A client with angina is to be discharged with a prescription for nitroglycerin tablets. The client should be instructed to:
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Solution
Answer B is correct. Nitroglycerin should be kept in a dark-brown bottle to protect it from light, which causes deterioration of the medication. Answer A is incorrect because the medication is placed beneath the tongue when needed, not taken daily. Answer C is incorrect because the medication supply should be replenished every 6 months, not every year. Answer D is incorrect because the cotton should be removed from the bottle because it absorbs the medication.
A 9-month-old is admitted with a diagnosis of eczema. The nurse would expect the 9-month-old to have eczematous lesions over:
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Solution
Answer D is correct. The most common food allergens are proteins such as those contained in eggs, cow’s milk, and peanuts. Answers A, B, and C are incorrect because they are not the most common food allergens.
Although children can develop allergies to a variety of foods, the most common food allergens are:
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Solution
Answer C is correct. The nurse should temporarily stop the administration of the Virazole when the mist tent needs to be opened to allow the medication particles to settle. Answer A is incorrect because contact precautions should be used even though the infant is receiving Virazole. Answer B is incorrect because contact precautions are used whether the mist tent is opened or closed. Answer D is incorrect because increasing or decreasing the rate of medication administration is not a nursing function.
An infant with respiratory synctial virus has been started on Virazole (ribavirin). When caring for the infant receiving Virazole, the nurse should:
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Solution
Answer B is correct. The nurse or parent should maintain one hand on the child whenever the side rails are down to prevent the child falling from the crib. Answer A is incorrect because the child can fall over rails that are locked at the halfway point. Positioning the child farther away from the lowered side rail will not prevent falls because the child can quickly move to the other side so that falls can result; therefore, answer C is incorrect. Answer D is incorrect because the child can fall from the crib.
Hospital policy recommends that all children under the age of 3 years be placed in a crib. When providing care for a child in a crib, the nurse should give priority to:
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Solution
Answer B is correct. Symptoms of autonomic dysreflexia are often triggered by bladder distention or fecal impaction; therefore, after raising the client’s head, the nurse should check for patency of the catheter. Answer A is incorrect because administering a prescribed analgesic will not alleviate the symptoms of autonomic dysreflexia. Answer C is incorrect because breathing slowly does not alleviate autonomic dysreflexia. Answer D is incorrect because the changes in the client’s temperature are not associated with autonomic dysreflexia.
The nurse is caring for a client with a T4 spinal cord injury when he begins to have symptoms of autonomic dysreflexia. After placing the client in high Fowler’s position, the nurse should:
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Solution
Answer C is correct. Because of the location, the client receiving external radiation for cancer of the larynx will most likely complain of a sore throat. Generalized pruritis, dyspnea, and bone pain are not associated with external radiation for cancer of the larynx; therefore, answers A, B, and D are incorrect.
A client is receiving external radiation for cancer of the larynx. As a result of the treatment, the client will most likely complain of:
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Solution
Answer A is correct.Ingestion of foods containing tyramine by the client taking Parnate, an MAO inhibitor, can result in elevations in blood pressure. Answers B, C, and D are not associated with the interaction of Parnate or other MAO inhibitors; therefore, they are incorrect.
The physician has ordered Parnate (tranylcypromine) for a client with depression. The nurse should tell the client to avoid foods containing tryamine because it can result in:
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Solution
Answer B is correct. Nitroglycerin should be kept in a dark-brown bottle to protect it from light, which causes deterioration of the medication. Answer A is incorrect because the medication is placed beneath the tongue when needed, not taken daily. Answer C is incorrect because the medication supply should be replenished every 6 months, not every year. Answer D is incorrect because the cotton should be removed from the bottle because it absorbs the medication.
A client with thrombophlebitis is receiving Lovenox (enoxaparin). Which method is recommended for administering Lovenox?
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Solution
Answer C is correct. The recommended way of administering Lovenox (enoxaparin) is subcutaneously in the abdominal tissue. Answers A and B are not recommended ways of administering Lovenox (enoxaparin); therefore, they are incorrect. Answer D is incorrect because Lovenox (enoxaprin) is not available in an oral form.
The nurse is positioning a client with right hemiplegia. To prevent subluxation of the client’s right shoulder, the nurse should:
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Solution
Answer A is correct. Using a pillow or sling to support the client’s arm while she is sitting will help prevent subluxation of the affected shoulder. Answers B, C, and D are incorrect because they do not prevent subluxation of the client’s affected shoulder.