Nokea
The nurse is planning care for a client with osteomyelitis. The client is taking an antibiotic, but the infection has not resolved. The nurse should advise the client to do which of the following?
- A. Use herbal supplements.
- B. Eat a diet high in protein and vitamins C and D.
- C. Ask the health care provider for a change of antibiotics.
- D. Encourage frequent passive range-of-motion to the affected extremity.
Correct Answer: B
Rationale: A diet high in protein and vitamins C and D supports tissue healing and immune function in osteomyelitis.
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To approach a deaf client, the nurse should do which of the following first?
- A. Knock on the room's door loudly.
- B. Close and open the vertical blinds rapidly.
- C. Talk while walking into the room.
- D. Get the client's attention.
Correct Answer: D
Rationale: Getting the client's attention first (e.g., by waving or tapping gently) ensures effective communication with a deaf client, as they may not hear auditory cues.
If the client develops lower abdominal pain after a cystoscopy, the nurse should instruct the client to do with following?
- A. Apply an ice pack to the pubic area.
- B. Massage the abdomen gently.
- C. Ambulate as much as possible.
- D. Sit in a tub of warm water.
Correct Answer: D
Rationale: Sitting in warm water can soothe bladder irritation and relax pelvic muscles, alleviating lower abdominal pain post-cystoscopy.
After teaching the client with severe rheumatoid arthritis about prescribed methotrexate (Rheumatrex), which of the following statements indicates the need for further teaching?
- A. I will take my vitamins while I'm on this drug.'
- B. I must not drink any alcohol while I'm taking this drug.'
- C. I should brush my teeth after every meal.'
- D. I will continue taking my birth control pills.'
Correct Answer: A
Rationale: Methotrexate can interact with certain vitamins (e.g., folic acid) if not prescribed, requiring medical guidance. The other statements align with safe methotrexate use.
Which of the following is the priority for a client in addisonian crisis?
- A. Controlling hypertension.
- B. Preventing irreversible shock.
- C. Preventing infection.
- D. Relieving anxiety.
Correct Answer: B
Rationale: Addisonian crisis is a life-threatening condition requiring urgent intervention to prevent irreversible shock due to adrenal insufficiency.
When caring for a client with a chest tube and water-seal drainage system, the nurse should:
- A. Verify that the air vent on the water-seal drainage system is capped when the suction is off.
- B. Strip the chest drainage tubes at least every 4 hours if excessive bleeding occurs.
- C. Ensure that the chest tube is clamped when moving the client out of the bed.
- D. Make sure that the drainage apparatus is always below the client's chest level.
Correct Answer: D
Rationale: Keeping the drainage apparatus below chest level prevents fluid backflow into the pleural space. Capping the vent, stripping tubes, or clamping during movement risks complications like pneumothorax.