Nokea
The nurse is reinforcing teaching to the parents of a 6-month-old child who has been given a new prescription for a liquid iron supplement. Which statements by the parents indicate a need for further teaching? Select all that apply.
- A. Our child might become constipated while taking this medication.
- B. Our child's stools might become black and tarry.
- C. We can give the dose with milk to prevent gastric irritation.
- D. We will administer the dose into the back of our child's cheek.
- E. We will administer the dose with meals to increase absorption.
Correct Answer: C,E
Rationale: Giving iron with milk (C) reduces absorption and should be avoided. Administering with meals (E) also decreases absorption; iron is best given between meals with vitamin C. Statements A, B, and D are correct regarding side effects and administration.
You may also like to solve these questions
The nurse has been teaching a woman who has iron deficiency anemia. Which menu, if selected, indicates that the woman understands her dietary instructions?
- A. Applesauce, green beans, bread, and butter
- B. Peanut butter and jelly sandwich, carrots, and milk
- C. Broccoli, spinach salad with tomatoes, and orange juice
- D. Macaroni and cheese, pickles, and hot chocolate
Correct Answer: C
Rationale: Broccoli, spinach, and orange juice (vitamin C enhances iron absorption) are iron-rich, ideal for anemia. Other menus lack sufficient iron sources.
When rendering aid to a victim who appears to be choking, the nurse's first action should be to:
- A. Administer a blow to the back.
- B. Ask the client whether she can speak.
- C. Administer a chest thrust.
- D. Establish an airway.
Correct Answer: B
Rationale: Asking if the victim can speak assesses airway obstruction severity. Back blows or chest thrusts follow if needed, and establishing an airway is not the first step.
The nurse is speaking to a client who takes desmopressin nasal spray for diabetes insipidus. Which statement by the client is most important for the nurse to report to the health care provider?
- A. I am tired of restricting fluids but know that I need to.
- B. I feel like I am beginning to get sick with a bad cold.
- C. I have been getting a lot of nasal pain with this spray.
- D. I have recently started to experience frequent headaches.
Correct Answer: D
Rationale: Frequent headaches (D) may indicate overmedication or hyponatremia, requiring urgent reporting. Fluid restriction (A), colds (B), and nasal pain (C) are less critical.
The nurse is with a client with obsessive-compulsive disorder who counts backwards several times each day. Which of the following statements by the client would indicate an improvement in the client's condition? Select all that apply.
- A. I take a short, brisk walk to decompress when I begin to feel anxious.
- B. My neighbor goes grocery shopping for me because I get anxious and begin counting.
- C. Having a stressful job worsens my anxiety, but I use deep-breathing exercises to manage it.
- D. Counting helps me cope with my anxiety. It does not hurt anyone, and it is better than drinking alcohol.
- E. I used to start counting as soon as I boarded the bus, but now I can ride the bus for 30 minutes without counting.
Correct Answer: A,C,E
Rationale: Statements A, C, and E indicate improvement as the client uses adaptive coping strategies (walking, deep breathing) and reports reduced compulsive behavior (delayed counting). Statement B shows reliance on others, and D justifies the compulsion, both indicating no improvement.
While admitting a client to an acute-care psychiatric unit, the nurse asks about substance abuse based on knowledge that:
- A. psychiatric illness is more prevalent in addicted populations.
- B. people with psychiatric disorders are more prone to substance abuse.
- C. substance disorders are easily detected and diagnosed in acute-care psychiatric settings.
- D. undetected substance problems have no real effect on treatment of psychiatric disorders.
Correct Answer: B
Rationale: The failure to address substance abuse among clients with psychiatric disorders interferes with treatment effectiveness and contributes to relapse. Misdiagnosis of a psychiatric disorder, suboptimal pharmacological treatment, neglect of appropriate interventions, or an inappropriate referral might also occur.