Nokea
Which information should be given to the client using a TENS unit?
- A. Electrocution may occur if you use water with this unit.'
- B. Skin irritation may occur with prolonged use of the unit.'
- C. The unit can be placed anywhere on the body without fear of adverse reactions.'
- D. A cream or lotion should be applied to the skin before applying the unit.'
Correct Answer: B
Rationale: Prolonged use of a TENS unit can cause skin irritation due to electrode adhesion or electrical stimulation. Electrocution is not a risk with battery-operated units, placement requires specific guidance, and lotions may interfere with electrode contact.
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A client with a history of gout is receiving Allopurinol (Zyloprim). The nurse should teach the client to:
- A. Increase fluid intake
- B. Avoid dairy products
- C. Take the medication on an empty stomach
- D. Limit protein intake
Correct Answer: A
Rationale: Allopurinol reduces uric acid, and increased fluid intake promotes uric acid excretion, preventing kidney stones. Dairy, empty stomach, and protein limits are not necessary.
The nurse is caring for a client with a history of a total knee replacement. The client complains of pain and swelling. The nurse should:
- A. Apply ice to the knee
- B. Elevate the leg
- C. Administer aspirin
- D. Notify the physician immediately
Correct Answer: A
Rationale: Ice reduces pain and swelling post-total knee replacement by decreasing inflammation. Elevation is helpful, aspirin requires an order, and notification is needed if symptoms persist.
The nurse is performing an assessment on a client with a history of a tension pneumothorax. Which finding is most concerning?
- A. Tracheal deviation
- B. Chest pain
- C. Tachypnea
- D. Fever
Correct Answer: A
Rationale: Tracheal deviation in a tension pneumothorax indicates mediastinal shift from increased intrathoracic pressure, a life-threatening emergency requiring immediate attention.
The physician has ordered synthetic thyroid medication for a patient with hypothyroidism. The nurse should instruct the client to:
- A. Take the medication with food to prevent nausea
- B. Take the medication at bedtime
- C. Take the medication in the morning with water
- D. Take the medication with the evening meal
Correct Answer: C
Rationale: Thyroid medication (e.g. levothyroxine) is best taken in the morning on an empty stomach with water to optimize absorption and align with the body’s circadian rhythm. Taking it with food or at other times may reduce efficacy.
A client with a history of a gastrectomy is being taught about dietary management. The nurse should encourage the client to:
- A. Eat six small meals a day
- B. Avoid fluids with meals
- C. Eat high-fiber foods
- D. Take a multivitamin daily
Correct Answer: A
Rationale: After a gastrectomy, eating six small meals a day prevents dumping syndrome by reducing gastric overload. Avoiding fluids with meals and taking vitamins are helpful, but small meals are primary.