Nokea
To minimize the extent of the damage to the spinal cord in a teen with a possible SCI, which classification of medication should the nurse expect to administer?
- A. An antibiotic
- B. An analgesic
- C. A steroid medication
- D. An antihypertensive medication
Correct Answer: C
Rationale: Steroids, such as methylprednisolone, are used acutely in SCI to reduce inflammation and swelling.
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The nurse is teaching the client with gout about a diet low in purines. Which of the following is lowest in purine?
- A. Roast chicken
- B. Beef liver
- C. Fried shrimp
- D. Scrambled eggs
Correct Answer: D
Rationale: Scrambled eggs are low in purines, suitable for a gout diet, unlike high-purine foods like liver and shrimp.
The clinic nurse completed teaching the client with a rotator cuff tear who is being treated conservatively. Which client statement indicates that further teaching is needed?
- A. I received a corticosteroid injection in my shoulder to reduce the inflammation and pain.'
- B. Now that the pain is controlled, I can do progressive stretching and strengthening exercises.'
- C. I will continue to take ibuprofen for pain control, but I should take it with food.'
- D. I will need an open acromioplasty to repair the torn cuff after the swelling is reduced.'
Correct Answer: D
Rationale: D. Conservative treatment for a rotator cuff tear typically involves non-surgical methods like corticosteroid injections, physical therapy, and NSAIDs. An open acromioplasty is a surgical procedure and not part of conservative management, indicating a misunderstanding by the client.
The client who had a total knee replacement is being discharged home. To which multidisciplinary team member should the nurse refer the client?
- A. The occupational therapist.
- B. The physiatrist.
- C. The recreational therapist.
- D. The home health nurse.
Correct Answer: D
Rationale: A home health nurse monitors recovery, manages complications, and supports mobility post-TKR. OT, physiatrists, and recreational therapists are less critical at discharge.
The client is taking calcium carbonate (Tums) to help prevent further development of osteoporosis. Which teaching should the nurse implement?
- A. Encourage the client to take Tums with at least eight (8) ounces of water.
- B. Teach the client to take Tums with the breakfast meal only.
- C. Instruct the client to take Tums 30 to 60 minutes before a meal.
- D. Discuss the need to get a monthly serum calcium level.
Correct Answer: A
Rationale: Taking Tums with water ensures proper absorption and prevents GI irritation. Timing with meals is flexible, pre-meal timing is unnecessary, and monthly calcium levels are not routine.
The parent of the child with which condition would be excluded from a teaching session for parents of children with genetic conditions?
- A. Spina bifida
- B. Osteomyelitis
- C. Muscular dystrophy
- D. Tourette's syndrome
Correct Answer: B
Rationale: Osteomyelitis is an infectious condition, not genetic, unlike spina bifida, muscular dystrophy, and Tourette's syndrome.