Question

1. A charge is mentoring a newly licensed nurse. Which of the following actions by the newly licensed nurse indicates the need for intervention by the charge nurse?

1. Uses an IV infusion pump to administer total parenteral nutrition to a client.
2. Inserts an NG tube for a client using clean technique
3. Crushes an SL tablet to administer into a client’s feeding tube
4. Stabilizes a client’s indwelling urinary catheter with the nondominant hand prior to inflation of the balloon.

2. A nurse is reviewing laboratory results for a client who has heart failure and notes a serum potassium level of 5.2 mEq/L. Which of the following medication should the nurse withhold?

1. Furosemide
2. Spironolactone
3. Atorvastatin
4. Metoprolol

3. A nurse is teaching a client who has migraine headaches how to use biofeedback to reduce the need for pharmacological interventions. Which of the following information should the nurse include in the teaching?

1. “Biofeedback stimulates certain pressure points to relax muscles.”
2. “Biofeedback improves energy flow through soft tissue manipulation to increase circulation.”
3. “Biofeedback requires concentration to control physiological responses.”
4. “Biofeedback uses herbs to reduce inflammation.”

4. A nurse is teaching the parents of a child who has a new onset of seizure and is to undergo an electroencephalogram (EEG) about the procedure. Which of the following instructions should the nurse include in teaching?

1. “Give the child acetaminophen for pain following the procedure.”
2. “Ensure the child’s hair is clean and without conditioner before the procedure.”
3. “Keep the child out of the sun for 4 hr following the procedure.”
4. “Make the child NPO before the procedure.”

5. A school nurse is teaching a parent about absence seizure. Which of the following information should the nurse include?

1. “This type of seizure can be mistaken for daydreaming.”
2. “This type of seizure lasts 30 to 60 seconds.”
3. “This child usually has an aura prior to onset.”
4. “The type of seizure has a gradual onset.”

Answer 1

1st answer - c , all other not done by nurse ,do doctors

2nd- a , furosemide because furosemide do loss of potassium in urine , pottasium lowering drug

3- answer - a , biofeedback relax muscle and improve headache

4- d - beacuse risk of regurgitation

5- a,

B is wrong because last only for 15sec

No aura

Acute onset