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The nurse is visiting a home health client with osteoporosis. The client has a new
prescription for alendronate (Fosamax). Which instructions should be given to the
client
A. rest in bed after taking the medication for at least 30 mins
B. Avoid rapid movements after taking the medication
C. Take medication with water only
D. Allow at least 1 hour between taking the medicine and taking other medications
C. Take medication with water only
why?
Fosmax should be taken with water only. The client should also remain upright
for at least 30 mins after taking the medication.
The nurse is making initial rounds on a client with a C5 fracture and crutchfield
thongs. Which equipment should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair or wire cutters
D. A screwdriver
B. A torque wrench why?A tourque wrench is kept at the bedside to tighten
and loosen the screws of crutchfield tongs. This wrench controls the amount of
pressure that is placed on the screws.
,An infant weighs 7 pounds at birth. The excpectd weight by 1 year should be:
A. 10 pounds
B.12 pounds
C. 18 pounds
D. 21 pounds
D. 21 pounds
why?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his
birth weight.
A client is admitted with a Ewing's sacroma. which symptoms would be
expected due to this tumor's location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone Pain
D. Bone Pain
why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected
, The nurse is caring for a client with epilepsy who is being treated with
carbamazepine (Tegretol). Which labatory value might be a indicate a serious side
effect of this drug?
A. Uric acid of 5mg/dL
B. Hematoccrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
C. WBC 2,000 per cubic millimeter
why?
Tegratol can suppress the bone marrow and decrease the white blood cells
count; thus, a lab value of WBC 2,000 per cubic millimeter indicates side effects of
the drug.
A 6-month-old client is admitted with possible intussuception. Which question during
the nursing history is least helpful in obtaining information regarding this diagnosis?
A. "tell me about the pain"
B."what does his vomit look like?"
C." Describe his usual diet."
D. " have you noticed changes in his adominal size?"
C." Describe his usual
diet." why?
The least-helpful questions are those describing his usual diet. A, B, and D are useful
in determining the extent of disease process and thus, are incorrect
, The nurse is assisting a client with diverticulosis to select appropiate foods.
Which food should be avoided?
A. Bran
B. Fresh Peaches
C. Cucumber salad
D. Yeast Rolls
C. Cucumber
salad why?
the client with diverticulitis should avoid foods with seeds.
A client has rectal cancer and is scheduled for an abdominal perineal resection.
What should be the priority nursing care during the post-op period?
A. Teaching how to irrigate the illeostomy
B. Stopping electrolytes loss in the incisional area
C. Encouraging a high fiber diet
D. Facilitating perineal wound drainage
D. Facilitating perineal wound
drainage why?
the client with a perineal resection will have a perineal incision. Drains will be
used to facilitate wound drainage. This will help prevent infection of the
surgical site. The client will not have an illestomy. as in answer A he will have
some electrolyte loss, but
treatment is not focused on preventing the loss, so answer B is incorrect A high
fiber diet in answer C is not ordered at this time.
Exam Actual Complete Real Exam Questions And Correct Answers
(Verified Answers) Already Graded A+ | Guaranteed Success!!
Newest Exam | Just Released!!
The nurse is visiting a home health client with osteoporosis. The client has a new
prescription for alendronate (Fosamax). Which instructions should be given to the
client
A. rest in bed after taking the medication for at least 30 mins
B. Avoid rapid movements after taking the medication
C. Take medication with water only
D. Allow at least 1 hour between taking the medicine and taking other medications
C. Take medication with water only
why?
Fosmax should be taken with water only. The client should also remain upright
for at least 30 mins after taking the medication.
The nurse is making initial rounds on a client with a C5 fracture and crutchfield
thongs. Which equipment should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair or wire cutters
D. A screwdriver
B. A torque wrench why?A tourque wrench is kept at the bedside to tighten
and loosen the screws of crutchfield tongs. This wrench controls the amount of
pressure that is placed on the screws.
,An infant weighs 7 pounds at birth. The excpectd weight by 1 year should be:
A. 10 pounds
B.12 pounds
C. 18 pounds
D. 21 pounds
D. 21 pounds
why?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his
birth weight.
A client is admitted with a Ewing's sacroma. which symptoms would be
expected due to this tumor's location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone Pain
D. Bone Pain
why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected
, The nurse is caring for a client with epilepsy who is being treated with
carbamazepine (Tegretol). Which labatory value might be a indicate a serious side
effect of this drug?
A. Uric acid of 5mg/dL
B. Hematoccrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
C. WBC 2,000 per cubic millimeter
why?
Tegratol can suppress the bone marrow and decrease the white blood cells
count; thus, a lab value of WBC 2,000 per cubic millimeter indicates side effects of
the drug.
A 6-month-old client is admitted with possible intussuception. Which question during
the nursing history is least helpful in obtaining information regarding this diagnosis?
A. "tell me about the pain"
B."what does his vomit look like?"
C." Describe his usual diet."
D. " have you noticed changes in his adominal size?"
C." Describe his usual
diet." why?
The least-helpful questions are those describing his usual diet. A, B, and D are useful
in determining the extent of disease process and thus, are incorrect
, The nurse is assisting a client with diverticulosis to select appropiate foods.
Which food should be avoided?
A. Bran
B. Fresh Peaches
C. Cucumber salad
D. Yeast Rolls
C. Cucumber
salad why?
the client with diverticulitis should avoid foods with seeds.
A client has rectal cancer and is scheduled for an abdominal perineal resection.
What should be the priority nursing care during the post-op period?
A. Teaching how to irrigate the illeostomy
B. Stopping electrolytes loss in the incisional area
C. Encouraging a high fiber diet
D. Facilitating perineal wound drainage
D. Facilitating perineal wound
drainage why?
the client with a perineal resection will have a perineal incision. Drains will be
used to facilitate wound drainage. This will help prevent infection of the
surgical site. The client will not have an illestomy. as in answer A he will have
some electrolyte loss, but
treatment is not focused on preventing the loss, so answer B is incorrect A high
fiber diet in answer C is not ordered at this time.
