A client is discharged with a prescription for sustained-release nitroglycerin. What
should the nurse teach the client about sustained-release nitroglycerin?
Correct1
Swallow the capsule whole
2
Take milk with the medication
Incorrect3
Hold the tablet under the tongue
4
Note a stinging feeling when the drug is under the tongue
The sustained-release capsule should be swallowed whole on an empty stomach. The
capsule should not be chewed or crushed because the "beads" within the capsule are
activated on a time-release schedule. Taking the capsule on an empty stomach promotes
absorption of the drug. The sustained-release capsule is taken on an empty stomach. A
sublingual tablet is held under the tongue, not swallowed; sustained release nitroglycerin is
a capsule that needs to be swallowed. A stinging feeling when the drug is under the tongue
may occur with a sublingual nitroglycerin tablet; sustained-release nitroglycerin is a capsule
that should be swallowed whole.
43%of students nationwide answered this question correctly.
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3. 140389948
Confidence: Just a guess
Stats
Issue with this question?
3.
A client is admitted with thrombocytopenia. What specific nursing actions are
appropriate to include in the plan of care for this client? (Select all that apply.)
Correct1
Avoid intramuscular injections.
2
Institute neutropenic precautions.
3
Monitor the white blood cell count.
Incorrect4
Administer prescribed anticoagulants.
Correct5
Examine the skin for ecchymotic areas.
,Intramuscular injections should be avoided because of the increased risk of bleeding and
possible hematoma formation. Decreased platelets increase the risk of bleeding, which leads
to ecchymoses. Neutropenic precautions are for clients with decreased white blood cells
(WBCs), not platelets. Thrompbocytopenia refers to decreased platelets, not WBCs.
Anticoagulants are contraindicated because of the increased bleeding risk.
28%of students nationwide answered this question correctly.
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4. 130038789
Confidence: Nailed it
Stats
Issue with this question?
4.
An older adult is brought to the emergency department after being found in the
street without a coat during a snowstorm. What actions should the nurse
implement? (Select all that apply.)
Incorrect1
Massage extremities.
Correct2
Obtain a rectal temperature.
Correct3
Assess the fingers for areas of frostbite.
Correct4
Determine client's level of consciousness.
Correct5
Ask for client identification.
A rectal temperature provides the most accurate temperature. Older adults have less
subcutaneous fat and inefficient temperature regulating mechanisms, which makes them
vulnerable to extremes in environmental temperature. The extremities are more distal sites
of circulation and are at increased risk for frostbite. Hypothermia decreases cerebral
perfusion, which will result in confusion and a decreased level of consciousness. Getting
client identification will help in learning more about the client's previous health history and
contacting family members. Massage is contraindicated because it may injure tissues that
have sustained frostbite.
30%of students nationwide answered this question correctly.
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5. 140389944
Confidence: Nailed it
Stats
Issue with this question?
5.
A client comes to the emergency department reporting symptoms of the flu. When
the health history reveals intravenous drug use and multiple sexual partners, acute
,retroviral syndrome is suspected, and a test for the human immunodeficiency virus
(HIV) is performed. Which clinical responses are associated most commonly with
this syndrome? (Select all that apply.)
Correct1
Malaise
2
Confusion
3
Constipation
Correct4
Swollen lymph glands
Incorrect5
Oropharyngeal candidiasis
Development of HIV-specific antibodies (seroconversion) is accompanied by a flulike
syndrome called acute retroviral syndrome. This syndrome includes malaise, swollen lymph
glands, fever, sore throat, headache, nausea, diarrhea, muscle/joint pain, or a diffuse rash. It
occurs one to three weeks after infection and may continue for several months. Acute
retroviral syndrome over time is followed by the early-chronic, intermediate-chronic, and
late-chronic stages of HIV infection. Development of HIV-specific antibodies, accompanied by
flulike syndrome, includes swollen lymph glands. Confusion is associated with the
intermediate-chronic and late-chronic stages of HIV infection when the individual develops
AIDS-dementia complex or opportunistic infection that affects the neurological system.
Diarrhea, not constipation, is associated with this syndrome. Oropharyngeal candidiasis
occurs during the intermediate-chronic stage of HIV infection.
Test-Taking Tip: Avoid looking for an answer pattern or code. There may be times when
four or five consecutive questions have the same letter or number for the correct answer.
