Nokea
What must be the priority consideration for nurses when communicating with children?
- A. Present environment
- B. Physical condition
- C. Nonverbal cues
- D. Developmental level
Correct Answer: D
Rationale: While each of the factors affects communication, the nurse recognizes that developmental differences have implications for processing and understanding information. Consequently, a child's developmental level must be considered when selecting communication approaches.
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A client has been receiving lithium (Lithane) for the past two weeks for the treatment of bipolar illness. When planning client teaching, what is most important for the nurse to emphasize?
- A. Maintain a low sodium diet
- B. Take a diuretic with lithium and avoid excessive fluids
- C. Don't be overly concerned if feelings of depression occur
- D. Come in for evaluation of serum lithium levels regularly
Correct Answer: D
Rationale: Come in for evaluation of serum lithium levels regularly. Regular monitoring prevents toxicity, especially during conditions like hot weather that affect sodium levels.
The physician prescribes sucralfate (Carafate) 1 gm PO tid and 2 Maalox tablets tid for a 50-year-old man in the outpatient clinic.
The client asks the nurse when to take these medications. The nurse should advise the man to take
- A. the Carafate and the Maalox 1 hour ac.
- B. the Maalox 1 hour ac and the Carafate 1 hour pc.
- C. the Carafate and the Maalox 2 hours pc and hs.
- D. the Carafate 1 hour ac and the Maalox 1 hour pc.
Correct Answer: D
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) Maalox (antacids) decreases bonding to GI mucosa, don't give within 30 minutes of each other (2) Carafate best results on empty stomach, antacids decrease bonding to GI mucosa, so don't give within 30 minutes of each other (3) antacids decrease bonding to GI mucosa, so don't give within 30 minutes of each other (4) correct-Carafate has best results on empty stomach
An adult is admitted with probable pulmonary tuberculosis. Which findings would the nurse expect to be present in this client? Select all that apply.
- A. High fevers in the morning
- B. Cough
- C. Bloody sputum
- D. Night sweats
- E. Weight gain
- F. Malaise
Correct Answer: B,C,D,F
Rationale: Tuberculosis causes chronic cough, hemoptysis (bloody sputum), night sweats, and malaise due to systemic infection. Fevers are typically low-grade and nocturnal, and weight loss, not gain, is common.
The nurse is assessing a client with complaints of right lower quadrant pain.
- A. Which assessment technique should the nurse use first to assess a client with right lower quadrant pain?
- B. Inspect the abdomen for distention or masses.
- C. Auscultate the abdomen for bowel sounds.
- D. Percuss the abdomen for tympany or dullness.
- E. Palpate the abdomen for tenderness or rebound.
Correct Answer: A
Rationale: Inspection is the first step in abdominal assessment, allowing the nurse to observe for distention, masses, or visible abnormalities before proceeding to auscultation, percussion, and palpation. Palpation last prevents discomfort that could alter other findings.
The nurse is teaching parents of an infant about introduction of solid food to their baby. What is the first food they can add to the diet?
- A. Vegetables
- B. Cereal
- C. Fruit
- D. Meats
Correct Answer: B
Rationale: Cereal is usually introduced first because it is well tolerated, easy to digest, and contains iron.