Question

1. A nurse is providing teaching to an adolescent client who has been prescribed isotretinion (accutane). The nurse should inform the client that which of the following medications are contraindicated while taking accutane?

a. metronidazole (flagyl)

b. prednisolone (prednisone)

c. omeprazole (prilosec)

d. spironolactone (aldactone)

2. A nurse is preparing to administer chemotherapy to a client who has colon cancer. The client has the following laboratory results: WBC 700/mm3, RBC 2.8 million/mm3, Hgb 7.9 g/dLWhich of the following actions should the nurse perform first?

a. start the infusion

b. measure the client's temperature

c. observe for indications of hemorrhage

d. check the client's chart for epoetin (Epogen) prescriptions

3. A nurse is caring for a client who has a prescription for 4 units of regular insulin and 6 units of NPH insulin daily at 0700. At 0630, the client's blood glucose is 248. Which of the following should the nurse take?

a. administer 4 units of regular insulin and 6 units of NPH

b. withhold 4 units regular insulin until after the client's breakfast

c. administer 4 units regular insulin and withhold 6 units of NPH

d. withhold 6 units of NPH until after breakfast

4. A nurse is caring for a client who is experiencing ventricular fibrillation. Which of the following is the priority action by the nurse?

a. initiate chest compressions

b. defibrillate the client at 200 joules

c. ventilate the client with a bag mask

d. administer vasopressin 40 units IV

5. A PACU nurse is monitoring the drainage from an NG tube on a client after abdominal surgery. Which of the following findings in the first postop hour should the nurse report to the provider?

a. 75 ml of greenish yellow drainage

b. 100 ml of red drainage

c. 150 ml of serosanguineous drainage

d. 200 ml of brown drainage

6. A nurse is caring for a client who is taking digoxin (lanoxin) and furosemide (lasix). The client has a potassium level if 3.2 mEq/L. Which of the following should the nurse assess first?

a. respiratory status

b. muscle weakness

c. urine output

d. level of orientation

7. A nurse is teaching a client about contact dermatitis. Which of the following information should the nurse include in the teaching?

a. it can be contracted from poison ivy

b. it can be contracted from pet dander

c. you will notice white silvery scale on your skin

d. you will notice red circular area on your skin

Answer 1

2. A nurse is preparing to administer chemotherapy to a client who has colon cancer. The client has the following laboratory results: WBC 700/mm3, RBC 2.8 million/mm3, Hgb 7.9 g/dLWhich of the following actions should the nurse perform first?

Ans.d. Check the client's chart for epoetin.

Rationale:

The patient has low red blood cells and hemoglobin which shows that he is anemic. Epoetin is an injection used to treat anemia due to chemotherapy. Epoetin should be used to increase the red cell count. Hence option d is correct.

Initiating infusion without correcting anemia which further lows the cell count and results in complication. Hence option a,b,c is incorrect.

4. A nurse is caring for a client who is experiencing ventricular fibrillation. Which of the following is the priority action by the nurse?

Ans. b. Defibrillate the client at 200 joules.

Rationale:

The priority of nursing action during ventricular fibrillation is defibrillating the patient between 120J to 200J. Giving shock is the first priority. Hence option b is correct. Chest compressions are given in case of cardiac arrest. Vasopressin of 60Units is administered after defibrillation to restore normal rhythm. Hence option a, c, d is incorrect.

6. A nurse is caring for a client who is taking digoxin (Lanoxin) and furosemide (Lasix). The client has a potassium level if 3.2 mEq/L. Which of the following should the nurse assess first?

Ans. b. muscle weakness.

Rationale:

The nurse must assess for signs of hypokalemia. The most common signs of low potassium levels are muscle weakness. Hence option b is correct. The remaining options are not related to hypokalemia signs and symptoms. Hence it is incorrect.

7. A nurse is teaching a client about contact dermatitis. Which of the following information should the nurse include in the teaching?

Ans. d. you will notice a red circular area on your skin

Rationale:

Contact dermatitis develops red itchy scales on the skin. Hence option d is correct. It contracted from jewelry, cosmetics, plants, and fragrances. white silvery patches are called psoriasis. Hence option a,b, c is incorrect.