Nokea
The priority nursing intervention for a client with sickle cell crisis is to
- A. administer pain medication.
- B. administer packed RBC.
- C. administer oxygen.
- D. administer IV fluids.
Correct Answer: D
Rationale: IV fluids are the priority in sickle cell crisis to reduce blood viscosity, promote perfusion, and prevent organ damage.
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The nurse is talking in the lounge with other nurses about grief and loss. The nurse understands which to be true regarding grief and loss? Select all that apply.
- A. The process of grief is detrimental to physical and emotional health.
- B. Age, gender, and culture are a few factors that influence the grieving process.
- C. The nurse must explore his own feelings about death before he may effectively help others.
- D. The nurse should discourage expression of grief and loss because it may upset other clients nearby.
- E. The nurse can help the family develop ways to relieve loneliness and depression following the death of a loved one.
Correct Answer: B, C, E
Rationale: Age, gender, and culture influence grief; nurses must process their own feelings to help others, and supporting families post-loss is key. Grief is not inherently detrimental, and expression should be encouraged.
The nurse is caring for a client receiving theophylline for asthma. In reviewing client labs, the nurse understands that the dose is therapeutic when the drug level is at what concentration?
- A. 0.8-2 mcg/L
- B. 10-20 mg/L
- C. 10-20 mcg/mL
- D. 0.8-12 mmol/L
Correct Answer: C
Rationale: The therapeutic range for theophylline is 10-20 mcg/mL. Other ranges are incorrect for this medication.
The mother of a 2-year-old asks the nurse when she should schedule her son's first dental visit. The nurse's response is based on the knowledge that most children have all their deciduous teeth by:
- A. 15 months
- B. 18 months
- C. 24 months
- D. 30 months
Correct Answer: D
Rationale: Most children have all 20 deciduous teeth by 30 months, guiding the timing of the first dental visit.
Which of the following are common neurological changes associated with aging? Select all that apply.
- A. Dementia occurs.
- B. Threshold for sensory input increases.
- C. Perspiration is reduced.
- D. Short-term memory is impaired.
- E. Muscles atrophy.
Correct Answer: B,D
Rationale: Aging commonly increases sensory input threshold (B), making stimuli harder to perceive, and impairs short-term memory (D). Dementia (A) is not universal, perspiration reduction (C) is not neurological, and muscle atrophy (E) is musculoskeletal.
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.