Nokea
The nurse is caring for a client who will have a pulmonary function test (PFT) performed as an outpatient following hospital discharge. Which should the nurse include in his teaching on the procedure? Select all that apply.
- A. have a driver accompany the client to the test site
- B. limit activity in the days leading up to the test
- C. remain NPO after midnight the day before the test
- D. do not smoke for at least 6-8 hours before the test
- E. withhold bronchodilators for 4-6 hours prior to the test
- F. increase aerobic activity as much as possible in the days before the test
Correct Answer: D,E
Rationale: Smoking cessation for 6-8 hours and withholding bronchodilators for 4-6 hours ensure accurate PFT results. Other instructions are unnecessary or incorrect.
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The client is newly diagnosed with juvenile onset diabetes. Which of the following nursing diagnoses is a priority?
- A. Anxiety
- B. Pain
- C. Knowledge deficit
- D. Altered thought process
Correct Answer: C
Rationale: Knowledge deficit is a priority, as education on managing juvenile diabetes is critical for long-term health and compliance.
The nurse is taking a history from a client in an outpatient clinic. The client has been taking duloxetine (Cymbalta) for fibromyalgia. Which of the following over-the-counter medications would cause the nurse some concern if the client says she is taking it?
- A. aspirin
- B. garlic supplements
- C. vitamin B6
- D. cough medicine with dextromethorphan
Correct Answer: D
Rationale: Dextromethorphan can interact with duloxetine, increasing the risk of serotonin syndrome, a potentially serious condition.
In order to ensure adequate protein intake during pregnancy, how many additional grams of protein should the woman ingest daily during the second half of the pregnancy? Report your answer using a whole number.
Correct Answer: 25
Rationale: Pregnant women need an additional 25 grams of protein daily in the second half of pregnancy to support fetal growth and maternal health.
The nurse is working in the emergency room when a client arrives with severe burns of the left arm, hands, face, and neck. Which action should receive priority?
- A. Starting an IV
- B. Applying oxygen
- C. Obtaining blood gases
- D. Medicating the client for pain
Correct Answer: B
Rationale: Applying oxygen is the priority to ensure airway patency and oxygenation in a client with facial and neck burns, which can cause airway compromise.
The nursing assistant finds a client on the floor. Once the client is safe, which of the following should the nurse do next?
- A. document the event in the client's medical record only
- B. document the event in the client's medical record and file an incident report
- C. document the event in the client's medical record and have the nursing assistant file an incident report
- D. have the nursing assistant file an incident report
Correct Answer: B
Rationale: Falls require documentation in the medical record and an incident report to track safety issues and ensure follow-up.