Nokea
The nurse is caring for a hospitalized client diagnosed with thyrotoxicosis (thyroid storm). Which action is most appropriate to assign to unlicensed assistive personnel?
- A. Call the family to give an update on new aspects of the client's condition
- B. Lower the temperature in the room to make the environment cooler
- C. Reinforce teaching about signs and symptoms of hyperthyroidism
- D. Take vital signs and place a warming blanket on the client
Correct Answer: B
Rationale: Lowering room temperature (B) is within UAP scope and helps manage hyperthermia. Calling family (A), teaching (C), and applying a warming blanket (D) are inappropriate or require nursing judgment.
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The nurse has reinforced teaching with a client who has rheumatoid arthritis and is receiving methotrexate. Which of the following statements by the client would require follow-up?
- A. I will avoid drinking alcoholic beverages while taking methotrexate.'
- B. I should take precautions to prevent pregnancy while taking methotrexate.'
- C. I should avoid large crowds and people who are ill while taking methotrexate.'
- D. I will avoid consuming foods high in folic acid that will decrease the effectiveness of methotrexate.'
Correct Answer: D
Rationale: Avoiding alcohol (A), preventing pregnancy (B), and avoiding crowds (C) are correct. Avoiding folic acid (D) is incorrect, as methotrexate often requires folic acid supplementation to reduce side effects.
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.
Which of the following infractions can result in the revocation of the nurse's license?
- A. Failure to render care during a natural disaster
- B. Suspected negligence
- C. A felony conviction
- D. Failure to pay license renewal fees
Correct Answer: C
Rationale: A felony conviction can lead to license revocation due to its impact on professional integrity. Natural disaster response, negligence, or unpaid fees may have other consequences but are less likely to cause revocation.
The practical nurse is collaborating with the registered nurse to form a care plan for a client diagnosed with placenta previa at 33 weeks gestation. Which of the following does the nurse anticipate being included in the plan of care? Select all that apply.
- A. Activity as tolerated
- B. Nonstress test 1 or 2 times per week
- C. Prepare for cesarean birth at any time
- D. Type and screen blood
- E. Vaginal examinations twice weekly
Correct Answer: B, C, D
Rationale: Nonstress tests (B), cesarean preparation (C), and type and screen (D) monitor and prepare for bleeding risks in placenta previa. Activity as tolerated (A) and vaginal exams (E) increase bleeding risk.
The nurse reviews the admission history of a 70-year-old client diagnosed with chronic obstructive pulmonary disease (COPD). Which of the following statements by the client does the nurse recognize as contributing to the development of COPD? Select all that apply.
- A. I have been drinking alcohol almost daily since age 20.'
- B. I have been overweight for as long as I can remember.'
- C. I have smoked about a pack of cigarettes a day since I was 16 years old but quit last year.'
- D. I know I eat too much fast food.'
- E. I was a car mechanic for about 40 years and had my own garage.'
Correct Answer: C, E
Rationale: Smoking (C) is a primary cause of COPD. Occupational exposure to chemicals as a mechanic (E) is also a risk factor. Alcohol (A), obesity (B), and fast food (D) are not directly linked to COPD.