Podcast
Questions and Answers
What does delayed carbohydrate digestion and absorption facilitate?
What does delayed carbohydrate digestion and absorption facilitate?
Transport of glucose into the cell
Which prescription should the nurse question for a client complaining of insomnia?
Which prescription should the nurse question for a client complaining of insomnia?
What nursing action is most important for a client planning to stop corticosteroids due to GI distress?
What nursing action is most important for a client planning to stop corticosteroids due to GI distress?
Which intervention is most important for a client reporting a burning sensation after receiving sulfa athenozole?
Which intervention is most important for a client reporting a burning sensation after receiving sulfa athenozole?
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What instruction should the nurse provide to minimize antibiotic resistance?
What instruction should the nurse provide to minimize antibiotic resistance?
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What should the nurse advise a client with symptoms of influenza considering oseltamivir (Tamiflu)?
What should the nurse advise a client with symptoms of influenza considering oseltamivir (Tamiflu)?
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What action should the nurse take when a client reports feeling nauseated after starting a secondary IV infusion of cafepime?
What action should the nurse take when a client reports feeling nauseated after starting a secondary IV infusion of cafepime?
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Donepezil hydrochloride (Aricept) is administered to a client with Alzheimer's disease for which client problem?
Donepezil hydrochloride (Aricept) is administered to a client with Alzheimer's disease for which client problem?
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Which laboratory finding requires immediate action by the nurse for a client receiving enoxaparin (Lovenox)?
Which laboratory finding requires immediate action by the nurse for a client receiving enoxaparin (Lovenox)?
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What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today?
What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today?
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Which intervention should the nurse implement first for a male adult diagnosed with influenza and presenting shortness of breath?
Which intervention should the nurse implement first for a male adult diagnosed with influenza and presenting shortness of breath?
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Which intervention should the nurse implement for an elder male client reporting sleep disturbance due to urinary issues?
Which intervention should the nurse implement for an elder male client reporting sleep disturbance due to urinary issues?
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Which serum laboratory value warrants the most immediate intervention by the nurse for a client admitted with diabetic ketoacidosis (DKA) and UTI?
Which serum laboratory value warrants the most immediate intervention by the nurse for a client admitted with diabetic ketoacidosis (DKA) and UTI?
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When notifying the healthcare provider about a client with sickle cell anemia developing a fever during blood transfusion, what information should the nurse provide first?
When notifying the healthcare provider about a client with sickle cell anemia developing a fever during blood transfusion, what information should the nurse provide first?
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What important aspect should the nurse explain regarding medication therapy for a client with PCP secondary to AIDS?
What important aspect should the nurse explain regarding medication therapy for a client with PCP secondary to AIDS?
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What action should the nurse implement next for a client with subjective data of dysuria, urgency, and urinary frequency?
What action should the nurse implement next for a client with subjective data of dysuria, urgency, and urinary frequency?
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How should the nurse respond to a client whose biopsy results indicate well-differentiated cancer cells?
How should the nurse respond to a client whose biopsy results indicate well-differentiated cancer cells?
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What should the nurse do first for a client with chronic kidney disease undergoing hemodialysis whose blood pressure drops significantly?
What should the nurse do first for a client with chronic kidney disease undergoing hemodialysis whose blood pressure drops significantly?
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If a client experiencing deep vein thrombosis (DVT) is receiving a continuous infusion of heparin, how should the nurse program the infusion pump to deliver an increased dosage of 900 units/hr?
If a client experiencing deep vein thrombosis (DVT) is receiving a continuous infusion of heparin, how should the nurse program the infusion pump to deliver an increased dosage of 900 units/hr?
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What subjective data reported by a client supports a diagnosis of peptic ulcer disease (PUD)?
What subjective data reported by a client supports a diagnosis of peptic ulcer disease (PUD)?
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Which information should the nurse provide to a Jewish client scheduled to receive a xenograft graft for burn healing?
Which information should the nurse provide to a Jewish client scheduled to receive a xenograft graft for burn healing?
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Which finding is most important for the nurse to report for a client who recently returned from a tropical country with vague symptoms?
Which finding is most important for the nurse to report for a client who recently returned from a tropical country with vague symptoms?
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Which information is most useful in determining the possible cause of eczema exacerbation during a home visit?
Which information is most useful in determining the possible cause of eczema exacerbation during a home visit?
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Which dietary instruction should the nurse include for a client with acute glomerulonephritis (AGN)?
Which dietary instruction should the nurse include for a client with acute glomerulonephritis (AGN)?
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Prior to advancing the diet of a male client 24 hours post-operative for exploratory laparotomy who complains of hunger, what should the nurse implement?
Prior to advancing the diet of a male client 24 hours post-operative for exploratory laparotomy who complains of hunger, what should the nurse implement?
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What should the nurse instruct a client with stable angina to do if chest pain is not relieved after taking 3 sublingual nitroglycerin tablets?
What should the nurse instruct a client with stable angina to do if chest pain is not relieved after taking 3 sublingual nitroglycerin tablets?
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What action should the nurse take if a client taking orlistat (Xenical) reports frequent oily stools?
