Nokea
\What should the nurse teach an older client with TIA?
- A. Not to worry about the symptoms that are part of the normal aging process
- B. To admit oneself to a rehabilitation center or a nursing home for rehabilitation
- C. To comply with the medication regimen
- D. To observe any changes in the nails and skin
Correct Answer: C
Rationale: The nurse should teach an older client with a transient ischemic attack (TIA) to comply with the medication regimen. TIA is a warning sign of a potential stroke, and medication compliance is crucial in reducing the risk of a future stroke. Medications prescribed after a TIA may include blood thinners, antiplatelet agents, antihypertensives, and cholesterol-lowering drugs. It is essential for the client to take these medications as directed by their healthcare provider to prevent further cardiovascular events. Compliance with the medication regimen plays a significant role in managing the risk factors associated with stroke and promoting long-term health and well-being.
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the therapeutic management of children with b-thalassemia major consists primarily of which of the following?
- A. oxygen therapy.
- B. adequate hydration.
- C. supplemental iron .
- D. frequent blood transfusions .
Correct Answer: D
Rationale: The primary therapeutic management of children with beta-thalassemia major involves frequent blood transfusions. This is necessary because beta-thalassemia major is a severe form of thalassemia where there is a significant reduction in the production of hemoglobin. Blood transfusions help to increase the levels of normal hemoglobin in the body, improving symptoms related to anemia and preventing complications such as growth failure and organ damage. Other treatments such as iron chelation therapy to manage iron overload and supportive measures like adequate hydration are also important, but frequent blood transfusions are the cornerstone of managing beta-thalassemia major.
Which action by the school nurse is important in the prevention of rheumatic fever?
- A. Encourage routine cholesterol screenings.
- B. Conduct routine blood pressure screenings.
- C. Refer children with sore throats for throat cultures.
- D. Recommend salicylates instead of acetaminophen for minor discomforts.
Correct Answer: C
Rationale: Referring children with sore throats for throat cultures is important in the prevention of rheumatic fever. Rheumatic fever is a complication of untreated streptococcal throat infections, specifically caused by group A Streptococcus bacteria. By identifying and treating streptococcal infections promptly with antibiotics, the risk of developing rheumatic fever is significantly reduced. The school nurse plays a crucial role in recognizing the symptoms of strep throat and ensuring that affected children are appropriately referred for testing and treatment. This can help prevent the serious consequences of rheumatic fever, which can affect the heart, joints, skin, and brain if left untreated. Encouraging routine cholesterol screenings (choice A) and blood pressure screenings (choice B) are important for overall health monitoring but are not directly related to the prevention of rheumatic fever. Recommending salicylates over acetaminophen (choice D) is not advisable in children due to the risk of Reye's syndrome
The nurse is teaching parents of a child with chronic renal failure (CRF) about the use of recombinant human erythropoietin (rHuEPO) subcutaneous injections. Which statement indicates the parents have understood the teaching?
- A. "These injections will help with the hypertension."
- B. "We're glad the injections only need to be given once a month."
- C. "The red blood cell count should begin to improve with these injections."
- D. "Urine output should begin to improve with these injections."
Correct Answer: C
Rationale: The correct statement indicating that the parents have understood the teaching is: "The red blood cell count should begin to improve with these injections." Recombinant human erythropoietin (rHuEPO) is a hormone used to stimulate red blood cell production in patients with chronic renal failure. By increasing red blood cell production, rHuEPO can help combat anemia, a common complication of chronic renal failure. Therefore, the improvement of the red blood cell count is an expected outcome of administering rHuEPO injections in patients with chronic renal failure. The other statements are not accurate regarding the effects of rHuEPO injections.
The nurse is caring for a client with diabetes insipidus. The nurse should anticipate the administration of:
- A. insulin.
- B. poatassium chloride.
- C. furosemide (Lasix)
- D. vasopressin (Pitressin).
Correct Answer: D
Rationale: Diabetes insipidus is a condition characterized by the inability of the kidneys to conserve water, leading to excessive urination and extreme thirst. The main treatment for diabetes insipidus is the administration of vasopressin (also known as antidiuretic hormone or ADH). Vasopressin helps the kidneys retain water, reduce urine output, and stabilize the body's fluid balance. Therefore, in caring for a client with diabetes insipidus, the nurse should anticipate the administration of vasopressin to help manage the symptoms of excessive urination and dehydration.
The nurse is caring for a school-age child with a tinea capitis (ringworm) infection. What should the nurse expect the therapeutic management of this child to include?
- A. Administering oral griseofulvin
- B. Administering topical or oral antibiotics
- C. Applying topical sulfonamides
- D. Applying Burow solution compresses to affected area
Correct Answer: A
Rationale: The nurse should expect the therapeutic management of a school-age child with tinea capitis to include administering oral griseofulvin. Griseofulvin is an antifungal medication commonly used to treat fungal infections like tinea capitis. Topical or oral antibiotics are not effective in treating fungal infections. Applying topical sulfonamides is also not a recommended treatment for tinea capitis. Burow solution compresses are used to provide relief for inflammatory skin conditions and are not specific treatments for fungal infections like tinea capitis.