Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is teaching a young adult female client who has sickle cell anemia and a new prescription for hydroxyurea. Which of the following information should the nurse include in the teaching?
A. "You will need to have your blood drawn every 2 weeks."
B. "You will self-administer one dose intramuscularly each day."
C. "This medication is safe to take if you become pregnant.
D. "You should limit your daily fluid intake to 1 and a half liters."
This question is an excerpt from Nurse Dive's nursing test bank - RN ati Concept-based assessment level proctored exam. Take the full exam now
Similar Questions
A nurse is providing teaching to a client who has a new prescription for a transdermal contraceptive patch. Which of the following instructions should the nurse include?
A. "Expect heavier menstrual bleeding while using the patch."
While some women might experience lighter periods while using hormonal contraceptives, heavier menstrual bleeding is not an expected outcome of using the patch.
B. "Place the patch on the upper thigh."
The patch should be applied to areas like the upper outer arm, abdomen, buttock, or upper torso. The upper thigh is not recommended as an application site.
C. "Apply the first patch within 24 hours of starting your menstrual cycle."
The first patch is typically applied on the first day of the menstrual cycle, but it can also be applied within 24 hours of starting the cycle. This timing helps with immediate contraceptive coverage.
D. "Apply a new patch at the same time each day."
Applying a new patch at the same time each day helps maintain a consistent hormonal level, which is important for contraceptive effectiveness.
Full Explanation
A: Expecting heavier menstrual bleeding while using the patch is not a typical instruction given to clients. The patch may actually result in lighter, more regular bleeding.
B: The patch should not be placed on the upper thigh. According to the guidelines, the patch should be applied to clean, dry skin on the belly, buttocks, or back, and can also be placed on the outer part of the upper arm.
C: Applying the first patch within 24 hours of starting the menstrual cycle is correct. This ensures that the patch begins to work in sync with the client's natural cycle, providing immediate contraceptive protection.
D: A new patch should not be applied at the same time each day. Instead, it should be changed once a week on the same day, known as the "patch change day" to maintain consistent contraceptive coverage.
A nurse is providing teaching to a client who has stage 2 Parkinson's disease. Which of the following instructions should the nurse include in the teaching?
A. "Schedule appointments early in the morning."
Scheduling appointments earlier in the day accommodates the client's potential "on" periods when Parkinson's symptoms are better controlled.
B. "Look down at your feet when walking."
Looking down at the feet while walking is a technique that can help improve gait and stability, as Parkinson's disease often affects balance.
C. "Thicken liquids to promote swallowing."
Thicker liquids are less likely to cause aspiration in individuals with Parkinson's disease, as they can have difficulty coordinating the muscles needed for swallowing.
D. "Take a laxative if you experience constipation."
Constipation is a common issue in Parkinson's disease due to decreased gastrointestinal motility. However, focusing on dietary fiber and fluid intake is preferred before considering laxatives.
Full Explanation
Choice A rationale:
Scheduling appointments earlier in the day accommodates the client's potential "on" periods when Parkinson's symptoms are better controlled.
Choice B rationale:
Looking down at the feet while walking is a technique that can help improve gait and stability, as Parkinson's disease often affects balance.
Choice C rationale:
Thicker liquids are less likely to cause aspiration in individuals with Parkinson's disease, as they can have difficulty coordinating the muscles needed for swallowing.
Choice D rationale:
Constipation is a common issue in Parkinson's disease due to decreased gastrointestinal motility. However, focusing on dietary fiber and fluid intake is preferred before considering laxatives.
A nurse is caring for a client who was admitted following an ischemic stroke. Which of the following actions should the nurse take? (Select all that apply.)
A. Provide rest breaks between nursing care activities.
Rest breaks help prevent excessive fatigue, which is important for the client's overall well-being during recovery from a stroke.
B. Notify the provider of a systolic BP higher than 180 mm Hg.
Elevated blood pressure can worsen the effects of a stroke. A systolic blood pressure higher than 180 mm Hg should be reported to the provider for prompt intervention.
C. Administer aspirin 650 mg every 6 hr for a headache.
Administering aspirin for a headache without a medical order and assessment is not advisable.
D. Keep the client's head in a midline neutral position.
Maintaining the client's head in a midline neutral position promotes proper alignment and blood flow to the brain.
E. Monitor the client's vital signs every 4 hr
Monitoring vital signs every 4 hours is important, but addressing elevated blood pressure takes priority.
Full Explanation
A. Providing rest breaks between nursing care activities is essential to prevent fatigue and allow for recovery, as stroke patients often have reduced endurance and energy.
B. Notifying the provider of a systolic blood pressure higher than 180 mm Hg is crucial because hypertension can exacerbate brain injury following a stroke and increase the risk of hemorrhagic transformation.
C. Administering aspirin 650 mg every 6 hours for a headache is not recommended without a physician's order, especially post-stroke, as it can increase the risk of bleeding.
D. Keeping the client's head in a midline neutral position helps to promote venous drainage and decrease intracranial pressure, which is beneficial in the management of a stroke patient.
E. Monitoring the client's vital signs every 4 hours is important for detecting any changes in the patient's condition that may indicate complications or the need for medical intervention.