A nurse is teaching a client who has peptic ulcer disease and is scheduled for an
esophagogastroduodenoscopy the next morning. Which of the following information
should the nurse include in the teaching? 00.00 00.. 0°... 0° 0 0° 0 .0 O .0 0 0° 0 0° 0 O Q
'You should not take any of your routine medications until after the procedure is
complete." 0 'You can have a clear liquid diet for breakfast prior to me procedure“ 0
'You will be allowed to drive yourself home within 6 hours following the procedure." 0
'You might experience a hoarse voice for several days following the procedure"
Answer
An esophagogastroduodenoscopy (EGD) is a procedure that involves using an
endoscope to visualize the esophagus, stomach, and upper part of the small intestine
(duodenum). Here is the relevant information the nurse should provide to the client
regarding the procedure:
1. Medications: Some medications might need to be held or taken with a small sip of
water before the procedure. It's essential to inform the healthcare provider about all
medications the client is taking. However, it's not accurate to say the client shouldn't
take any of their routine medications until after the procedure without knowing the
specifics.
2. Diet: The client should be NPO (nothing by mouth) for several hours before the
procedure to ensure the stomach is empty. This prevents the risk of aspiration. Saying
that the client can have a clear liquid diet for breakfast prior to the procedure is
misleading without specifying the time frame.
3. Driving: The client will likely receive sedation for the procedure and thus should not
drive afterward. It's recommended that someone else drive the client home.
4. Post-procedure symptoms: While a sore throat might be a common complaint after an
EGD, having a hoarse voice for several days isn't a typical outcome.
So, out of the options provided:
The first statement is not entirely correct without further clarification.
The second statement is misleading without a specified time frame.
The third statement is not advisable due to the sedation during the procedure.
The fourth statement is a possible symptom but phrased in a way that might be too
absolute.
Based on the options provided, the closest correct information might be the fourth one
about the possibility of a hoarse voice or sore throat. Still, it's important to clarify that
it's not guaranteed for several days and might just be temporary discomfort.
, A nurse is providing teaching about aibuterol to a parent of a school~age child who has
asthma. The nurse should instruct the parent to monitor for which of the following
findings as adverse effects of albuteroi? (Select all that apply.) .0000 00.. 0°00. 0° 0 0° 0
0° 0 0° 0 .0 0 0° 0 0 [:1 Decreased pulse rate [3 Hyperactivity [:1 Hypotension E]
Headache E] Tremors
Answer
Albuterol is a short-acting beta2-adrenergic agonist used to treat asthma symptoms.
When instructing a parent about possible adverse effects of albuterol in their child, it's
essential to be aware of the following:
1. Decreased pulse rate: This is not a typical side effect of albuterol. Albuterol can actually
cause tachycardia (increased pulse rate) in some patients.
2. Hyperactivity: This can be a side effect in children taking albuterol.
3. Hypotension: This is not a typical side effect of albuterol. Albuterol can sometimes
cause a slight increase in blood pressure due to its stimulatory effects, but this is not
common.
4. Headache: This can be an adverse effect of albuterol.
5. Tremors: Tremors, particularly of the hands, are a well-known side effect of albuterol
due to its stimulatory effects on the nervous system.
So, based on the options provided:
Decreased pulse rate
Hyperactivity
Hypotension
Headache
Tremors
The parent should monitor for hyperactivity, headache, and tremors as adverse effects
of albuterol.
A nurse is planning discharge teaching for an adolescent who has a new diagnosis of
type 1 diabetes meilitus. Which of the following information should the nurse include in
the plan? 00.00 0°00 0°... .0 0 0° 0 0° 0 0° 0 0° 0 0° 0 0 0 Keep unopened insulin
refrigerated at 444° C (40° F). O Rotate the insulin injection site to a different area of the
body with every other injection. 0 Initiate a 1,400 calorie diet daily. 0 Drink 8 oz of milk
when hypoglycemia develops.
