Nokea
The nurse is preparing to administer 7.5 mg of an oral anticoagulant. The medication available is 5 mg per tablet. How many tablets should the nurse administer?
Correct Answer: 1.5
Rationale: Dose required: 7.5 mg. Available: 5 mg/tablet. 7.5 ÷ 5 = 1.5 tablets. Administer 1.5 tablets (e.g., one whole and one half, if scored).
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The client with varicose veins asks why they need to wear compression stockings. What is the best response by the nurse?
- A. They prevent blood clots from forming.
- B. They help push blood back to the heart.
- C. They reduce pain in the legs.
- D. They keep your legs warm.
Correct Answer: B
Rationale: Compression stockings apply pressure to promote venous return, helping blood flow back to the heart.
The client with coronary artery disease reports chest pain. What should the nurse do first?
- A. Administer oxygen.
- B. Check vital signs.
- C. Give nitroglycerin as prescribed.
- D. Place the client in a supine position.
Correct Answer: C
Rationale: Nitroglycerin is the first-line treatment for angina to relieve chest pain by dilating coronary arteries.
Which medication would the nurse expect to administer to a client with an arterial disorder to improve blood flow?
- A. Warfarin (Coumadin)
- B. Clopidogrel (Plavix)
- C. Furosemide (Lasix)
- D. Metoprolol (Lopressor)
Correct Answer: B
Rationale: Clopidogrel is an antiplatelet medication that reduces the risk of clot formation, improving blood flow in arterial disorders.
When offered the pain medication, the client says to the nurse, 'If that's Motrin, I don't want it. It makes me sick to my stomach.' What is the most appropriate nursing action at this time?
- A. Tell the client that the drug is ibuprofen.
- B. Explain that the prescribed medication must be taken.
- C. Advise the client to take the drug with plenty of water.
- D. Report the information to the charge nurse.
Correct Answer: D
Rationale: Reporting the client's adverse reaction to the charge nurse ensures proper communication and potential adjustment of the medication plan.
The client diagnosed with essential hypertension asks the nurse, 'I don’t know why the doctor is worried about my blood pressure. I feel just great.' Which statement by the nurse would be the most appropriate response?
- A. Damage can be occurring to your heart and kidneys even if you feel great.'
- B. Unless you have a headache, your blood pressure is probably within normal limits.'
- C. When is the last time you saw your doctor? Does he know you are feeling great?'
- D. Your blood pressure reflects how well your heart is working.'
Correct Answer: A
Rationale: Hypertension causes silent organ damage (heart, kidneys) (A), even without symptoms. Headaches (B) aren’t reliable, doctor visits (C) are irrelevant, and heart function (D) is vague.