Nokea
The physician has ordered that a 132-pound client with increased intracranial pressure receive 0.5 g of mannitol per kg in an IV solution. How many grams should be in the total mannitol dose? Record your answer using a whole number.
Correct Answer: 30
Rationale: Weight = 132 lb/ 2.2 = 60 kg. Dose = 0.5 g/kg X 60 kg = 30 g.
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The client taking Glyburide (Diabeta) should be cautioned to:
- A. Avoid eating sweets
- B. Report changes in urinary pattern
- C. Allow 3 hours for onset
- D. Check the glucose daily
Correct Answer: D
Rationale: Daily glucose monitoring is essential for clients on Glyburide to manage blood sugar levels effectively.
The nurse is completing admission on a client with possible esophageal cancer. Which finding would not be common for this diagnosis?
- A. Foul breath
- B. Dysphagia
- C. Diarrhea
- D. Chronic hiccups
Correct Answer: C
Rationale: Esophageal cancer commonly presents with dysphagia, foul breath (due to tumor necrosis), and chronic hiccups (from diaphragmatic irritation). Diarrhea is not typically associated with esophageal cancer.
Which of the following roommates would be most suitable for the client with myasthenia gravis?
- A. A client with hypothyroidism
- B. A client with Crohn's disease
- C. A client with pylonephritis
- D. A client with bronchitis
Correct Answer: A
Rationale: Hypothyroidism poses no infection risk, unlike pyelonephritis or bronchitis.
The nurse is caring for a Muslim client who is recovering from an automobile accident and is unable to cleanse herself after a bowel movement. Which of the following should the nurse do to show respect for the woman's cultural and religious beliefs?
- A. Use the left hand to cleanse the client's rectal area.
- B. Ask a female family member to assist the client.
- C. Wear gloves when cleansing the client's rectal area.
- D. Ask the client's husband to assist the client.
Correct Answer: B
Rationale: In Islamic culture, hygiene after defecation is important, and female clients may prefer assistance from female family members (B) to maintain modesty. The left hand (A) is traditionally used by the client, not the nurse. Gloves (C) are standard but not cultural. The husband (D) may not be appropriate due to modesty.
The doctor has prescribed Claratin (loratidine) for a client with seasonal allergies. The feature that separates Claratin from other antihistamines such as diphenhydramine is that the medication:
- A. Is nonsedating
- B. Stimulates appetite
- C. Is used for motion sickness
- D. Is less expensive
Correct Answer: A
Rationale: Loratadine (Claritin) is a second-generation antihistamine that is nonsedating, unlike first-generation antihistamines like diphenhydramine.