What action should the nurse take if a client taking orlistat (Xenical) reports frequent oily stools?
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What should the nurse implement first for a client returning to the clinic with fever and rash after an abscess drainage?
What should the nurse implement first for a client returning to the clinic with fever and rash after an abscess drainage?
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Which finding should the nurse report immediately after observing a client experiencing an ABO incompatibility reaction post-transfusion?
Which finding should the nurse report immediately after observing a client experiencing an ABO incompatibility reaction post-transfusion?
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What action should the nurse take for a young adult male admitted with hyperglycemic nonketotic syndrome who exhibits labored respirations?
What action should the nurse take for a young adult male admitted with hyperglycemic nonketotic syndrome who exhibits labored respirations?
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What should the nurse do when applying a fentanyl transdermal patch while noting a previous patch is still intact?
What should the nurse do when applying a fentanyl transdermal patch while noting a previous patch is still intact?
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What action should the nurse implement for a client post-myocardial infarction with low blood pressure on nitroglycerin?
What action should the nurse implement for a client post-myocardial infarction with low blood pressure on nitroglycerin?
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What blood values should the nurse monitor for a client admitted after an overdose of acetaminophen?
What blood values should the nurse monitor for a client admitted after an overdose of acetaminophen?
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Which assessment finding during PCA pump administration of morphine sulfate should prompt the nurse to administer naloxone?
Which assessment finding during PCA pump administration of morphine sulfate should prompt the nurse to administer naloxone?
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Which assessment finding indicates that the muscarinic agent bethanechol (Urecholine) is effective for a client diagnosed with urinary retention?
Which assessment finding indicates that the muscarinic agent bethanechol (Urecholine) is effective for a client diagnosed with urinary retention?
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Which PRN prescription should be administered to a client exhibiting signs of delirium tremens (DTs)?
Which PRN prescription should be administered to a client exhibiting signs of delirium tremens (DTs)?
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What instructions should the nurse include for a client taking the diuretic spironolactone (Aldactone)?
What instructions should the nurse include for a client taking the diuretic spironolactone (Aldactone)?
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When should the nurse instruct a client with type 1 diabetes mellitus to take glucagon?
When should the nurse instruct a client with type 1 diabetes mellitus to take glucagon?
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Which explanation should be included when preparing a client with hyperthyroidism for radioactive iodine treatment?
Which explanation should be included when preparing a client with hyperthyroidism for radioactive iodine treatment?
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Which statement indicates that further teaching is needed for a client being treated for tuberculosis with rifampin?
Which statement indicates that further teaching is needed for a client being treated for tuberculosis with rifampin?
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What discharge instructions should the nurse emphasize for a client prescribed warfarin (Coumadin)?
What discharge instructions should the nurse emphasize for a client prescribed warfarin (Coumadin)?
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Which serum lab test is most important to monitor in a client with diabetes insipidus receiving antidiuretic hormone intranasally?
Which serum lab test is most important to monitor in a client with diabetes insipidus receiving antidiuretic hormone intranasally?
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How long can relief be expected after administering dihydroergotamine (Migranal) subcutaneously to a client with a severe migraine headache?
How long can relief be expected after administering dihydroergotamine (Migranal) subcutaneously to a client with a severe migraine headache?
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Which follow-up assessment is most important for a client on labetalol reporting a 2.2 kg weight gain after two weeks?
Which follow-up assessment is most important for a client on labetalol reporting a 2.2 kg weight gain after two weeks?
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Why might a male client receiving pilocarpine hydrochloride for glaucoma have difficulty seeing at night?
Why might a male client receiving pilocarpine hydrochloride for glaucoma have difficulty seeing at night?
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What snack should the nurse instruct a client taking an oral dose of tetracycline to have?
What snack should the nurse instruct a client taking an oral dose of tetracycline to have?
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What is the therapeutic effect of insulin in treating type 1 diabetes mellitus?
What is the therapeutic effect of insulin in treating type 1 diabetes mellitus?
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Study Notes
Discharge Instructions for Cataract Surgery
- Light housekeeping permitted; heavy lifting avoided post-surgery.
Influenza Complications
- Obtain sputum sample for culture first for a patient with shortness of breath and green sputum.
Urinary Symptoms in Elderly
- Palpate bladder above symphysis pubis in clients with nocturia and incomplete emptying.
Diabetic Ketoacidosis (DKA)
- Serum potassium of 2.5 meq/l is critical and requires immediate intervention.
Transfusion Reaction Communication
- Explain the urgent need to notify the healthcare provider about fever in the context of recent transfusion.
Prophylactic Care for AIDS
- Monthly prophylactic doses of pentamidine are necessary for clients with PCP.
Urinary Tract Infection (UTI) Protocol
- First step is to collect a clean catch specimen from patients with dysuria and urgency.
Well-Differentiated Cancer Cells
- Inquire if the healthcare provider has discussed cancer classification with the client.
Hemodialysis Complications
- Immediate action: stop dialysis if blood pressure drops to 80/30.
Heparin Infusion Calculation
- Increase heparin dosage to 900 units/hr; adjust infusion accordingly to 9 mL/hour.
