Nokea
The nurse is preparing to administer a dose of prednisone (Deltasone) to a client with rheumatoid arthritis. The client asks, “Why do I need to take this medication?” Which of the following responses by the nurse is correct?
- A. It helps reduce inflammation and joint pain.
- B. It prevents infections in your joints.
- C. It increases calcium absorption in your bones.
- D. It promotes muscle strength.
Correct Answer: A
Rationale: prednisone is a corticosteroid that reduces inflammation and pain in rheumatoid arthritis
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The priority nursing intervention for a client with sickle cell crisis is to
- A. administer pain medication.
- B. administer packed RBC.
- C. administer oxygen.
- D. administer IV fluids.
Correct Answer: D
Rationale: IV fluids are the priority in sickle cell crisis to reduce blood viscosity, promote perfusion, and prevent organ damage.
The nurse is caring for a client on airborne precautions. Which of the following would the nurse expect to see in the client's medical record?
- A. measles
- B. influenza
- C. Lyme disease
- D. herpes simplex
Correct Answer: A
Rationale: Measles requires airborne precautions due to its highly contagious nature via respiratory droplets, unlike the other conditions listed.
The nurse is preparing a client for discharge following the removal of a cataract. The nurse should tell the client to:
- A. Take aspirin for discomfort
- B. Avoid bending over to put on his shoes
- C. Remove the eye shield before going to sleep
- D. Continue showering as usual
Correct Answer: B
Rationale: Avoiding bending over prevents increased intraocular pressure post-cataract surgery.
A patient is rushed to the ER after overdosing on benzodiazepines. The nurse anticipates an order for
- A. lorazepam (Ativan).
- B. flumazenil (Romazicon).
- C. naloxone (Narcan).
- D. alprazolam (Xanax).
Correct Answer: B
Rationale: Flumazenil is the antidote for benzodiazepine overdose, reversing sedation. Lorazepam and alprazolam are benzodiazepines, and naloxone is for opioid overdose.
A home health nurse is visiting a client who is receiving diuretic therapy for congestive heart failure. Which medication places the client at risk for the development of hypokalemia?
- A. Aldactone (spironolactone)
- B. Demadex (torsemide)
- C. Dyrenium (triamterene)
- D. Midamor (amiloride hydrochloride)
Correct Answer: B
Rationale: Demadex, a loop diuretic, causes potassium loss, increasing the risk of hypokalemia, unlike potassium-sparing diuretics like Aldactone.