Nokea
The nurse is teaching the mother regarding treatment for pedicalosis capitis. Which instruction should be given regarding the medication?
- A. Treatment is not recommended for children less than 10 years of age.
- B. Bed linens should be washed in hot water.
- C. Medication therapy will continue for 1 year.
- D. Intravenous antibiotic therapy will be ordered.
Correct Answer: B
Rationale: Washing bed linens in hot water helps eliminate lice and nits, which is a key part of treatment for pediculosis capitis.
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The nursing assistant reports to the nurse that a client who is one-day postoperative after an angioplasty is refusing to eat and states, 'I just don't feel good.' Which of the following actions, if taken by the nurse, is BEST?
- A. The nurse talks with the client about how he is feeling.
- B. The nurse instructs the nursing assistant to sit with the client while he eats.
- C. The nurse contacts the physician to obtain an order for an antacid.
- D. The nurse evaluates the most recent vital signs recorded in the chart.
Correct Answer: A
Rationale: assessment required; monitor for closure of vessel, bleeding, hypotension, dysrhythmias
The physician has ordered continuous bladder irrigation for a client following a prostatectomy. The nurse should:
- A. Hang the solution 2-3 feet above the client's abdomen
- B. Allow air from the solution tubing to flow into the catheter
- C. Use a clean technique when attaching the solution tubing to the catheter
- D. Clamp the solution tubing periodically to prevent bladder distention
Correct Answer: A
Rationale: Hanging the solution 2-3 feet above the abdomen ensures proper flow by gravity without excessive pressure, maintaining effective irrigation.
A client is admitted with a diagnosis of pernicious anemia. Which of the following signs or symptoms would indicate that the client has been noncompliant with ordered B12 injections?
- A. Hyperactivity in the evening hours
- B. Weight gain of 5 pounds in 1 week
- C. Paresthesia of hands and feet
- D. Diarrhea stools several times a day
Correct Answer: C
Rationale: Pernicious anemia causes B12 deficiency, leading to neurological symptoms like paresthesia. Noncompliance with B12 injections would result in persistent or worsening paresthesia.
A 52-year-old female with mitral valve stenosis is admitted to the floor. She asks the nurse why she got this condition because it does not run in her family. The nurse explains most cases of mitral stenosis are due to a history of
- A. right-sided heart failure.
- B. hypercholesterolemia.
- C. rheumatic fever.
- D. viral meningitis.
Correct Answer: C
Rationale: Rheumatic fever is the primary cause of mitral valve stenosis, leading to valve scarring years later.
Damage to the VII cranial nerve results in:
- A. Facial pain
- B. Absence of ability to smell
- C. Absence of eye movement
- D. Tinnitus
Correct Answer: C
Rationale: The VII cranial nerve (facial nerve) controls facial muscles; damage causes facial paralysis, affecting eye movement (e.g., inability to close the eye).