, Answer
Let's break down each of the options:
1. Keep unopened insulin refrigerated at 44° C (40° F):
This statement is incorrect. Insulin should be kept refrigerated, but the
temperature 44° C is way too hot (it's actually above body temperature). The
recommended temperature for storing unopened insulin is between 2° C and 8°
C (36° F to 46° F).
2. Rotate the insulin injection site to a different area of the body with every other
injection:
It's crucial to rotate insulin injection sites to prevent lipodystrophy (abnormal fat
tissue changes) and ensure consistent insulin absorption. However, it's not
necessary to change to a different area of the body with every other injection;
instead, rotating within the same general area but using a different specific spot
each time is often advised.
3. Initiate a 1,400 calorie diet daily:
Caloric requirements vary depending on a person's age, gender, activity level, and
other factors. A 1,400 calorie diet may not be appropriate for every adolescent
with type 1 diabetes. Nutritional needs should be personalized based on the
individual's needs.
4. Drink 8 oz of milk when hypoglycemia develops:
When hypoglycemia (low blood sugar) occurs, it's essential to consume a fast-
acting source of carbohydrates. While milk contains carbohydrates, it also
contains protein and fat, which can slow down the absorption of sugar. In an
acute hypoglycemic episode, a better choice would be glucose tablets, fruit juice,
or regular soda. After the initial treatment, it may be appropriate to have a
longer-acting carbohydrate like milk or a sandwich.
Given the options provided, the most accurate information to include in the discharge
teaching plan for an adolescent with type 1 diabetes mellitus is:
Rotate the insulin injection site to a different spot (not necessarily a different area) with
each injection.
A nurse is caring for a client who has the communicable disease influenza. Which of the
following isolation precautions should the nurse take? ooooo 00.. oo... .o . oo . .o . oo .
oo . .o . . 0 Place the client in a negative air pressure room with 6 to 12 air exchanges per
hour. 0 Wear a surgical mask when within 1 m (3 ft) of the client. 0 Double-bag the
, client’s trash before removing it from the room. 0 Ensure all air in the client’s room is
filtered through a HEPA filter. |\
Answer
When caring for a client with influenza, the nurse should take precautions to prevent the
spread of the disease, primarily because influenza is transmitted via respiratory droplets.
Here's a breakdown of the given options:
1. Place the client in a negative air pressure room with 6 to 12 air exchanges per
hour:
Negative-pressure rooms are typically used for airborne precautions, such as for
clients with tuberculosis, measles, or chickenpox. Influenza is primarily
transmitted through droplets, so this measure is not routinely recommended for
influenza patients.
2. Wear a surgical mask when within 1 m (3 ft) of the client:
Yes, this is appropriate. Since influenza is a droplet-transmitted disease, wearing a
surgical mask when in close proximity to the client can help prevent the spread of
the virus.
3. Double-bag the client’s trash before removing it from the room:
Double-bagging trash is not a standard recommendation for droplet precautions.
This practice is more associated with contact precautions, especially when dealing
with highly contagious pathogens or in the presence of a lot of contaminated
waste.
4. Ensure all air in the client’s room is filtered through a HEPA filter:
High-efficiency particulate air (HEPA) filters are used primarily for airborne
precautions. While they can be beneficial in some settings, it is not a standard
recommendation for influenza, which is a droplet-transmitted disease.
Given the options provided, the appropriate isolation precaution for a client with
influenza is:
Wear a surgical mask when within 1 m (3 ft) of the client.