29%of students nationwide answered this question correctly.
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6. 140388480
Confidence: Nailed it
Stats
Issue with this question?
6.
A client develops iron deficiency anemia. Which of the client's laboratory test results
should the nurse expect to be decreased?
Correct1
Ferritin level
Incorrect2
Platelet count
, 3
White blood cell count
4
Total iron-binding capacity
Ferritin, a form of stored iron, is reduced with iron deficiency anemia. Platelets will be within
the expected range or increased with iron deficiency anemia. Red, not white, blood cells are
decreased with iron deficiency anemia. Total iron-binding capacity will be increased with iron
deficiency anemia.
Test-Taking Tip: Anxiety leading to an exam is normal. Reduce your stress by studying
often, not long. Spend at least 15 minutes every day reviewing the "old" material. This
action alone will greatly reduce anxiety. The more time you devote to reviewing past
material, the more confident you will feel about your knowledge of the topics. Start this
review process on the first day of the semester. Don't wait until the middle to end of the
semester to try to cram information.
47%of students nationwide answered this question correctly.
View Topics
7. 140420337
Confidence: Nailed it
Stats
Issue with this question?
7.
The nurse is conducting a nutrition class for a group of clients with congestive heart
failure (CHF). It would be most important for the nurse to explain the importance
of:
Incorrect1
Restricting fluid intake
Correct2
Choosing fresh or frozen vegetables instead of canned ones
3
Eating a low-calorie diet to reduce weight
4
Recognizing which products are high in cholesterol
The key principle to teach CHF clients is the importance of decreasing sodium in
their diet and which foods contain sodium. If sodium is decreased, water retention will
decrease also. Fresh or frozen vegetables have less sodium than canned ones. If the client is
on a low-sodium diet and receiving diuretics but continues to be fluid overloaded, then fluid
restriction may be instituted. A low-calorie diet is not indicated for all CHF clients. Some are
very thin because of various factors, including the work of breathing and rapid heart rate. A
low-cholesterol diet is important for clients with coronary artery disease and for the
American population in general, but is not specifically related to CHF.
45%of students nationwide answered this question correctly.
View Topics
8. 140383875
should the nurse teach the client about sustained-release nitroglycerin?
Correct1
Swallow the capsule whole
2
Take milk with the medication
Incorrect3
Hold the tablet under the tongue
4
Note a stinging feeling when the drug is under the tongue
The sustained-release capsule should be swallowed whole on an empty stomach. The
capsule should not be chewed or crushed because the "beads" within the capsule are
activated on a time-release schedule. Taking the capsule on an empty stomach promotes
absorption of the drug. The sustained-release capsule is taken on an empty stomach. A
sublingual tablet is held under the tongue, not swallowed; sustained release nitroglycerin is
a capsule that needs to be swallowed. A stinging feeling when the drug is under the tongue
may occur with a sublingual nitroglycerin tablet; sustained-release nitroglycerin is a capsule
that should be swallowed whole.
43%of students nationwide answered this question correctly.
View Topics
3. 140389948
Confidence: Just a guess
Stats
Issue with this question?
3.
A client is admitted with thrombocytopenia. What specific nursing actions are
appropriate to include in the plan of care for this client? (Select all that apply.)
Correct1
Avoid intramuscular injections.
2
Institute neutropenic precautions.
3
Monitor the white blood cell count.
Incorrect4
Administer prescribed anticoagulants.
Correct5
Examine the skin for ecchymotic areas.
,Intramuscular injections should be avoided because of the increased risk of bleeding and
possible hematoma formation. Decreased platelets increase the risk of bleeding, which leads
to ecchymoses. Neutropenic precautions are for clients with decreased white blood cells
(WBCs), not platelets. Thrompbocytopenia refers to decreased platelets, not WBCs.
Anticoagulants are contraindicated because of the increased bleeding risk.
28%of students nationwide answered this question correctly.
View Topics
4. 130038789
Confidence: Nailed it
Stats
Issue with this question?
4.
An older adult is brought to the emergency department after being found in the
street without a coat during a snowstorm. What actions should the nurse
implement? (Select all that apply.)
Incorrect1
Massage extremities.
Correct2
Obtain a rectal temperature.
Correct3
Assess the fingers for areas of frostbite.
Correct4
Determine client's level of consciousness.
