Nokea
The nurse is teaching a client with a new diagnosis of hypertension about hydrochlorothiazide (Hydrodiuril). Which of the following statements by the client indicates a need for further teaching?
- A. I should report muscle cramps to my doctor.
- B. I should eat foods high in potassium.
- C. I should take this medication in the morning.
- D. I should stop this medication if I feel better.
Correct Answer: D
Rationale: Stopping hydrochlorothiazide when feeling better is incorrect, as hypertension requires lifelong treatment to prevent complications. Options A, B, and C are correct: muscle cramps may indicate hypokalemia, potassium-rich foods are recommended, and morning dosing minimizes nocturia.
You may also like to solve these questions
Which action by the client indicates an acceptance of his recent amputation?
- A. He verbalizes acceptance.
- B. He looks at the operative site.
- C. He asks for information regarding prosthesis.
- D. He remains silent during dressing changes.
Correct Answer: C
Rationale: Asking about a prosthesis indicates the client is planning for future mobility and adapting to the amputation, a strong sign of acceptance. Verbalizing acceptance is less specific, looking at the site may indicate curiosity or distress, and silence suggests denial or withdrawal.
An adult has completed an alcohol detoxification program and is being discharged with disulfiram (Antabuse). Which statement that the client makes indicates a need for more teaching?
- A. I have learned my lesson. I won't drink more than two beers.'
- B. I will not use mouthwash while I am taking Antabuse.'
- C. I should take the Antabuse every day.'
- D. If I have to go to the emergency room for any reason, I will tell them I take Antabuse.'
Correct Answer: A
Rationale: Planning to drink alcohol (even minimally) while on disulfiram indicates misunderstanding, as it causes severe reactions with alcohol. Other statements show proper understanding.
A client admitted with acute hypoparathyroidism.
It is MOST important for the nurse to have which of the following items available?
- A. Tracheostomy set.
- B. Cardiac monitor.
- C. IV monitor.
- D. Heating pad.
Correct Answer: A
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) correct-tracheostomy set is the most important for the client's safety due to risk for laryngospasm (2) nice to have, but not the most important (3) nice to have, but not the most important (4) unnecessary
The nurse is caring for a client with a history of ulcerative colitis.
- A. Which laboratory finding is most concerning for a client with ulcerative colitis?
- B. Hemoglobin of 10.5 g/dL.
- C. White blood cell count of 15,000/mm³.
- D. Serum potassium of 3.8 mEq/L.
- E. Albumin of 3.0 g/dL.
Correct Answer: B
Rationale: A white blood cell count of 15,000/mm³ suggests infection or severe inflammation in ulcerative colitis, requiring immediate attention. Low hemoglobin and albumin are common, and normal potassium is unremarkable.
A 55-year-old woman with end-stage metastatic cancer of the breast is admitted to the hospital. It is MOST important for the nurse to
- A. suction the patient frequently.
- B. provide an air mattress.
- C. turn the patient every two hours.
- D. give the patient frequent baths.
Correct Answer: C
Rationale: Turning every two hours prevents pressure ulcers in immobile cancer patients, a priority for skin integrity. Options A, B, and D are less critical unless specifically indicated.