Nokea
The nurse is reviewing the medication record of a client with acute gastritis. Which medication, if noted on the client's record, would the nurse question?
- A. Digoxin (Lanoxin)
- B. Indomethacin (Indocin)
- C. Furosemide (Lasix)
- D. Propranolol hydrochloride (Inderal)
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A client with liver dysfunction has low serum levels of thrombin. The nurse provides care, anticipating that this client is most at risk of
- A. Dehydration
- B. Malnutrition
- C. Bleeding
- D. Infection
Correct Answer: C
Rationale: Thrombin is produced by the liver and is necessary for normal clotting. When a client with liver dysfunction has low serum levels of thrombin, they are at risk of bleeding due to impaired clotting mechanisms. Dehydration (choice A) is not directly related to low thrombin levels. Malnutrition (choice B) may impact overall health but is not the most immediate concern associated with low thrombin levels. Infection (choice D) is not directly related to the clotting function affected by low thrombin levels.
The nurse instructs the nursing assistant on how to provide oral hygiene for a client who cannot perform this task for himself. Which of the following techniques should the nurse tell the assistant to incorporate into the client's daily care?
- A. Assess the oral cavity each time mouth care is given and record observations
- B. Use a soft toothbrush to brush the client's teeth after each meal
- C. Swab the client's tongue, gums, and lips with a soft foam applicator every 2 hours.
- D. Rinse the client's mouth with mouthwash several times a day.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The client with GERD complains of a chronic cough. The nurse understands that in a client with GERD this symptom may be indicative of which of the following conditions?
- A. Development of laryngeal cancer
- B. Irritation of the esophagus
- C. Esophageal scar tissue formation
- D. Aspiration of gastric contents
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Risk factors for the development of hiatal hernias are those that lead to increased abdominal pressure. Which of the following complications DOES NOT cause increased abdominal pressure?
- A. Obesity
- B. Volvulus
- C. Constipation
- D. Intestinal obstruction
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for a client with a diagnosis of cirrhosis and is monitoring the client for signs of portal hypertension. Which initial sign, if noted in the client, indicates the presence of portal hypertension?
- A. Flat neck veins
- B. Hypotension
- C. Weak pulse
- D. Crackles on auscultation of the lungs
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.