Nokea
Which of the following conditions assessed by the nurse would contraindicate the use of benztropine (Cogentin)?
- A. Neuro malignant syndrome
- B. Acute extrapyramidal syndrome
- C. Glaucoma, prostatic hypertrophy
- D. Parkinson's disease, atypical tremors
Correct Answer: C
Rationale: Glaucoma, prostatic hypertrophy. These are contraindications to benztropine due to its anticholinergic effects.
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The nurse should anticipate the client with a gastric ulcer to have pain
- A. two to three hours after a meal.
- B. at night.
- C. relieved by ingestion of food.
- D. one-half to one hour after a meal.
Correct Answer: D
Rationale: pain related to a gastric ulcer occurs about one-half to one hour after a meal and rarely at night; is not helped by ingestion of food
The nurse is teaching the mother of a 5 month-old about nutrition for her baby. Which statement by the mother indicates the need for further teaching?
- A. I'm going to try feeding my baby some rice cereal.'
- B. When he wakes at night for a bottle, I feed him.'
- C. I dip his pacifier in honey so he'll take it.'
- D. I keep formula in the refrigerator for 24 hours.'
Correct Answer: C
Rationale: I dip his pacifier in honey so he'll take it.' Honey has been associated with infant botulism and should be avoided. Older children and adults have digestive enzymes that kill the botulism spores.
The nurse is caring for a client who is postoperative day 2 after a bowel resection. Which of the following findings should the nurse report immediately?
- A. Absence of bowel sounds.
- B. Mild abdominal distension.
- C. Pain at the incision site.
- D. Urine output of 40 mL/hour.
Correct Answer: A
Rationale: Absence of bowel sounds on day 2 suggests ileus or obstruction, requiring immediate reporting. Options B, C, and D are expected or normal.
A 34-year-old male is admitted to the hospital with a possible diagnosis of pheochromocytoma. Which of the following symptoms would the nurse not expect to see during an attack?
- A. Orthostatic hypotension
- B. Diaphoresis
- C. Apprehension
- D. Bradycardia
Correct Answer: D
Rationale: Pheochromocytoma causes catecholamine release, leading to tachycardia, not bradycardia, during an attack.
A patient is scheduled for electro-convulsive therapy treatment scheduled in the morning. What must the evening nurse do to provide the client ECT treatment possible?
- A. Patient signs an informed consent form
- B. Patient is given morning medications
- C. Patient gets a good night's sleep
- D. Patient has a good breakfast
Correct Answer: A
Rationale: An informed consent is required prior to surgery.