Nokea
Your patient with asthma is taking Theophylline. Which product below should the patient avoid consuming?
- A. Caffeine
- B. Dairy
- C. Wheat
- D. Shellfish
Correct Answer: A
Rationale: Caffeine can increase theophylline levels, leading to toxicity, as both are xanthine derivatives.
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A patient taking Isoniazid (INH) should be monitored for what deficiency?
- A. Vitamin C
- B. Calcium
- C. Vitamin B6
- D. Potassium
Correct Answer: C
Rationale: Isoniazid can cause peripheral neuropathy due to vitamin B6 (pyridoxine) deficiency. Patients are often given B6 supplements and monitored for this deficiency.
The school nurse is presenting a class to students at a primary school on how to prevent the transmission of the common cold virus. Which information should the nurse discuss?
- A. Instruct the children to always keep a tissue or handkerchief with them.
- B. Explain that children current with immunizations will not get a cold.
- C. Tell the children they should go to the doctor if they get a cold.
- D. Demonstrate to the students how to wash hands correctly.
Correct Answer: D
Rationale: Handwashing (D) is the most effective way to prevent cold transmission. Tissues (A) are secondary, immunizations (B) don’t prevent colds, and doctor visits (C) are unnecessary for most colds.
Which intervention should the nurse implement for a male client who has had a left-sided chest tube for six (6) hours and who refuses to take deep breaths because of the pain?
- A. Medicate the client and have the client take deep breaths.
- B. Encourage the client to take shallow breaths to help with the pain.
- C. Explain deep breaths do not have to be taken at this time.
- D. Tell the client if he doesn't take deep breaths, he could die.
Correct Answer: A
Rationale: Pain medication followed by deep breathing (A) prevents atelectasis. Shallow breaths (B), delaying (C), and fear tactics (D) are inappropriate.
The best evidence that the client understands the procedure for a pulmonary function test is when stating that it involves which action?
- A. Having an X-ray taken
- B. Drawing a blood specimen
- C. Breathing into a mouthpiece
- D. Examining expectorated sputum
Correct Answer: C
Rationale: Pulmonary function tests involve breathing into a mouthpiece to measure lung capacity and airflow.
Which assessment finding noted by the nurse on the client's return to the room is an early indication that the client's oxygenation status is compromised?
- A. The client's dressing is bloody.
- B. The client appears restless.
- C. The client's heart rate is irregular.
- D. The client indicates feeling cold.
Correct Answer: B
Rationale: Restlessness is an early sign of hypoxia, indicating compromised oxygenation status, which requires immediate attention.