Nokea
When the nurse teaches the client how to self-administer potassium iodide (Lugol's solution), which instruction is most appropriate?
- A. Swallow the drug quickly.
- B. Take the drug before meals.
- C. Dilute the drug in fruit juice.
- D. Chill the drug before taking it.
Correct Answer: C
Rationale: Diluting potassium iodide in fruit juice improves palatability and reduces gastric irritation.
You may also like to solve these questions
An elderly client with Type 2 diabetes mellitus develops an ingrown toenail. What is the best action for the nurse to take?
- A. Put cotton under the nail and clip the nail straight across
- B. Elevate the foot immediately
- C. Apply warm, moist soaks
- D. Notify the physician
Correct Answer: D
Rationale: An ingrown toenail in a diabetic client risks infection and poor healing, requiring physician evaluation rather than self-treatment.
Which client statement indicates the need for further teaching about thyroidectomy postoperative care?
- A. I should support my neck when sitting up.
- B. I may need calcium supplements.
- C. I can resume normal activities immediately.
- D. I should report any voice changes.
Correct Answer: C
Rationale: Resuming normal activities immediately post-thyroidectomy is incorrect due to the risk of complications like bleeding or hypocalcemia.
Which assessment findings would the nurse expect to document the patient's health care, and the patient's health care? Select all that apply.
- A. The client is hypertensive and tachycardic.
- B. The client is dyspneic and hypotensive.
- C. The client breathes noisily and smells of acetone.
- D. The client stares blankly and smells of alcohol.
- E. The client has warm, flushed skin and has vomited.
- F. The client complains of abdominal pain and is thirsty.
Correct Answer: C,E,F
Rationale: DKA is characterized by acetone breath, warm/flushed skin, vomiting, abdominal pain, and thirst due to hyperglycemia and dehydration.
Which statement by the client indicates a misunderstanding of the expected surgical outcome?
- A. My appearance will gradually become normal.
- B. I'll need to take replacement hormones.
- C. I'll need to see my physician regularly.
- D. The surgical incision will be inconspicuous.
Correct Answer: A
Rationale: In acromegaly, physical changes such as enlarged hands or facial features are typically irreversible, even after surgery.
Which nursing instruction should the nurse discuss with the client who is receiving glucocorticoids for Addison’s disease?
- A. Discuss the importance of tapering medications when discontinuing medication.
- B. Explain the dose may need to be increased during times of stress or infection.
- C. Instruct the client to take medication on an empty stomach with a glass of water.
- D. Encourage the client to wear clean white socks when wearing tennis shoes.
Correct Answer: B
Rationale: Addison’s disease requires glucocorticoid replacement, and doses must be increased during stress or infection to mimic the body’s natural cortisol response and prevent adrenal crisis. Tapering applies to exogenous steroid cessation, empty stomach intake is incorrect, and socks are irrelevant.