Questions and Answers
A nurse is preparing to administer a dose of insulin to a client with diabetes. Which type of insulin would be classified as a long-acting insulin?
What is the most appropriate action for the nurse to take when a client with schizophrenia reports auditory hallucinations?
Which statement indicates that a client understands the importance of genetic counseling?
Which instruction about cord care should a nurse give to the parents of a newborn?
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What dietary recommendation is important for a client on glucocorticoid therapy?
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How should a nurse approach a client who is experiencing sleep disturbances due to chronic pain?
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What is a critical nursing action when educating a client about managing chronic disease?
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Which of the following interventions is most effective in promoting successful medication administration in a client?
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What is a statement that indicates a client understands the management of their chronic disease?
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A nurse is preparing to administer morphine 4 mg IV bolus every 4 hr PRN to a client. What is the priority nursing assessment before administering the medication?
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A nurse is providing discharge instructions to a client who has been prescribed morphine for chronic pain. Which of the following instructions should the nurse include?
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A nurse is caring for a client who is experiencing urinary retention. Which of the following medications is most likely to be the cause?
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A nurse is teaching a client with chronic pain about ways to manage constipation caused by opioid medications. Which of the following recommendations should the nurse include?
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A nurse is caring for a client with bipolar disorder who is in the manic phase. Which of the following nursing interventions is most appropriate for promoting sleep?
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A nurse is teaching the guardian of a preschooler with celiac disease about dietary restrictions. Which of the following statements by the guardian indicates an understanding of the teaching?
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A nurse is preparing to administer a blood transfusion to a client. Which of the following actions should the nurse take first?
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A nurse is caring for a client who is admitted with diabetic ketoacidosis (DKA). Which of the following is the priority nursing intervention?
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Study Notes
Pain Management and Pharmacology
- Monitor for urinary retention in clients receiving morphine IV bolus for pain control.
- Opioids can cause constipation; recommend hydration, increased fiber intake, and exercise to mitigate effects.
- Patient-controlled analgesia (PCA) allows clients to self-administer pain relief, but will not double dose if the button is pressed multiple times.
Psychiatric Nursing
- Therapeutic communication with family members of clients in a manic phase is crucial. Encourage discussion about home experiences.
- For clients with schizophrenia experiencing auditory hallucinations, create a supportive environment and avoid confrontation about hallucinations.
Pediatric and Dietary Considerations
- Children diagnosed with celiac disease require a strict gluten-free diet; whole wheat is not permissible.
- For newborn cord care, instruct parents to keep the cord stump dry, and contact a provider if it shows signs of infection, such as blackening.
Diabetes Management
- Clients with diabetes should be initiated on long-acting insulin, potentially glargine or NPH, for stable blood glucose management.
- Monitor blood glucose levels regularly and adjust treatment accordingly.
Nutritional Support
- Ensure that carbohydrates are managed appropriately in clients with diabetes, considering meal planning tools and food exchanges from recognized health sources.
Emergency Response
- In cases of suspected allergy to penicillin, prioritize monitoring vital signs and managing the client’s acute reactions.
Cancer Care
- Toddlers with acute lymphocytic leukemia should be engaged in suitable play activities that promote development without excessive physical strain.
Infusion and Transfusion Practices
- When administering packed RBC transfusions, prime IV tubing with 0.9% sodium chloride and utilize appropriate IV catheter sizes.
- For clients with diabetic ketoacidosis, initiate fluid replacement with normal saline, avoiding overly rapid changes in serum osmolality.
General Health Education
- Ongoing education on glucocorticoid therapy should include the importance of calcium supplements and annual eye exams to monitor potential side effects.
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Description
Nursing quiz questions about administering morphine to clients and interacting with patients with bipolar disorder. Topics include monitoring for adverse effects and therapeutic communication techniques.