Correct5
Ask for client identification.
A rectal temperature provides the most accurate temperature. Older adults have less
subcutaneous fat and inefficient temperature regulating mechanisms, which makes them
vulnerable to extremes in environmental temperature. The extremities are more distal sites
of circulation and are at increased risk for frostbite. Hypothermia decreases cerebral
perfusion, which will result in confusion and a decreased level of consciousness. Getting
client identification will help in learning more about the client's previous health history and
contacting family members. Massage is contraindicated because it may injure tissues that
have sustained frostbite.
30%of students nationwide answered this question correctly.
View Topics
5. 140389944
Confidence: Nailed it
Stats
Issue with this question?
5.
A client comes to the emergency department reporting symptoms of the flu. When
the health history reveals intravenous drug use and multiple sexual partners, acute
,retroviral syndrome is suspected, and a test for the human immunodeficiency virus
(HIV) is performed. Which clinical responses are associated most commonly with
this syndrome? (Select all that apply.)
Correct1
Malaise
2
Confusion
3
Constipation
Correct4
Swollen lymph glands
Incorrect5
Oropharyngeal candidiasis
Development of HIV-specific antibodies (seroconversion) is accompanied by a flulike
syndrome called acute retroviral syndrome. This syndrome includes malaise, swollen lymph
glands, fever, sore throat, headache, nausea, diarrhea, muscle/joint pain, or a diffuse rash. It
occurs one to three weeks after infection and may continue for several months. Acute
retroviral syndrome over time is followed by the early-chronic, intermediate-chronic, and
late-chronic stages of HIV infection. Development of HIV-specific antibodies, accompanied by
flulike syndrome, includes swollen lymph glands. Confusion is associated with the
intermediate-chronic and late-chronic stages of HIV infection when the individual develops
AIDS-dementia complex or opportunistic infection that affects the neurological system.
Diarrhea, not constipation, is associated with this syndrome. Oropharyngeal candidiasis
occurs during the intermediate-chronic stage of HIV infection.
Test-Taking Tip: Avoid looking for an answer pattern or code. There may be times when
four or five consecutive questions have the same letter or number for the correct answer.
29%of students nationwide answered this question correctly.
View Topics
6. 140388480
Confidence: Nailed it
Stats
Issue with this question?
6.
A client develops iron deficiency anemia. Which of the client's laboratory test results
should the nurse expect to be decreased?
Correct1
Ferritin level
Incorrect2
Platelet count
, 3
White blood cell count
4
Total iron-binding capacity
Ferritin, a form of stored iron, is reduced with iron deficiency anemia. Platelets will be within
the expected range or increased with iron deficiency anemia. Red, not white, blood cells are
decreased with iron deficiency anemia. Total iron-binding capacity will be increased with iron
deficiency anemia.
Test-Taking Tip: Anxiety leading to an exam is normal. Reduce your stress by studying
often, not long. Spend at least 15 minutes every day reviewing the "old" material. This
action alone will greatly reduce anxiety. The more time you devote to reviewing past
material, the more confident you will feel about your knowledge of the topics. Start this
review process on the first day of the semester. Don't wait until the middle to end of the
semester to try to cram information.
47%of students nationwide answered this question correctly.
View Topics
7. 140420337
Confidence: Nailed it
Stats
Issue with this question?
7.
The nurse is conducting a nutrition class for a group of clients with congestive heart
failure (CHF). It would be most important for the nurse to explain the importance
of:
Incorrect1
Restricting fluid intake
Correct2
Choosing fresh or frozen vegetables instead of canned ones
3
Eating a low-calorie diet to reduce weight
4
Recognizing which products are high in cholesterol
The key principle to teach CHF clients is the importance of decreasing sodium in
their diet and which foods contain sodium. If sodium is decreased, water retention will
decrease also. Fresh or frozen vegetables have less sodium than canned ones. If the client is
on a low-sodium diet and receiving diuretics but continues to be fluid overloaded, then fluid
restriction may be instituted. A low-calorie diet is not indicated for all CHF clients. Some are
very thin because of various factors, including the work of breathing and rapid heart rate. A
low-cholesterol diet is important for clients with coronary artery disease and for the
American population in general, but is not specifically related to CHF.
45%of students nationwide answered this question correctly.
View Topics
8. 140383875
