Nokea
Which of the following is the priority for a client in addisonian crisis?
- A. Controlling hypertension.
- B. Preventing irreversible shock.
- C. Preventing infection.
- D. Relieving anxiety.
Correct Answer: B
Rationale: Addisonian crisis is a life-threatening condition requiring urgent intervention to prevent irreversible shock due to adrenal insufficiency.
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When discussing recent onset of feelings of sadness and depression in a client with hypothyroidism, the nurse should inform the client that these feelings are:
- A. The effects of thyroid hormone replacement therapy and will diminish over time.
- B. Related to thyroid hormone replacement therapy and will not diminish over time.
- C. A normal part of having a chronic illness.
- D. Most likely related to low thyroid hormone levels and will improve with treatment.
Correct Answer: D
Rationale: Low thyroid hormone levels in hypothyroidism can cause depression and sadness, which typically improve with thyroid hormone replacement therapy.
The nurse is developing a discharge plan for a client who had a phacoemulsification procedure. Which of the following should the nurse include? Select all that apply.
- A. Teach the client how to instill eye drops.
- B. Instruct the client not to lie on the affected side.
- C. Remind the client that a reduction of vision is normal.
- D. Provide the client with an eye patch for the affected eye.
- E. Educate the client to avoid bending at the waist.
Correct Answer: A,B,D,E
Rationale: Post-phacoemulsification care includes teaching eye drop instillation, avoiding lying on the affected side, using an eye patch for protection, and avoiding bending to prevent pressure increase. Reduced vision is not normal and requires evaluation.
The nurse should instruct the client to avoid which of the following drugs while taking metoclopramide hydrochloride (Reglan)?
- A. Antihypertensives.
- B. Anticoagulants.
- C. Alcohol.
- D. Cimetidine.
Correct Answer: C
Rationale: Alcohol can enhance the sedative effects of metoclopramide and worsen gastrointestinal symptoms, so it should be avoided.
The nurse is assisting a client with crutches to ascend stairs. Which instruction is correct?
- A. Step up with the affected leg first.
- B. Use the handrail on the unaffected side.
- C. Advance both crutches to the next step first.
- D. Lean backward while stepping up.
Correct Answer: B
Rationale: Using the handrail on the unaffected side provides stability and safety while ascending stairs.
A client who has undergone a mastectomy is worried about her body image and its impact on her sexual relationship. The nurse should suggest:
- A. Wearing a prosthesis during intimate moments.
- B. Avoiding discussions about her surgery with her partner.
- C. Focusing only on non-physical aspects of intimacy.
- D. Ignoring her concerns as they are temporary.
Correct Answer: A
Rationale: Wearing a prosthesis can help the client feel more confident about her body image during intimate moments, supporting her sexual relationship.