Nokea
The nurse is preparing a client for a kidney-ureter-bladder x-ray (KUB). What is included in the preparation?
- A. Keeping the client NPO
- B. Explaining the procedure
- C. Catheterizing the client
- D. Administering an enema
Correct Answer: B
Rationale: Explaining the procedure reduces anxiety and ensures cooperation, a key preparation for a non-invasive KUB x-ray.
You may also like to solve these questions
The nurse is aware that which of the following assessments would be indicative of hypocalcemia?
- A. Constipation.
- B. Depressed reflexes.
- C. Decreased muscle strength.
- D. Positive Trousseau's sign.
Correct Answer: D
Rationale: positive Trousseau's sign is indicative of neuromuscular hyperreflexia associated with hypocalcemia
An adult is being worked up for a possible duodenal ulcer. The nurse knows that which data, if present, would be most consistent with a duodenal ulcer?
- A. Two hours after his last meal, the client says, 'I need to feed my ulcer.'
- B. The client complains of epigastric pain a half hour after eating.
- C. The client has clay-colored stools.
- D. The client complains of pain beneath the right shoulder blade after eating.
Correct Answer: A
Rationale: Duodenal ulcers typically cause pain 2-3 hours after eating, relieved by food ('feeding the ulcer'), unlike pain immediately after eating (gastric ulcer), clay stools (biliary issues), or shoulder pain (gallbladder).
During the initial physical assessment on a client who is a Vietnamese immigrant, the nurse notices small, circular, ecchymotic areas on the client's knees. The best action for the nurse to take is to
- A. Ask the client for more information about the nature of the bruises
- B. Ask the client and then the family about the findings
- C. Report the bruising to social services to follow-up
Correct Answer: A
Rationale: Cupping' is practiced by Vietnamese. The principle is to create a vacuum inside a special cup by igniting alcohol-soaked cotton inside the cup. When the flame extinguishes, the cup is immediately applied to the skin of the painful site. The belief: the suction exudes the noxious element. The greater the bruise, the greater the seriousness of the illness.
A 42-year-old man with metastatic lung cancer is admitted to the hospital. His orders include: do not resuscitate (DNR) and morphine 2 mg/h by continuous IV infusion. When the nurse assesses him, his BP is 86/50, respirations are 8, and he is nonresponsive. Naloxone hydrochloride (Narcan), 0.4 mg IV, is ordered STAT. In planning care for this man, it is IMPORTANT for the nurse to know that
- A. the BP and respirations will need to increase before a second dose of Narcan can be given.
- B. Narcan should not be given to the man because of his DNR status.
- C. a dose of Narcan may need to be repeated in 2-3 minutes.
- D. Narcan is effective in treating respiratory changes caused by opiates, barbiturates, and sedatives.
Correct Answer: C
Rationale: half-life of Narcan is short; may go back into respiratory depression; may need to be repeated
Which comment is the client who has Parkinson's disease most likely to make?
- A. My hands shake when I reach to pick up my coffee cup.'
- B. I get very stiff when I sit for long periods of time.'
- C. I have to drink a lot because my mouth is so dry.'
- D. It is easier for me to pick up my feet than to slide them.'
Correct Answer: B
Rationale: Rigidity and stiffness, especially after immobility, are hallmark Parkinson's symptoms, unlike tremors (more action-specific), dry mouth, or gait preferences.