Nokea
The nurse is teaching a client about precautions with Coumadin therapy. The client should be instructed to avoid which over-the-counter medication?
- A. Non-steroidal anti-inflammatory drugs (NSAIDs)
- B. Cough medicines with guaifenesin
- C. Histamine blockers
- D. Laxatives containing magnesium salts
Correct Answer: A
Rationale: Non-steroidal anti-inflammatory drugs (NSAIDs). Medications with NSAIDs may increase the response to Coumadin (warfarin) and increase the risk of bleeding.
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Although nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin) are beneficial in managing arthritis pain, the nurse should caution clients about which of the following common side effects?
- A. Urinary incontinence
- B. Constipation
- C. Nystagmus
- D. Occult bleeding
Correct Answer: D
Rationale: Occult bleeding. Nonsteroidal anti-inflammatory drugs (NSAIDs) taken for long periods of time may cause serious side effects, including bleeding in the gastrointestinal tract.
The HCP is about to examine the client on contact precautions for MRSA without donning PPE. Which is the best action by the nurse?
- A. Hand the provider a gown and gloves
- B. Not say anything; it is the HCP's decision
- C. Notify the charge nurse and unit manager
- D. Monitor for increased infections on the unit
Correct Answer: A
Rationale: A: Providing PPE ensures immediate compliance with contact precautions. B: Ignoring the breach risks transmission. C, D: These actions delay intervention.
The nurse is wearing PPE. Place the steps to removing the PPE in the correct sequence.
- A. Remove gown
- B. Remove gloves and perform hand hygiene
- C. Remove mask
- D. Remove eye protection
- E. Perform hand hygiene
Correct Answer: B,D,A,C,E
Rationale: B: Gloves are removed first due to high contamination risk, followed by hand hygiene. D: Eye protection is removed next. A: Gown is removed before leaving. C: Mask is removed at the doorway. E: Final hand hygiene ensures cleanliness.
A female client talks to the nurse in the provider's office about uterine fibroids, also called leiomyomas or myomas. What statement by the woman indicates more education is needed?
- A. I am the one out of every 4 women that get fibroids, and of women my age - between the 30s or 40s, fibroids occur more frequently.'
- B. My fibroids are noncancerous tumors that grow slowly.'
- C. My associated problems I have had are pelvic pressure and pain, urinary incontinence, and constipation.'
- D. Fibroids that cause no problems still need to be taken out.'
Correct Answer: D
Rationale: Fibroids that cause no findings may require only 'watchful waiting' with no treatment. Only when the client's findings become disturbing to them would surgical interventions be considered.
A clinic nurse is teaching parents with young children. About which most common sources of infectious disease transmission should the nurse teach the parents?
- A. Stool and oral and respiratory secretions
- B. Sharing dirty toys and used utensils
- C. Contact with blood from scrapes and sores
- D. Touching others after rubbing a runny nose
Correct Answer: A
Rationale: A: Young children commonly transmit infections via stool and respiratory secretions due to poor hygiene. B, C, D: These are less common sources in this age group.