
- A. Disorientation
- B. High urine specific gravity
- C. Oliguria
- D. Increased thirst
Correct Answer: A
Rationale: SIADH causes water retention and hyponatremia, which can lead to disorientation—a neurological symptom requiring urgent follow-up to prevent seizures or coma. Other findings are expected.
The nurse prepares to administer intermediate-acting insulin to a client with diabetes mellitus. Place the following actions in the order in which they should be performed when preparing the injection, starting from first to last.
- A. Gently roll the bottle of intermediate-acting insulin in the palms of your hands to mix the insulin.
- B. Remove air bubbles in the syringe by tapping on the syringe.
- C. Inspect the bottle for the type of insulin and the expiration date.
- D. Pull back the plunger to draw air into the syringe and inject it into the vial.
- E. Turn the bottle upside down and draw the insulin dose into the syringe.
- F. Clean the rubber stopper with an alcohol swab.
Correct Answer: C, F, A, D, E, B
Rationale: Inspect the bottle for type and expiration, clean the stopper, roll to mix, draw air and inject into vial, draw dose, then remove bubbles to ensure accurate, safe administration.
The nurse is caring for a client who developed a thyroid storm. The nurse should obtain a prescription for
- A. enalapril
- B. regular insulin
- C. levothyroxine
- D. dexamethasone
Correct Answer: D
Rationale: Thyroid storm requires blocking excess thyroid hormone effects. Dexamethasone reduces hormone release and inflammation. Enalapril is for hypertension, insulin for glucose, and levothyroxine worsens the condition.
The nurse is interviewing a client taking prescribed methimazole for hyperthyroidism. Which assessment finding requires notification to the physician?
- A. body mass index (BMI) 23
- B. sore throat
- C. pulse (P) 84
- D. skin rash
Correct Answer: B
Rationale: Sore throat may indicate agranulocytosis, a rare but serious methimazole side effect, requiring immediate physician notification. BMI 23, pulse 84, and skin rash are less urgent unless severe.