Nokea
The nurse is reviewing a client's list of medications who has cystic fibrosis. The nurse anticipates a prescription for which medication?
- A. Pancrelipase
- B. Aspirin
- C. Lactulose
- D. Multivitamin
- E. Clopidogrel
Correct Answer: A,D
Rationale: Cystic fibrosis impairs pancreatic function, requiring pancrelipase for enzyme replacement and multivitamins to address fat-soluble vitamin deficiencies. Aspirin, lactulose, and clopidogrel are not typically indicated.
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The nurse is assessing a client with pheochromocytoma. Which of the following would be an expected finding?
- A. hyperglycemia
- B. hypertension
- C. ataxia
- D. oliguria
- E. headache
Correct Answer: A, B, E
Rationale: Pheochromocytoma releases catecholamines, causing hyperglycemia, hypertension, and headaches. Ataxia and oliguria are not typical findings.
The nurse is caring for a client newly diagnosed with diabetes mellitus (type one). It would be essential to educate the client to
- A. check their hemoglobin A1C level every three months.
- B. rotate injection sites for insulin administration.
- C. examine their feet with a mirror daily.
- D. recognize the symptoms of hypoglycemia.
Correct Answer: A, B, C, D
Rationale: HbA1C monitors control, rotation prevents lipohypertrophy, foot checks prevent ulcers, and recognizing hypoglycemia symptoms ensures timely treatment in type 1 diabetes.
The nurse preceptor observes a newly hired nurse care for a client with a myxedema coma. It would require follow up by the nurse preceptor if the newly hired nurse is observed
- A. applying a cooling blanket to the client.
- B. requesting a prescription for hydrocortisone.
- C. removing the water pitcher from the bedside.
- D. placing an oral endotracheal tube at the bedside for potential use.
Correct Answer: A
Rationale: Myxedema coma is a severe hypothyroid state with hypothermia. A cooling blanket worsens this; a warming blanket is needed. Hydrocortisone addresses adrenal insufficiency, removing water prevents dilutional hyponatremia, and an endotracheal tube is prudent for potential respiratory support.
The nurse is caring for a client receiving a continuous infusion of regular insulin. The nurse should plan to monitor which clinical data?
- A. Hourly blood glucose
- B. Potassium
- C. BUN and creatinine
- D. Gastric pH
- E. Fasting blood glucose
Correct Answer: A, B
Rationale: Insulin lowers glucose and shifts potassium into cells, risking hypokalemia. Hourly glucose and potassium monitoring are critical to adjust therapy and prevent complications.
The nurse is assessing a client with hyperparathyroidism. Which of the following findings would support a diagnosis of hyperparathyroidism?
- A. nephrolithiasis
- B. hyperphosphatemia
- C. diarrhea
- D. halitosis
Correct Answer: A
Rationale: Hyperparathyroidism increases calcium levels, leading to kidney stones (nephrolithiasis). Phosphorus levels drop, not rise, and diarrhea and halitosis are unrelated to this condition.