Nokea
The patient asks when she should take bisphosphonate medications for treatment of osteoporosis. You tell her
- A. On a full stomach.
- B. Just before getting into bed.
- C. First thing in the morning on an empty stomach with a full glass of water, 30 to 60 minutes before eating, and without lying down.
- D. With an acidic liquid such as orange juice.
Correct Answer: C
Rationale: Bisphosphonates require specific administration guidelines to enhance absorption.
You may also like to solve these questions
Which type of agent does sulfur mustard fall under?
- A. Nerve agents
- B. Blistering agents
- C. Respiratory toxins
- D. Cyanide poisonings
Correct Answer: B
Rationale: The correct answer is B because sulfur mustard is a blistering agent that causes skin and respiratory damage.
For a client who has sustained recent blindness, which task(s) would be appropriate to delegate to the nursing assistant? (Choose all that apply.)
- A. Listen to the client express grief or loss.
- B. Assist client to ambulate in hall.
- C. Orient client to surroundings.
- D. Encourage independence.
Correct Answer: B
Rationale: Assisting with mobility is within the scope of practice for nursing assistants and ensures safety for the client.
A client has periodic outbreaks of cold sores long after the initial infection of herpes simplex virus. Why does this occur?
- A. The client has low resistance.
- B. The client has not received proper treatment.
- C. The viruses are dormant in the client.
- D. The viruses are immune to the therapy.
Correct Answer: C
Rationale: The correct answer is C because the herpes simplex virus can become dormant in nerve cells and reactivate periodically, leading to recurrent outbreaks.
Priority Decision: The nurse prepares to interview a patient for a nursing history but finds the patient in obvious pain. Which action by the nurse is the best at this time?
- A. Delay the interview until the patient is free of pain.
- B. Administer pain medication before initiating the interview.
- C. Gather as much information as quickly as possible by using closed questions that require brief answers.
- D. Ask only those questions pertinent to the specific problem and complete the interview when the patient is more comfortable.
Correct Answer: A
Rationale: The correct answer is 'Delay the interview until the patient is free of pain.' Pain can interfere with concentration and communication, making it difficult for the patient to provide accurate information. Delaying the interview ensures better quality data collection once the patient is comfortable.
A client with a chest tube connected to a closed drainage system needs to be transported to the x-ray department. Which of the following actions should the nurse take?
- A. Clamp the chest tube prior to transferring the client to a wheelchair.
- B. Disconnect the chest tube from the drainage system during transport.
- C. Keep the drainage system below the level of the client's chest at all times.
- D. Empty the collection chamber prior to transport.
Correct Answer: C
Rationale: The correct answer is C: Keep the drainage system below the level of the client's chest at all times. This is important to prevent backflow of air or fluid into the client's chest, which can lead to complications such as a pneumothorax or hemothorax. Gravity ensures that the drainage system functions properly and prevents any potential harm to the client.
A: Clamping the chest tube prior to transferring the client is incorrect as it can cause a dangerous buildup of pressure in the chest.
B: Disconnecting the chest tube from the drainage system can also lead to complications and disrupt the drainage process.
D: Emptying the collection chamber is important but not the priority during transport; keeping the drainage system below the chest level is crucial for the client's safety.