Nokea
Which of the following nursing approaches would be MOST appropriate to use while administering an oral medication to a four-month-old?
- A. Place the medication in 45 cc of formula.
- B. Place the medication in an empty nipple and allow the infant to suck.
- C. Place the medication in a full bottle of formula.
- D. Administer the medication using a plastic syringe, with the infant in the reclining position.
Correct Answer: B
Rationale: is a convenient method for administering medications to an infant
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The nurse has just received report from the previous shift. Which of the following clients should the nurse see FIRST?
- A. A client with chronic renal failure complaining of swollen fingers and ankle edema.
- B. A client one-day postoperative after abdominal surgery who has dried blood on the abdominal dressing.
- C. A client with type I diabetes mellitus who states, 'I have this quivering feeling in my abdomen.'
- D. A client on high doses of antibiotics for a resistant infection who complains of diarrhea.
Correct Answer: C
Rationale: indicates hypoglycemia; symptoms include tachycardia, cold and clammy skin, weakness and pallor; check blood sugar, offer milk
A 50-year old man who attends an outpatient clinic is taking chlorpromazine hydrochloride (Thorazine) 100 mg tid. He reports to the nurse that he is sleeping through the day.
What should the nurse do?
- A. Contact the physician to change the dose to 100 mg bid.
- B. Change the time of the medication to 100 mg in the morning, 100 mg after dinner, and 100 mg at hs.
- C. Instruct the man to take frequent naps during the day.
- D. Encourage the man to be more active during the day.
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) 300-400 mg/day is needed to treat psychosis (2) correct-will reduce daytime sedation (3) won't decrease sedation from medication (4) won't decrease sedation from medication
The nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following laboratory values should the nurse monitor closely?
- A. Serum potassium.
- B. Hemoglobin A1c.
- C. Platelet count.
- D. Serum creatinine.
Correct Answer: A
Rationale: TPN can cause electrolyte imbalances, particularly hyperkalemia or hypokalemia
A teenager comes to the clinic complaining of fatigue, a sore throat, and flu-like symptoms for the previous two weeks. Physical exam reveals enlarged lymph nodes and temperature of 100.3°F (37.9°C). Which of the following statements by the nurse is BEST?
- A. Cover your mouth and nose when you sneeze or cough.
- B. Eat in a separate room away from your family.
- C. Don't share your drinking glass or silverware with anybody.
- D. Stay in your room until all of your symptoms are gone.
Correct Answer: C
Rationale: symptoms indicate mononucleosis, spread by direct contact; advise family to avoid contact with cups and silverware for about 3 months
A 12-year-old boy injured his right knee yesterday during a soccer game.
- A. Which medication is best for a 12-year-old boy with a painful, swollen knee and hemophilia A?
- B. Oxycodone terephthalate (Percodan).
- C. Ibuprofen (Motrin).
- D. Enteric-coated aspirin.
- E. Codeine phosphate (Paveral).
Correct Answer: D
Rationale: Codeine is an appropriate analgesic for moderate to severe pain in hemophilia A, as it does not increase bleeding risk. Oxycodone (contains aspirin), ibuprofen, and aspirin prolong bleeding time and are contraindicated in bleeding disorders.