Nokea
Which of the ff information should the nurse provide to clients who are prescribed rifampin?
- A. Take medication with meals
- B. Inform that contact lenses, if worn, may
- C. Avoid wearing glasses become colored
- D. Avoid tuna, aged cheese, and red wine
Correct Answer: B
Rationale: The correct answer is B because rifampin can cause discoloration of bodily fluids, including tears. If clients wear contact lenses, they need to be informed that the lenses may become colored due to this medication. This is important for the client's awareness and to prevent any potential harm to their eyes.
A: Taking medication with meals is not necessary for rifampin administration.
C: Avoiding wearing glasses is not relevant to rifampin treatment.
D: Avoiding tuna, aged cheese, and red wine is not specifically related to rifampin use.
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A nurse completes a thorough database and carries out nursing interventions based on priority diagnoses. Which action will the nurse take next?
- A. Assessment
- B. Planning
- C. Implementation
- D. Evaluation
Correct Answer: D
Rationale: The correct answer is D: Evaluation. After implementing nursing interventions based on priority diagnoses, the nurse must evaluate the effectiveness of these interventions to determine if the desired outcomes have been achieved. Evaluation is crucial to assess the progress, make necessary modifications, and ensure the effectiveness of the care provided. Assessment (A) is already completed before interventions are carried out. Planning (B) involves developing a care plan based on assessment findings. Implementation (C) is the actual carrying out of the interventions. Therefore, the next step after implementing nursing interventions is to evaluate their effectiveness.
\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 correct answer is C: To comply with the medication regimen. Teaching the older client with TIA to comply with medication regimen is crucial in preventing further TIAs or strokes. Medications like antiplatelets or anticoagulants are often prescribed to manage TIA. This education empowers the client to actively participate in their own health management.
Incorrect choices:
A: Not to worry about the symptoms that are part of the normal aging process - This is incorrect as TIA symptoms are not considered a normal part of aging and should not be ignored.
B: To admit oneself to a rehabilitation center or a nursing home for rehabilitation - This is incorrect as it is not the primary intervention for managing TIA.
D: To observe any changes in the nails and skin - This is incorrect as it is not directly related to managing TIA.
The nurse is developing a teaching plan for a patient. Which of the following is a modifiable risk factor for the development of hypertension? i.Race iv.Sedentary lifestyle ii.High cholesterol v.Age iii.Cigarette smoking
- A. 1 and 2
- B. 2, 3, 4 and 5
- C. 2, 3 and 4
- D. All of the above
Correct Answer: C
Rationale: The correct answer is C: 2, 3, and 4. High cholesterol, cigarette smoking, and a sedentary lifestyle are modifiable risk factors for developing hypertension. High cholesterol can lead to atherosclerosis, increasing blood pressure. Smoking can constrict blood vessels, raising blood pressure. Sedentary lifestyle can lead to obesity and overall poor cardiovascular health, contributing to hypertension. Race and age are non-modifiable risk factors. Choice A is incorrect because it includes race, a non-modifiable factor. Choice B is incorrect because it includes age, which is also non-modifiable. Choice D is incorrect because it includes all factors, including non-modifiable ones.
Which method of data collection will the nurse use to establish a patient’s database?
- A. Reviewing the current literature to determine evidence-based nursing actions
- B. Checking orders for diagnostic and laboratory tests
- C. Performing a physical examination
- D. Ordering medications
Correct Answer: C
Rationale: The correct answer is C: Performing a physical examination. This method allows the nurse to gather objective data directly from the patient's body, such as vital signs, skin condition, and overall health status. It provides a comprehensive overview of the patient's current health status and helps in establishing a baseline for further assessments and interventions.
Reviewing literature (A) is important for evidence-based practice but does not directly establish a patient's database. Checking orders for tests (B) is essential but does not provide a holistic view of the patient. Ordering medications (D) is a treatment intervention and not a data collection method.
A form of cancer therapy wherein a beam of high-energy electromagnetic radiation desires the cancer ceils?
- A. surgery
- B. radiation therapy
- C. chemotherapy
- D. pallitive treatment Situation: The nurse is assigned in a counseling clinic about preventive measures for cancers.
Correct Answer: B
Rationale: The correct answer is B: radiation therapy. Radiation therapy uses high-energy radiation to target and destroy cancer cells while minimizing damage to surrounding healthy tissues. It is a localized treatment that is effective in shrinking tumors and preventing cancer cell growth. Surgery (A) involves physically removing the tumor and surrounding tissues, while chemotherapy (C) uses drugs to kill cancer cells throughout the body. Palliative treatment (D) focuses on symptom management and improving quality of life in advanced stages of cancer. In this case, the focus is on a form of cancer therapy involving high-energy electromagnetic radiation, making radiation therapy the most appropriate choice.