Nokea
Which of the following correctly describes Medicaid?
- A. A program designed to assist ill, low-income older adults.
- B. A federal insurance program for pregnant women.
- C. A joint federal-state program for low-income persons.
- D. A program administered by health maintenance organizations.
Correct Answer: C
Rationale: Medicaid is a joint federal-state program providing healthcare coverage for low-income individuals, including children, pregnant women, and the elderly.
You may also like to solve these questions
A primary health care provider has written a prescription for a client diagnosed with diabetic gastroparesis to receive metoclopramide four times a day. The nurse schedules this medication to be given at which times?
- A. With each meal and at bedtime
- B. Thirty minutes before meals and at bedtime
- C. One hour after each meal and at bedtime
- D. Every 6 hours spaced evenly around the clock
Correct Answer: B
Rationale: Metoclopramide stimulates the motility of the upper gastrointestinal tract and is used to treat gastroparesis (nausea, vomiting, and persistent fullness after meals). The client should be taught to take this medication 30 minutes before meals and at bedtime. The before-meals administration allows the medication time to begin working before the client consumes food that requires digestion. The other options suggest information that is incorrect.
The father of a 3-week-old infant who has developed sepsis says that he feels guilty because he did not realize his infant was sick. Which of the following responses by the nurse would be most appropriate?
- A. You should have realized something was wrong; he is your son.'
- B. Did you read the booklet on newborns that was sent home with you from the hospital?'
- C. What you're feeling is normal; next time, you will know what to look for.'
- D. Babies can get sick quickly, and parents do not always realize it.'
Correct Answer: D
Rationale: Reassuring the father that infants can become ill rapidly and that it's not always obvious validates his feelings and provides education without blame.
A client who has been taking diazepam (Valium) for 3 months for skeletal muscle spasms and the patient was a secret agent to the medication and the medication days ago because it was no longer helping him, but now he feels terrible. The nurse should assess the client for which of the following? Select all that apply.
- A. Insomnia.
- B. Euphoria.
- C. Bradycardia.
- D. Diaphoresis.
- E. Tremor.
- F. Vomiting.
Correct Answer: A, D, E, F
Rationale: Abrupt cessation of diazepam can cause withdrawal symptoms like insomnia, diaphoresis, tremor, and vomiting.
A client with a diagnosis of Tourette's syndrome is receiving haloperidol decanoate. The registered nurse asks the new nurse to describe the action of the medication. The new nurse responds correctly by stating that this medication has which action?
- A. Is a serotonin reuptake blocker
- B. Inhibits the breakdown of released acetylcholine
- C. Blocks the uptake of norepinephrine and serotonin
- D. Blocks the binding of dopamine to the postsynaptic dopamine receptors in the brain
Correct Answer: D
Rationale: Haloperidol decanoate is a typical antipsychotic medication used to manage symptoms of Tourette's syndrome, such as tics, by blocking the binding of dopamine to postsynaptic dopamine receptors in the brain, thereby reducing dopaminergic activity. It does not act as a serotonin reuptake blocker, inhibit acetylcholine breakdown, or block norepinephrine and serotonin uptake.
The nurse is caring for a client with a history of gastric ulcer who is prescribed sucralfate (Carafate). The nurse should instruct the client to take the medication:
- A. With meals to enhance absorption.
- B. On an empty stomach.
- C. At bedtime only.
- D. With an antacid.
Correct Answer: B
Rationale: Sucralfate should be taken on an empty stomach to coat the gastric mucosa effectively, promoting ulcer healing.