Peptic Ulcer Disease Symptoms
- Upper mid-abdominal gnawing and burning pain supports diagnosis.
Xenograft Information
- Inform clients that xenografts are derived from nonhuman sources.
Ongoing Symptoms Post-Camping
- Report jaundice sclera as a significant finding in clients with vague symptoms post-travel.
Eczema Exacerbation Causes
- Recent visit from a grandson and new dog is relevant information for assessing eczema flare-ups.
Dietary Guidelines for Acute Glomerulonephritis
- Emphasize sodium intake restriction in dietary education.
Postoperative Diet Assessment
- Auscultate bowel sounds in all quadrants before advancing diet after surgery.
Chest Pain Management
- If three NTG tablets do not relieve pain, call 911 and chew 325 mg aspirin.
Orlistat Side Effects
- Investigate dietary history in clients experiencing oily stools and flatus after starting orlistat.
Post-Abscess Care
- Assess airway patency and oxygen saturation first in clients with fever and rash after abscess drainage.
Blood Transfusion Reaction Signs
- Report low back pain and hypotension as signs of an ABO incompatibility reaction immediately.
Hyperglycemic Nonketotic Syndrome (HHNS)
- Decrease the infusion rate if respiratory symptoms indicate fluid overload.
Fentanyl Patch Instructions
- Apply a new patch after removing the existing one if the previously used patch is intact.
Managing Nitroglycerin Drip
- Reduce the rate of nitroglycerin infusion if blood pressure falls to 78/36.
Acetaminophen Overdose Monitoring
- Monitor liver function tests (LDH, SGOT, SGPT) after a client’s acetaminophen overdose.
PCA Pump Monitoring
- Administer naloxone if the respiratory rate drops to 7 breaths/minute following morphine therapy.
Effectiveness of Bethanechol
- Urinary output equal to intake indicates effectiveness in managing urinary retention.
Delirium Tremens Treatment
- Administer lorazepam for signs of delirium tremens in clients with high blood alcohol levels.
Spironolactone Instructions
- Instruct clients to take spironolactone in the morning to manage diuretic effects.
Glucagon Use in Hypoglycemia
- Glucagon should be administered when severe hypoglycemia signals are recognized.
Radioactive Iodine Treatment
- Radioactive iodine is tasteless and colorless; it is administered under medical supervision.
Tuberculosis Treatment Awareness
- Rifampin can affect the efficacy of hormonal contraceptives; further education required.
Warfarin Safety Instructions
- Advise clients to avoid barefoot activities to reduce bleeding risks while on warfarin.
Diabetes Insipidus Monitoring
- Serum osmolality is the most important lab test for clients receiving antidiuretic hormone therapy.
Dihydroergotamine Relief Timing
- Relief from subcutaneous dihydroergotamine can be expected within 15 minutes.
Corticosteroid Weight Gain Follow-Up
- Assess breath sounds in clients who report weight gain while on labetalol for hypertension.
Pilocarpine Ocular Effects
- Explain that pilocarpine ophthalmic drops slow pupil response, affecting night vision.
Tetracycline Dietary Recommendations
- Suggest taking tetracycline with toasted wheat bread and jelly to minimize gastrointestinal upset.
Insulin Action in Diabetes
- Insulin facilitates glucose transport into cells, crucial for managing type 1 diabetes.
Sleep Aid Prescriptions
- Question the use of eszopiclone for insomnia in older adults, considering safety concerns.
Gradual Corticosteroid Withdrawal
- Emphasize the importance of tapering off corticosteroids rather than abrupt cessation.
Sulfa Drug Allergy Review
- Prioritize reviewing drug allergies when a patient reports discomfort after sulfa administration.
Antibiotic Resistance Prevention
- Educate clients to avoid using antibiotics unnecessarily to combat resistance development.### Antibiotic Use and Prescriptions
- Healthcare provider should prescribe the newest antibiotics when clinically indicated.
- Vancomycin is an appropriate choice for treating severe infections, such as a sore throat that may indicate bacterial causes.
Influenza Treatment
- Oseltamivir (Tamiflu) is effective in treating influenza, but initial symptoms should prompt a consultation for a prescription.
- Antibiotics are ineffective against viral infections like influenza, highlighting the need for antiviral medications instead.
IV Infusion Management
- If a patient reports nausea after starting a secondary IV infusion of cefepime, the best action is to continue the infusion and provide an antiemetic to manage symptoms.
Alzheimer's Disease Management
- Donepezil hydrochloride (Aricept) is administered to address disturbed thought processes in patients with Alzheimer’s disease, supporting cognitive function.
DVT Prevention and Monitoring
- Following knee replacement surgery, enoxaparin (Lovenox) is given subcutaneously to prevent deep vein thrombosis (DVT).
- A platelet count of 100,000/mm³ warrants immediate action as it can indicate an increased risk of bleeding, requiring close monitoring.
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Description
This quiz covers essential nursing knowledge related to carbohydrate digestion, insomnia management, corticosteroid cessation, and antibiotic resistance. You will also explore patient instructions for medication like oseltamivir (Tamiflu). Test your understanding of nursing interventions and pharmacological principles.
