Nokea
The nurse prepares a 25-year-old woman for a cesarean section. The patient says she had major surgery several years ago and asks if she will receive a similar 'shot' before surgery. The nurse’s response should be based on an understanding that the preoperative medication given before a cesarean section
- A. contains a lower overall dosage of medication than is given before general surgery.
- B. contains reduced amounts of sedatives and hypnotics than are given before general surgery.
- C. contains reduced amounts of narcotics than are given before general surgery.
- D. contains medications similar in type and dosages to those given before general surgery.
Correct Answer: C
Rationale: decreased so less narcotic crosses the placental barrier causing respiratory depression in the infant
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A client with tuberculosis has a prescription for Myambutol (ethambutol HCl). The nurse should tell the client to notify the doctor immediately if he notices:
- A. Gastric distress
- B. Changes in hearing
- C. Red discoloration of body fluids
- D. Changes in color vision
Correct Answer: D
Rationale: Ethambutol can cause optic neuritis, leading to changes in color vision, a serious side effect requiring immediate medical attention.
What would the nurse expect the admitting assessment to reveal in a client with glomerulonephritis?
- A. Hypertension
- B. Lassitude
- C. Fatigue
- D. Vomiting and diarrhea
Correct Answer: A
Rationale: Glomerulonephritis often causes hypertension due to fluid retention and renal dysfunction.
Which of the following antibiotics is contraindicated in children younger than 8 years?
- A. Tetracycline
- B. Augmentin
- C. Azithromycin
- D. Amoxicillin
Correct Answer: A
Rationale: Tetracycline (A) is contraindicated in children under 8 due to tooth discoloration and bone growth inhibition. Other antibiotics (B, C, D) are safe.
The nurse in the outpatient clinic teaches the mother of a 10-year-old boy with asthma how to prevent future asthmatic attacks. The nurse would be MOST concerned if the mother made which of the following statements?
- A. My son plays the tuba in the grade school band.
- B. My son loves to help his dad rake leaves.
- C. My son participates in after-school activities three days a week.
- D. My son walks one mile to school every day with his friends.
Correct Answer: B
Rationale: main cause of asthma is inhaled allergens (animal dander, mold, pollen, dust), would expose child to pollen and dust from leaves
When caring for a client with an anterior cervical discectomy, the nurse should give priority to assessing for post-operative bleeding. The nurse should pay particular attention to:
- A. Drainage on the surgical dressing
- B. Complaints of neck pain
- C. Bleeding from the mouth
- D. Swelling in the posterior neck
Correct Answer: D
Rationale: Swelling in the posterior neck may indicate a hematoma, which can compress the airway or spinal cord, a critical post-operative complication.