Nokea
Which vitamin does a client lack if there is a problem with the absorption of calcium?
- A. Vitamin A
- B. Vitamin B
- C. Vitamin C
- D. Vitamin D
Correct Answer: D
Rationale: Vitamin D is essential for calcium absorption in the intestines. A deficiency impairs this process.
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When assessing a patient for anaphylaxis, you would be alert for
- A. Chest pain and indigestion.
- B. Hives and dyspnea.
- C. Hypertension and blurred vision.
- D. Headache and photophobia.
Correct Answer: B
Rationale: Anaphylaxis often presents with hives and difficulty breathing.
A patient is diagnosed with Bell's palsy and has signs of unilateral facial paralysis and is unable to close his right eye. What eye care is required?
- A. The patient will need to instill artificial teardrops and use an eye patch.
- B. None, since the symptoms will disappear in a few weeks.
- C. Increase fluid intake to prevent dryness of the eye.
- D. Wear sunglasses.
Correct Answer: A
Rationale: Protecting the exposed eye is crucial in Bell's palsy to prevent corneal damage.
When admitting a woman experiencing a spontaneous abortion at the ambulatory care center, the nurse notes that the admission form identifies the patient’s religion as Islam. What should the nurse understand about this patient?
- A. She should not receive any pork-derived products.
- B. She probably will not have purchased health insurance.
- C. Artificial contraception and abortion are prohibited.
- D. She will not be able to receive blood or blood products if an emergency develops.
Correct Answer: A
Rationale: Islamic dietary laws prohibit consumption of pork-derived products. While other options relate to Islamic beliefs, they are either incorrect assumptions or unrelated to immediate nursing care.
A college health nurse interprets the peak expiratory flow rate for a student who has asthma and finds that the student is in the yellow zone of his asthma action plan. The nurse should not base her actions on which of the following information?
- A. The student should use his quick-relief inhaler.
- B. The student's asthma is not well controlled.
- C. The student's peak flow is 50% to 80% of his best peak flow.
- D. The student needs to go to the hospital
Correct Answer: D
Rationale: The correct answer is D because the student being in the yellow zone indicates moderate symptoms, not severe enough to necessitate hospitalization. A: Using a quick-relief inhaler is appropriate for yellow zone symptoms. B: Yellow zone indicates asthma is not well controlled, supporting the need for action. C: Peak flow of 50% to 80% signals a reduction in lung function, requiring intervention but not immediate hospitalization. Thus, D is the incorrect choice because hospitalization is not warranted for yellow zone symptoms.
Which of these tasks are appropriate to delegate to the LPN/LVN who is functioning under the supervision of an RN? (Choose all that apply.)
- A. Assess the sexual implications for a client with oculogenital type Chlamydia trachomatis.
- B. Administer sulfacetamide sodium 10% (Sulf-10 Ophthalmic) to a child with conjunctivitis.
- C. Review handwashing and hygiene practices with clients who have eye infections.
- D. Show clients how to gently cleanse eyelid margins to remove crusting.
Correct Answer: B
Rationale: Administering medications is within the scope of practice for LPNs/LVNs under RN supervision.