Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin.
Which of the following adverse effects should the nurse instruct the client is the priority to report to the provider?
A. Feelings of isolation.
Isotretinoin has been associated with depression and other psychiatric side effects. The client should report any changes in mood or behavior, including feelings of isolation, to the provider immediately.
B. Frequent nosebleeds.
Choice B is not an answer because while frequent nosebleeds can be a side effect of isotretinoin, it is not the priority to report to the provider.
C. Back pain.
Choice C is not an answer because while back pain can be a side effect of isotretinoin, it is not the priority to report to the provider.
D. Itching of skin.
Choice D is not an answer because while itching of the skin can be a side effect of isotretinoin, it is not the priority to report to the provider.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom SP23 N23 N240 Proctored Exam 3 Ch 11 24 32 43 44. Take the full exam now
Full Explanation
Isotretinoin has been associated with depression and other psychiatric side effects.
The client should report any changes in mood or behavior, including feelings of isolation, to the provider immediately.
Choice B is not an answer because while frequent nosebleeds can be a side
effect of isotretinoin, it is not the priority to report to the provider.
Choice C is not an answer because while back pain can be a side effect of isotretinoin, it is not the priority to report to the provider.
Choice D is not an answer because while itching of the skin can be a side effect of isotretinoin, it is not the priority to report to the provider.
Similar Questions
A nurse is admitting a 6-month-old infant who has dehydration.
Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance?
A. 0.5 mL/kg/hr.
An output of 0.5 mL/kg/hr is insufficient and indicative of ongoing dehydration or inadequate fluid intake.
B. 15 mL/kg/hr.
An output of 15 mL/kg/hr is excessive and could suggest overhydration or a different pathology.
C. 2 mL/kg/hr.
A urinary output of 2 mL/kg/hr is an ideal measure for indicating that fluid balance has been restored in infants.
D. 7.5 mL/kg/hr.
An output of 7.5 mL/kg/hr is unusually high and not typical for a corrected fluid balance in infants.
Full Explanation
The correct answer is C. 2 mL/kg/hr.
Choice A rationale: An output of 0.5 mL/kg/hr is insufficient and indicative of ongoing dehydration or inadequate fluid intake.
Choice B rationale: An output of 15 mL/kg/hr is excessive and could suggest overhydration or a different pathology.
Choice C rationale: A urinary output of 2 mL/kg/hr is an ideal measure for indicating that fluid balance has been restored in infants.
Choice D rationale: An output of 7.5 mL/kg/hr is unusually high and not typical for a corrected fluid balance in infants.
A nurse at a pediatrician's office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate.
Which of the following instructions should the nurse provide to the parent?
A. Bring the child to the office for a rapid infusion of deferoxamine.
Choice A is not correct because rapid infusion of deferoxamine is not the first step in managing iron overdose.
B. Give the child syrup of ipecac.
Choice B is not correct because syrup of ipecac is no longer recommended for use in cases of poisoning.
C. Contact the poison control center.
In the event of a potential poisoning, the first step should be to contact the poison control center for guidance on how to proceed.
D. Provide a high-carbohydrate meal.
Choice D is not correct because providing a high-carbohydrate meal is not an appropriate intervention for iron overdose.
Full Explanation
In the event of a potential poisoning, the first step should be to contact the poison control center for guidance on how to proceed.
Choice A is not correct because rapid infusion of deferoxamine is not the first step in managing iron overdose.
Choice B is not correct because syrup of ipecac is no longer recommended for use in cases of poisoning.
Choice D is not correct because providing a high-carbohydrate meal is not an appropriate intervention for iron overdose.
A nurse in an emergency department is caring for an adolescent following a suicide attempt.
After reviewing the client's history, the nurse should determine which of the following is the priority risk factor for suicide completion.
A. History of substance abuse.
Choice A is not the answer because while substance abuse is a risk factor for suicide, it is not the priority risk factor for suicide completion in this case.
B. Previous suicide attempt.
According to the CDC, one of the individual risk factors for suicide is a previous suicide attempt.
C. Loss of a parent.
Choice C is not the answer because while loss of relationships can contribute to suicide risk, it is not the priority risk factor for suicide completion in this case.
D. Active psychiatric disorder.
Choice D is not the answer because while a history of mental illness is a risk factor for suicide, it is not the priority risk factor for suicide completion in this case.
Full Explanation
According to the CDC, one of the individual risk factors for suicide is a previous suicide attempt.
Choice A is not the answer because while substance abuse is a risk factor for suicide, it is not the priority risk factor for suicide completion in this case.
Choice C is not the answer because while loss of relationships can contribute to
suicide risk, it is not the priority risk factor for suicide completion in this case.
Choice D is not the answer because while a history of mental illness is a risk factor for suicide, it is not the priority risk factor for suicide completion in this case.
