Question

A client who has cancer is being discharged to home with hospice services. The client has a prescription for oxycodone for pain control. Which of the following medications should the nurse remind the client to take regularly to prevent a common adverse effect of this pain mediation?

1. Ranitidine
2. Gabapentin
3. Docusate sodium
4. Lorazepam
   
   A nurse is caring for an adolescent client who has been hospitalized for several weeks. Which of the following actions should the nurse take relative to the client’s developmental stage?

1. Invite the client’s parents to stay overnight in their daughter’s room.
2. Provide the client with a variety of jigsaw and word puzzles.
3. Arrange for uninterrupted visits with the client’s friends.
4. Encourage the client’s friends to bring their favorite books for her to read.
   
   A nurse is reinforcing teaching with a parent of a preschool age child who has a new diagnosis of varicella. Which of the following statements by the parent indicates an understanding of the teaching?

1. I will apply an antipruritic cream to my child’s skin.
2. I will give my child an antibiotic for 10 days.
3. I will apply alcohol to my child’s skin to help dry out the lesions.
4. I will give my child bubble baths every day.

   A nurse is participating in a performance improvement program. Which of the following actions should the nurse take to evaluate the effectiveness of the program?

5. Review the facility’s policy and procedure manual.
6. Define the problem.
7. Identify data collection methods.
8. Perform chart audits.

A nurse is assisting with the admission of an adolescent client who is suspected to have bacterial meningitis. Which of the following findings should the nurse expect?

1. Jaundice
2. Nuchal rigidity
3. Hematuria
4. 2+ pedal edema
   
   A nurse is transcribing a prescription from a provider. The prescription reads Gentamicin 2 gtt OD Q4H.” Which of the following information should the nurse clarify with the provider?

1. Time
2. Dosage
3. Route
4. Medication

A nurse is reinforcing discharge teaching with a client who is postoperative and has a prescription for oxycodone. Which of the following information should the nurse include regarding the prevention of constipation?

1. Take a stool softener at bedtime.
2. Decrease physical activity
3. Reduce daily fiber intake.
4. Limit water to four glasses per day.

A nurse is caring for a 3 year old child at well-child visit. The parents report they are concerned that their son has begun playing with an imaginary friend. Which of the following responses should the nurse make?

1. Children have imaginary friends to gain attention.
2. This is a common behavior for children of this age.
3. You should seek family counseling if this behavior concerns you.
4. d. How many hours per day does your child watch television

A charge nurse is observing a newly licensed nurse perform suctioning for a client who has a tracheostomy. For which of the following actions by the newly licensed nurse should the charge nurse intervene?

1. Pre-oxygenates with 100% oxygen.
2. Applies suction during catheter removal
3. Auscultates breath sounds
4. Suctions for 30 seconds.

A nurse is reinforcing teaching about foot care with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

1. I should wear the same shoes all day.
2. I should not use moisturizer on my feet.
3. I should shake out my shoes before I put them on.
4. I can remove my own calluses with a pumice stone.

A charge nurse is discussing confidentiality requirements with a newly licensed nurse about sharing a client’s medical information. Which of the following individuals should the charge nurse identify as appropriate with whom to share client information?

1. A nurse from another unit after a client commits suicide.
2. A client’s partner after the client reports intimate partner abuse
3. A social worker who is assigned to an involuntarily committed school-age client
4. A client’s employer who is concerned about safety due to substance use

A nurse is providing skin care for a 14 year- old adolescent client who is in skeletal traction for a fractured femur. Which of the following actions should the nurse take? (Select all that apply.)

1. Check the clients skin every 2hours.
2. Elevate the head of the bed to 90’ angle
3. Cleanse the skin with soap-free agents.
4. Use a draw sheet to move the client in bed
5. Massage reddened bony prominences.

A nurse is reinforcing teaching about sterile technique with a newly licensed nurse. The nurse should include in the teaching that which of the following procedures requires sterile technique?

1. Suctioning a tracheostomy
2. Removing an NG tube
3. Administering an enema
4. Applying an external urinary device

A nurse is caring for a client who has a new prescription for ferrous sulfate. For which of the following findings should the nurse monitor the client?

1. Gastrointestinal distress
2. Orange urine
3. Decreased clotting times
4. Orthostatic hypotension

Question 96

A nurse is reinforcing discharge teaching with a parent of a newborn about umbilical cord care. Which of the following statements by the parent indicates an understanding of teaching?

1. I will fold the diaper below my baby’s cord
2. I will wash the cord with warm, soapy water
3. I will use hydrogen peroxide on the cord during each diaper change
4. I will apply petroleum jelly daily to my baby’s cord.
   
   
   
   Question 97
   
   A nurse is preparing to administer acetaminophen 50 mg PO to an infant, Available is acetaminophen liquid 80 mg / 0.8 ml. How many ml should the nurse administer? (Round the answer to the nearest tenth.) Use a leading zero if it applies. Do not use a trailing zero.)
   
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   Question 98
   
   A nurse is caring for a client who is in buck’s traction. Which of the following actions should the nurse take?

1. Check the skin twice daily for manifestations of breakdown
2. Ensure the weights are hanging freely
3. Monitor capillary refill once per day
4. Maintain elevation of the head of the bed.
   A nurse is caring for a client who delivered by cesarean birth 1 day ago. The client requests non-pharmacological interventions to manage pain. When changing positions. Which of the following responses should the nurse make?
5. You should change positions as little as possible.
6. You can apply counter pressure to your back with each position change
7. You should splint the incision with a pillow when changing position.
8. You should use breathing technique when changing position.

   A nurse is assisting with the care of client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. Which of the following findings should the nurse immediately report to the provider?

1. The client passes small clots in the drainage bag.
2. The nurse observes continuous bright red urinary output
3. The client suddenly develops bladder spasms
4. The nurse note the drainage flow rate has slowed
   
   
   

Answer 1

Question No. 1. Answer :

Is "C"

Because the common adverse effects of the Oxycodone is constipation, and it leads to stomach pain, the Docusate sodium is the stool softener, it will relieves the constipation and decreases the discomfort to the clients, who are using oxycodone.

So the answer is "c"

The Rantidine is common medicine along with all antibiotics and concentrated drugs, because those are causes the gastric irritation so it may used to reduce those gastric symptoms. It act like antacids.

Q. No 2. Answer : is "d "

Encourage the client's friends to bring their favorite books for her to read.

Because, Adolescent period is studying period, and she may be the student, because of loss of classes also there may be some stress and it is developmental stage, so by allowing interested things the clients may improve their intectual capacity and they can recover earlier.

So the answer is "d"

Q. No 4. Answer : is "d "

The nurse can perform the chart audits to evaluate the effective ness of the program.

Because audit means quality analyser, we can see the quality of care and performance by audits.

So the answer is "d"

Q. No. 5. Answer :

Is " b"

Because, nuchal regidity may suspect in bacterial meningitis due to rigidity of the neck muscles they can't able to bend their neck.

So the answer is "b"

Q. No 6. Answer : is "c"

Because here the Nurse know the time that is 4 th hourly and medication is gentamycine, and dose is 2 gtt Of means 2 drops once a day, but ,she don't have information regarding route.

So the answer is "c "

Q. No 7. Answer is "a "

Because one of the common side effect of oxycodone is constipation, so advice the client to take stool softener at bed time. So it will prevent the constipation.

So answer is "a"