Nokea
The pediatric nurse is reinforcing education about medication administration to the parents of a 4-year-old client. Which statements made by the parents demonstrate correct understanding? Select all that apply.
- A. I can mix the medication in a bowl of my child's favorite cereal.
- B. I should give another dose if my child vomits after taking the medication.
- C. I should measure liquid medications using an oral syringe.
- D. I will encourage my child to help me as I prepare the medication.
- E. I will place my child in time-out if the medication is refused.
Correct Answer: C
Rationale: Using an oral syringe ensures accurate dosing. Mixing with food, redosing after vomiting, involving the child in preparation, or punishing refusal are inappropriate.
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A client is scheduled for a cataract extraction. Preoperatively, 1% atropine is instilled into the client's right eye. The nurse knows that this drug would be contraindicated if the client also had which of the following conditions?
- A. Bradycardia
- B. Hypothyroidism
- C. Diabetes
- D. Glaucoma
Correct Answer: D
Rationale: Atropine, an anticholinergic, increases intraocular pressure, worsening glaucoma. Bradycardia, hypothyroidism, or diabetes are not contraindications for ocular atropine.
The daughter of an 80-year-old client recently diagnosed with Alzheimer disease (AD) says to the nurse, 'I guess I can anticipate getting this disease myself at some point.' What is an appropriate response by the nurse?
- A. Engaging in regular exercise decreases the risk of AD.
- B. Having a family history of AD is not a risk factor.
- C. Try not to worry about this now as you can't do anything to prevent AD.
- D. You should avoid aluminum cans and cookware to prevent AD.
Correct Answer: A
Rationale: Regular exercise is associated with a reduced risk of Alzheimer disease. Family history is a risk factor, and aluminum is not a proven cause.
The nurse is reinforcing teaching to a client diagnosed with Raynaud phenomenon about ways to prevent recurrent episodes. Which instructions should the nurse include? Select all that apply.
- A. Avoid excess caffeine
- B. Immerse hands in cold water
- C. Practice yoga or tai chi
- D. Refrain from using tobacco products
- E. Wear gloves when handling cold objects
Correct Answer: A,C,D,E
Rationale: Caffeine, tobacco, and cold exposure can trigger Raynaud episodes. Yoga/tai chi and gloves help prevent attacks. Cold water immersion exacerbates symptoms.
The nurse is observing a certified nursing assistant move a client. Which action, if observed, indicates that the nursing assistant needs more instruction?
- A. The assistant stands with feet spread apart.
- B. The assistant bends from the waist.
- C. The assistant turns her whole body.
- D. The assistant keeps her back straight.
Correct Answer: B
Rationale: Bending from the waist strains the back, indicating improper technique. Wide stance, whole-body turning, and straight back are correct for safe client movement.
The nurse is reviewing new medication prescriptions for assigned clients. The nurse should clarify the prescription for?
- A. PO oxycodone for a client who had a total hip replacement 1 day ago, has a history of buspirone use, and is reporting pain rated as 6 on a scale of 0-10
- B. PO tramadol for a client who had a laparoscopic cholecystectomy 1 day ago, has a history of nicotine use, and is reporting pain rated as 5 on a scale of 0-10
- C. transdermal fentanyl for a client who had an above-the-knee amputation 2 days ago, has a history of cocaine use, and is reporting pain rated as 8 on a scale of 0-10
- D. transdermal lidocaine 5% for a client who has chronic postherpetic neuralgia, has a history of alcohol use, and is reporting pain rated as 7 on a scale of 0-10
Correct Answer: C
Rationale: Transdermal fentanyl is typically reserved for chronic pain, not acute postoperative pain, and requires clarification.