Nokea
Which of the following is normal for a client during the icteric phase of viral hepatitis?
- A. Tarry stools.
- B. Yellowed sclera.
- C. Shortness of breath.
- D. Light, frothy urine.
Correct Answer: B
Rationale: The icteric phase involves jaundice, causing yellowed sclera (B) due to bilirubin buildup. Tarry stools (A) indicate bleeding, not typical. Shortness of breath (C) and frothy urine (D) are unrelated.
You may also like to solve these questions
An African-American woman had experienced severe palpitations, weakness, and shortness of breath after taking bacitracin (Bactrim). As a part of the discharge planning, the nurse should evaluate the client's knowledge about:
- A. Increased folic acid needs.
- B. Congenital enzyme deficiency.
- C. Restricted activity in hot weather.
- D. Need for blood transfusions.
Correct Answer: B
Rationale: Bactrim (sulfamethoxazole/trimethoprim) can cause hemolytic anemia in individuals with glucose-6-phosphate dehydrogenase (G6PD) deficiency, a congenital enzyme deficiency common in African-American populations. The nurse should assess the client's understanding of G6PD deficiency and how to avoid triggers like certain medications. Folic acid, activity restrictions, and transfusions are not directly related.
The nurse reviews a client's medical history and identifies a diagnosis of presbycusis. The nurse should integrate which intervention in the care plan?
- A. Have educational materials in large print
- B. Provide an eye patch to the affected eye
- C. Request food be seasoned with herbs
- D. Move closer to the better-hearing ear
Correct Answer: D
Rationale: Presbycusis is age-related hearing loss, so moving closer to the better-hearing ear facilitates communication. Large print materials and eye patches address vision issues, and herb-seasoned food is unrelated.
A client with peripheral vascular disease and chronic obstructive pulmonary disease takes theophylline (Theo-Dur) 200 mg twice daily every day. The physician is considering adding pentoxifylline (Trental) to the regimen. The nurse should be aware that:
- A. The combination may increase the risk of bleeding
- B. The combination may increase theophylline levels
- C. The combination may cause severe hypotension
- D. The combination is contraindicated
Correct Answer: B
Rationale: Pentoxifylline may increase theophylline levels by inhibiting its metabolism, potentially leading to toxicity (e.g., nausea, tachycardia). The nurse should monitor theophylline levels and symptoms. Bleeding risk, severe hypotension, or contraindication are not documented interactions.
A client is to have a cystoscopy to rule out cancer of the bladder. Which of the following indicate that the client has developed a complication after the cystoscopy?
- A. Dizziness.
- B. 2. skills.
- C. Pink-tinged urine.
- D. Bladder spasms.
Correct Answer: D
Rationale: Bladder spasms post-cystoscopy indicate a complication, often due to irritation or trauma to the bladder lining, requiring medical attention. Pink-tinged urine is expected, and dizziness may relate to other causes.
It is the night before a client is to have a computed tomography (CT) scan of the head without contrast. The nurse should tell the client?
- A. You must shampoo your hair tonight to remove all oil and dirt.
- B. You may drink fluids until midnight, but after that drink nothing until the scan is completed.
- C. You will have some hair shaved to attach the small electrode to your scalp.
- D. You will need to hold your head very still during the examination.
Correct Answer: D
Rationale: Holding the head still during a CT scan is essential to obtain clear images. Shampooing, fasting, or shaving hair for electrodes are not required for a non-contrast head CT.