Nokea
The physician has ordered Basalgel (aluminum carbonate gel) for a client with recurrent indigestion. The nurse should teach the client common side effects of the medication, which include:
- A. Constipation
- B. Urinary retention
- C. Diarrhea
- D. Confusion
Correct Answer: A
Rationale: Aluminum-based antacids like Basalgel commonly cause constipation due to their effect on intestinal motility.
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Which laboratory finding would indicate a 62-year-old male client is at risk for ventricular dysrhythmia?
- A. magnesium 0.8 mmEq/L
- B. potassium 4.2 mmol/L
- C. creatinine 1.3 mg/dL
- D. total calcium 2.8 mmol/L
Correct Answer: A
Rationale: Low magnesium (0.8 mEq/L; normal 1.5-2.5 mEq/L) increases the risk of ventricular dysrhythmias. Other values are within normal ranges.
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 pediatric client with burns to the hands and arms has dressing changes with Sulfamylon (mafenide acetate) cream. The nurse is aware that the medication:
- A. Will cause dark staining of the surrounding skin
- B. Produces a cooling sensation when applied
- C. Can alter the function of the thyroid
- D. Produces a burning sensation when applied
Correct Answer: D
Rationale: Sulfamylon (mafenide acetate) causes a burning sensation upon application, which should be explained to the client.
When caring for the child with autistic disorder, the nurse should:
- A. Take the child to the playroom to be with peers
- B. Assign a consistent caregiver
- C. Place the child in a ward with other children
- D. Assign several staff members to provide care
Correct Answer: B
Rationale: A consistent caregiver provides stability and reduces anxiety in a child with autism.
A pregnant woman has experienced repeated vaginal monilial infections. When educating the client about the infection, which information should the nurse include? Select all that apply.
- A. Advise client to bathe daily.
- B. Explain the effects of increased estrogen production.
- C. Advise client to wear cotton panties and avoid nylon or pantyhose.
- D. Suggest client use panty liners to protect clothing.
- E. Advise the client to avoid wearing any panties.
Correct Answer: A,B,C
Rationale: Daily bathing (A), understanding estrogen's role in yeast growth (B), and wearing cotton panties (C) help manage monilial infections. Panty liners (D) may trap moisture, and avoiding panties (E) is impractical.