Nokea
Which statement by an adolescent with acne indicates that additional teaching about taking tetracycline hydrochloride (Panmycin) is needed?
- A. I'll take the medication with a full glass of water.
- B. I won't take any antacids with this medication.
- C. I'll take this medication with food.
- D. I'll avoid sun exposure while taking this medication.
Correct Answer: C
Rationale: Tetracycline should be taken on an empty stomach, as food reduces absorption. The statement about taking it with food indicates a need for further teaching.
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The client with oligohydramnios and possible intrauterine growth restriction gives birth. The newborn’s 1-minute Apgar score was 6,and the 5-minute Apgar score is 7. Which conclusion should the nurse make from this information?
- A. A low Apgar score at 1 minute correlates with infant mortality.
- B. The 5-minute Apgar score of 7 is within normal parameters.
- C. Neurological problems are unlikely with a 5-minute score of 7.
- D. Oligohydramnios would not have affected the Apgar score.
Correct Answer: B
Rationale: A 5-minute Apgar score at or above 7 is considered normal. A low 1-minute score is not associated with mortality but a low 5-minute score is. Apgar scores are poor predictors of neurological outcomes and oligohydramnios can affect scores.
When is the correct time for the nurse to administer the child's morning dose of a combination regular and NPH insulin?
- A. 30 minutes before breakfast is served
- B. 15 minutes before breakfast is served
- C. 30 minutes after breakfast is served
- D. 15 minutes after breakfast is served
Correct Answer: A
Rationale: Regular insulin peaks in 2-4 hours, and NPH peaks in 4-12 hours. Administering the combination 30 minutes before breakfast aligns insulin onset with food intake, controlling postprandial glucose levels effectively.
When discussing cerebral palsy with the parents of a newly diagnosed child, which information is correct?
- A. Cerebral palsy is a nonprogressive disease caused by damage to the brain.
- B. Brain surgery commonly helps or even cures children with cerebral palsy.
- C. Physical therapy is of little value to a child with cerebral palsy.
- D. Cerebral palsy is the result of injury to the sensory areas of the brain.
Correct Answer: A
Rationale: Cerebral palsy is a nonprogressive neurological disorder caused by brain damage, often before or during birth, affecting motor function but not worsening over time.
If the client asks the nurse for instructions on safe condom use, which information needs to be stressed?
- A. Condoms should be stored in a warm, dry place to prevent damage.
- B. Condoms are generally lubricated with mineral oil or petroleum jelly.
- C. A condom should be applied before the penis becomes erect.
- D. During application, a ½†space should be left at the end of the condom.
Correct Answer: D
Rationale: Leaving a ½†space at the condom's tip prevents breakage by allowing room for semen, a critical aspect of safe condom use to ensure effectiveness.
Which statement by the parents best indicates that the nurse's teaching has been effective?
- A. We'll give our child the penicillin for the full 10 days.
- B. We will keep our child at home until fully recovered.
- C. We will make sure that our child stays out of the sun with being treated.
- D. We'll notify the physician if our child has a sore throat.
Correct Answer: D
Rationale: Effective teaching about rheumatic fever emphasizes preventing recurrent streptococcal infections, which can trigger relapse. Notifying the physician about a sore throat ensures prompt treatment of potential streptococcal infections, reducing recurrence risk.