Nokea
The nurse is teaching a client and family about phenelzine (Nardil).
Which of the following foods would the nurse urge the client to avoid?
- A. Eggs
- B. Vegetables
- C. American cheese
- D. Fruits
Correct Answer: C
Rationale: Cheese is one of the foods that may cause a hypertensive crisis when taken with Nardil, a monoamine oxidase inhibitor (MAOI).
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Which teaching method is most effective when providing health care instructions to members of specific populations?
- A. teach-back
- B. video instructions
- C. written materials
- D. verbal explanation
Correct Answer: A
Rationale: The teach-back method ensures understanding by having patients repeat instructions in their own words, making it ideal for diverse populations with varying literacy levels. Video, written, or verbal methods may not confirm comprehension.
An adult is admitted to the psychiatric unit with a severe phobia. She develops severe anxiety when she crosses any type of bridge. She can no longer go to work or go shopping at the mall. The day after admission, she develops a panic attack and refuses to go to occupational therapy because she has to cross a bridge-like structure to go from one area of the hospital to another. How should the nurse respond to this situation?
- A. Accompany the client as she goes to occupational therapy
- B. Request that she be excused from occupational therapy until she is less anxious
- C. Have a staff member walk her to occupational therapy by a different route that does not cross a bridge-like structure
- D. Tell her that facing her fears is the only way to conquer them and that the nurse will help her do that
Correct Answer: C
Rationale: Using an alternate route avoids triggering the phobia, allowing participation in therapy while respecting her current anxiety level.
A client has been on antibiotics for 72 hours for cystitis. Which report from the client requires priority attention by the nurse?
- A. foul smelling urine
- B. burning on urination
- C. elevated temperature
- D. nausea and anorexia
Correct Answer: C
Rationale: Elevated temperature after 72 hours on an antibiotic indicates the antibiotic has not been effective in eradicating the offending organism. The provider should be informed immediately so that an appropriate medication can be prescribed, and complications such as pyelonephritis are prevented.
The nurse doing a newborn assessment counts the infant's cord vessel.
In a normal infant there are:
- A. Two vessels: one vein and one artery.
- B. Three vessels: two veins and one artery.
- C. Three vessels: one vein and two arteries.
- D. Four vessels: two veins and two arteries.
Correct Answer: C
Rationale: There are three vessels: one vein (carries oxygenated blood to the fetus) and two arteries (return deoxygenated blood to the placenta) in a normal umbilical cord.
A client with Anemia has been prescribed liquid iron. Which would the nurse expect to be included in the teaching plan?
- A. Take the medication through a straw.
- B. Administer this drug mixed with coffee.
- C. The drug causes the urine to turn black.
- D. The drug must be stored in the refrigerator.
Correct Answer: A
Rationale: Liquid iron should be administered through a straw to prevent dental staining. Answers B, C, and D are not correct instructions for taking liquid iron, so they are incorrect.