Nokea
The nurse is preparing medication for 4 clients on a respiratory medical-surgical unit. Which situation would prompt the nurse to clarify the prescribed treatment with the health care provider?
- A. Client with bronchospasm who is due to receive nebulized acetylcysteine
- B. Client with chronic obstructive pulmonary disease due to receive PO prednisone
- C. Client with cystic fibrosis who is due to receive PO pancreas with breakfast
- D. Client with suspected bacterial pneumonia due to receive IV levofloxacin
Correct Answer: A
Rationale: Acetylcysteine is used for mucus thinning, not bronchospasm, which requires bronchodilators. The other medications are appropriate for their respective conditions.
You may also like to solve these questions
The nurse is caring for a client who has a C6 spinal cord injury. He complains of blurred vision and a severe headache. His blood pressure is 210/140. What action should the nurse take initially?
- A. Check for bladder distention
- B. Place in Trendelenburg position
- C. Administer PRN pain medication
- D. Continue to monitor blood pressure
Correct Answer: A
Rationale: Symptoms and hypertension suggest autonomic dysreflexia, often triggered by bladder distention in spinal cord injury. Checking and relieving distention is the initial action.
The charge nurse on the eating disorder unit instructs a new staff member to weigh each client in his or her hospital gown only. What is the rationale for this nursing intervention?
- A. To reduce the risk of the client feeling cold due to decreased fat and subcutaneous tissue
- B. To cover the bony prominence and areas where there is skin breakdown
- C. The client knows what type of clothing to wear when weighed
- D. To reduce the tendency of the client to hide objects under his or her clothing
Correct Answer: D
Rationale: To reduce the tendency of the client to hide objects under his or her clothing. Clients may conceal weights to falsely indicate weight gain.
A client is seen in the clinic and determined to have a hydatidiform mole. Which diagnostic test can confirm the diagnosis of a hydatidiform mole?
- A. An ultrasound
- B. Alpha-fetoprotein
- C. Human chorionic gonadotrophin
- D. Lecithin sphingomyelin ratio
Correct Answer: A
Rationale: Ultrasound is the primary diagnostic tool for confirming a hydatidiform mole, showing a characteristic 'snowstorm' pattern. Elevated human chorionic gonadotropin supports the diagnosis but is not confirmatory alone.
What must the nurse emphasize when teaching a client with depression about a new prescription for nortriptyline (Pamelor)?
- A. Symptom relief occurs in a few days
- B. Alcohol use is to be avoided
- C. Medication must be stored in the refrigerator
- D. Episodes of diarrhea can be expected
Correct Answer: B
Rationale: Alcohol potentiates the action of tricyclic antidepressants.
A thyroid scan, a cardiac catheterization, a gallbladder x-ray, and an intravenous pyelogram are ordered for a client. Which test should the nurse schedule to be done first?
- A. Thyroid scan
- B. Cardiac catheterization
- C. Gallbladder x-ray
- D. Intravenous pyelogram
Correct Answer: A
Rationale: Thyroid scans use radioactive iodine, which can interfere with other tests' contrast agents or imaging. Scheduling it first prevents interaction with cardiac catheterization, gallbladder x-ray, or IVP.