Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which of the following instructions should the nurse include in the teaching?.
A. Treat nasal rhinitis with an over-the-counter antihistamine.
Treating nasal rhinitis with an over-the-counter antihistamine is not directly related to neostigmine use or myasthenia gravis.
B. If a medication dose is missed, wait until the next scheduled dose to take the medication.
If a medication dose is missed, wait until the next scheduled dose to take the medication is not the best advice. Neostigmine should be taken at regular intervals for maximum effectiveness.
C. Expect diaphoresis as a side effect of the neostigmine.
Expecting diaphoresis as a side effect of the neostigmine is not accurate. Diaphoresis is not a common side effect of neostigmine.
D. Take the medication 45 minutes before eating.
Taking the medication 45 minutes before eating is correct. This timing helps maximize the medication’s effectiveness during meals, when muscle strength for swallowing is crucial. So, the correct answer is, D.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Custom Pharmacology Cohert 6 Mid term Remidiation Cloned Assessment 1 Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Treating nasal rhinitis with an over-the-counter antihistamine is not directly related to neostigmine use or myasthenia gravis.
Choice B rationale:
If a medication dose is missed, wait until the next scheduled dose to take the medication is not the best advice. Neostigmine should be taken at regular intervals for maximum effectiveness.
Choice C rationale:
Expecting diaphoresis as a side effect of the neostigmine is not accurate. Diaphoresis is not a common side effect of neostigmine.
Choice D rationale:
Taking the medication 45 minutes before eating is correct. This timing helps maximize the medication’s effectiveness during meals, when muscle strength for swallowing is crucial.
So, the correct answer is,
D.
Similar Questions
A nurse in the emergency department is assisting with the care of a client who has myasthenia gravis and is in crisis.
The nurse should identify that which of the following factors can cause a myasthenic crisis?.
A. Developing a respiratory infection.
Developing a respiratory infection can indeed trigger a myasthenic crisis. Any form of stress on the body, including infections, can exacerbate symptoms.
B. Taking too much prescribed medication.
Taking too much prescribed medication is not typically a cause of myasthenic crisis. However, medication changes should always be managed carefully.
C. Insufficient sleep.
Insufficient sleep can contribute to overall stress and fatigue, potentially exacerbating symptoms, but it is not a primary cause of myasthenic crisis. So, the correct answer is, A.
D. Insufficient exercise.
Insufficient exercise is not a known trigger for myasthenic crisis. While regular exercise can help manage symptoms, lack of exercise is not a direct cause.
Full Explanation
Choice A rationale:
Developing a respiratory infection can indeed trigger a myasthenic crisis. Any form of stress on the body, including infections, can exacerbate symptoms.
Choice B rationale:
Taking too much prescribed medication is not typically a cause of myasthenic crisis. However, medication changes should always be managed carefully.
Choice C rationale:
Insufficient sleep can contribute to overall stress and fatigue, potentially exacerbating symptoms, but it is not a primary cause of myasthenic crisis.
Choice D rationale:
Insufficient exercise is not a known trigger for myasthenic crisis. While regular exercise can help manage symptoms, lack of exercise is not a direct cause.
A nurse is modifying the diet of a client who has Parkinson's disease and a prescription for selegiline, a monamine oxidase inhibitor (MAOI). Which of the following foods should the nurse eliminate from the client's diet?.
A. Fresh fish.
Fresh fish is not a food that needs to be eliminated from the diet of a client taking an MAOI like selegiline. It does not contain tyramine, which can cause a hypertensive crisis in clients taking MAOIs.
B. Cheddar cheese.
Cheddar cheese is a food high in tyramine and should be eliminated from the diet of a client taking an MAOI. Consuming foods high in tyramine can lead to a hypertensive crisis in these clients.
C. Cherries.
Cherries are not a food that needs to be eliminated from the diet of a client taking an MAOI. They do not contain tyramine.
D. Chicken.
Chicken is not a food that needs to be eliminated from the diet of a client taking an MAOI. It does not contain tyramine. So, the correct answer is B. Cheddar cheese.
Full Explanation
Choice A rationale:
Fresh fish is not a food that needs to be eliminated from the diet of a client taking an MAOI like selegiline. It does not contain tyramine, which can cause a hypertensive crisis in clients taking MAOIs.
Choice B rationale:
Cheddar cheese is a food high in tyramine and should be eliminated from the diet of a client taking an MAOI. Consuming foods high in tyramine can lead to a hypertensive crisis in these clients.
Choice C rationale:
Cherries are not a food that needs to be eliminated from the diet of a client taking an MAOI. They do not contain tyramine.
Choice D rationale:
Chicken is not a food that needs to be eliminated from the diet of a client taking an MAOI. It does not contain tyramine.
So, the correct answer is B. Cheddar cheese.
A nurse is caring for a client who has Alzheimer's disease and is confused.
Which of the following actions should the nurse take?.
A. Keep the television on at all times.
Keeping the television on at all times can increase confusion and agitation in clients with Alzheimer’s disease due to the constant noise and changing images.
B. Hang abstract pictures on the walls.
Abstract pictures can be confusing and disorienting for clients with Alzheimer’s disease. It’s better to use simple, familiar images.
C. Keep familiar personal items in client's room.
Keeping familiar personal items in the client’s room can help orient the client to their surroundings and decrease confusion.
D. Encourage bright lighting in the room.
Bright lighting can help reduce confusion and agitation in clients with Alzheimer’s disease by making the environment clear and easy to navigate. So, the correct answer is C. Keep familiar personal items in client’s room.
Full Explanation
Choice A rationale:
Keeping the television on at all times can increase confusion and agitation in clients with Alzheimer’s disease due to the constant noise and changing images.
Choice B rationale:
Abstract pictures can be confusing and disorienting for clients with Alzheimer’s disease. It’s better to use simple, familiar images.
Choice C rationale:
Keeping familiar personal items in the client’s room can help orient the client to their surroundings and decrease confusion.
Choice D rationale:
Bright lighting can help reduce confusion and agitation in clients with Alzheimer’s disease by making the environment clear and easy to navigate.
So, the correct answer is C. Keep familiar personal items in client’s room.