A nurse is caring for a client who is 4 hr postoperative following a transurethral resection
of the prostate to treat benign prostatic hypertrophy. The client has an indwelling
urinary catheter. Which of the following findings should the nurse report to the provider
immediately? .0000 0°00 0°... 00 O .0 0 0° 0 0° 0 .0 0 0° 0 O 0 Client reports bladder
spasms When repositioning in bed 0 Client reports a pain rating of3 on a O to 10 scale 0
Multiple clots in the client‘s urinary bag 0 Obstruction in clients urinary catheter
continues after manual irrigation
esophagogastroduodenoscopy the next morning. Which of the following information
should the nurse include in the teaching? 00.00 00.. 0°... 0° 0 0° 0 .0 O .0 0 0° 0 0° 0 O Q
'You should not take any of your routine medications until after the procedure is
complete." 0 'You can have a clear liquid diet for breakfast prior to me procedure“ 0
'You will be allowed to drive yourself home within 6 hours following the procedure." 0
'You might experience a hoarse voice for several days following the procedure"
Answer
An esophagogastroduodenoscopy (EGD) is a procedure that involves using an
endoscope to visualize the esophagus, stomach, and upper part of the small intestine
(duodenum). Here is the relevant information the nurse should provide to the client
regarding the procedure:
1. Medications: Some medications might need to be held or taken with a small sip of
water before the procedure. It's essential to inform the healthcare provider about all
medications the client is taking. However, it's not accurate to say the client shouldn't
take any of their routine medications until after the procedure without knowing the
specifics.
2. Diet: The client should be NPO (nothing by mouth) for several hours before the
procedure to ensure the stomach is empty. This prevents the risk of aspiration. Saying
that the client can have a clear liquid diet for breakfast prior to the procedure is
misleading without specifying the time frame.
3. Driving: The client will likely receive sedation for the procedure and thus should not
drive afterward. It's recommended that someone else drive the client home.
4. Post-procedure symptoms: While a sore throat might be a common complaint after an
EGD, having a hoarse voice for several days isn't a typical outcome.
So, out of the options provided:
The first statement is not entirely correct without further clarification.
The second statement is misleading without a specified time frame.
The third statement is not advisable due to the sedation during the procedure.
The fourth statement is a possible symptom but phrased in a way that might be too
absolute.
Based on the options provided, the closest correct information might be the fourth one
about the possibility of a hoarse voice or sore throat. Still, it's important to clarify that
it's not guaranteed for several days and might just be temporary discomfort.
, A nurse is providing teaching about aibuterol to a parent of a school~age child who has
asthma. The nurse should instruct the parent to monitor for which of the following
findings as adverse effects of albuteroi? (Select all that apply.) .0000 00.. 0°00. 0° 0 0° 0
0° 0 0° 0 .0 0 0° 0 0 [:1 Decreased pulse rate [3 Hyperactivity [:1 Hypotension E]
Headache E] Tremors
Answer
Albuterol is a short-acting beta2-adrenergic agonist used to treat asthma symptoms.
When instructing a parent about possible adverse effects of albuterol in their child, it's
essential to be aware of the following:
1. Decreased pulse rate: This is not a typical side effect of albuterol. Albuterol can actually
cause tachycardia (increased pulse rate) in some patients.
2. Hyperactivity: This can be a side effect in children taking albuterol.
3. Hypotension: This is not a typical side effect of albuterol. Albuterol can sometimes
cause a slight increase in blood pressure due to its stimulatory effects, but this is not
common.
4. Headache: This can be an adverse effect of albuterol.
5. Tremors: Tremors, particularly of the hands, are a well-known side effect of albuterol
due to its stimulatory effects on the nervous system.
So, based on the options provided:
Decreased pulse rate
Hyperactivity
Hypotension
Headache
Tremors
The parent should monitor for hyperactivity, headache, and tremors as adverse effects
of albuterol.
A nurse is planning discharge teaching for an adolescent who has a new diagnosis of
type 1 diabetes meilitus. Which of the following information should the nurse include in
the plan? 00.00 0°00 0°... .0 0 0° 0 0° 0 0° 0 0° 0 0° 0 0 0 Keep unopened insulin
refrigerated at 444° C (40° F). O Rotate the insulin injection site to a different area of the
body with every other injection. 0 Initiate a 1,400 calorie diet daily. 0 Drink 8 oz of milk
when hypoglycemia develops.
, Answer
Let's break down each of the options:
1. Keep unopened insulin refrigerated at 44° C (40° F):
This statement is incorrect. Insulin should be kept refrigerated, but the
temperature 44° C is way too hot (it's actually above body temperature). The
recommended temperature for storing unopened insulin is between 2° C and 8°
C (36° F to 46° F).
2. Rotate the insulin injection site to a different area of the body with every other
injection:
It's crucial to rotate insulin injection sites to prevent lipodystrophy (abnormal fat
tissue changes) and ensure consistent insulin absorption. However, it's not
necessary to change to a different area of the body with every other injection;
instead, rotating within the same general area but using a different specific spot
each time is often advised.
3. Initiate a 1,400 calorie diet daily:
Caloric requirements vary depending on a person's age, gender, activity level, and
other factors. A 1,400 calorie diet may not be appropriate for every adolescent
with type 1 diabetes. Nutritional needs should be personalized based on the
individual's needs.
4. Drink 8 oz of milk when hypoglycemia develops:
When hypoglycemia (low blood sugar) occurs, it's essential to consume a fast-
acting source of carbohydrates. While milk contains carbohydrates, it also
contains protein and fat, which can slow down the absorption of sugar. In an
acute hypoglycemic episode, a better choice would be glucose tablets, fruit juice,
or regular soda. After the initial treatment, it may be appropriate to have a
longer-acting carbohydrate like milk or a sandwich.
Given the options provided, the most accurate information to include in the discharge
teaching plan for an adolescent with type 1 diabetes mellitus is:
Rotate the insulin injection site to a different spot (not necessarily a different area) with
each injection.
A nurse is caring for a client who has the communicable disease influenza. Which of the
following isolation precautions should the nurse take? ooooo 00.. oo... .o . oo . .o . oo .
oo . .o . . 0 Place the client in a negative air pressure room with 6 to 12 air exchanges per
hour. 0 Wear a surgical mask when within 1 m (3 ft) of the client. 0 Double-bag the
, client’s trash before removing it from the room. 0 Ensure all air in the client’s room is
filtered through a HEPA filter. |\
Answer
When caring for a client with influenza, the nurse should take precautions to prevent the
spread of the disease, primarily because influenza is transmitted via respiratory droplets.
Here's a breakdown of the given options:
1. Place the client in a negative air pressure room with 6 to 12 air exchanges per
hour:
Negative-pressure rooms are typically used for airborne precautions, such as for
clients with tuberculosis, measles, or chickenpox. Influenza is primarily
transmitted through droplets, so this measure is not routinely recommended for
influenza patients.
2. Wear a surgical mask when within 1 m (3 ft) of the client:
Yes, this is appropriate. Since influenza is a droplet-transmitted disease, wearing a
surgical mask when in close proximity to the client can help prevent the spread of
the virus.
3. Double-bag the client’s trash before removing it from the room:
Double-bagging trash is not a standard recommendation for droplet precautions.
This practice is more associated with contact precautions, especially when dealing
with highly contagious pathogens or in the presence of a lot of contaminated
waste.
4. Ensure all air in the client’s room is filtered through a HEPA filter:
High-efficiency particulate air (HEPA) filters are used primarily for airborne
precautions. While they can be beneficial in some settings, it is not a standard
recommendation for influenza, which is a droplet-transmitted disease.
Given the options provided, the appropriate isolation precaution for a client with
influenza is:
Wear a surgical mask when within 1 m (3 ft) of the client.
A nurse is caring for a client who is 4 hr postoperative following a transurethral resection
of the prostate to treat benign prostatic hypertrophy. The client has an indwelling
urinary catheter. Which of the following findings should the nurse report to the provider
immediately? .0000 0°00 0°... 00 O .0 0 0° 0 0° 0 .0 0 0° 0 O 0 Client reports bladder
spasms When repositioning in bed 0 Client reports a pain rating of3 on a O to 10 scale 0
Multiple clots in the client‘s urinary bag 0 Obstruction in clients urinary catheter
continues after manual irrigation
