Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is teaching self-management to a client who has hepatitis B. Which of the following instructions should the nurse include in the teaching?
A. You may donate blood 6 months after completing the medication regimen.
Clients with hepatitis B should never donate blood, even after completing treatment, as they can remain carriers of the virus.
B. Rest frequently throughout the day.
Resting frequently is essential for clients with hepatitis B as it helps the body recover and conserve energy during the healing process.
C. Consume a high-protein diet.
A high-protein diet is not recommended for hepatitis B patients; a balanced diet with adequate calories and nutrients is more appropriate to support liver health.
D. Take acetaminophen every 4 hr, as needed, for discomfort.
Acetaminophen is metabolized by the liver and should be used cautiously or avoided in clients with hepatitis B to prevent further liver damage.
This question is an excerpt from Nurse Dive's nursing test bank - Ati critical care midterm proctored exam. Take the full exam now
Full Explanation
A. Clients with hepatitis B should never donate blood, even after completing treatment, as they can remain carriers of the virus.
B. Resting frequently is essential for clients with hepatitis B as it helps the body recover and conserve energy during the healing process.
C. A high-protein diet is not recommended for hepatitis B patients; a balanced diet with adequate calories and nutrients is more appropriate to support liver health.
D. Acetaminophen is metabolized by the liver and should be used cautiously or avoided in clients with hepatitis B to prevent further liver damage.
Similar Questions
A nurse is caring for a client who has returned from the surgical suite following surgery for a fractured mandible. The client had intermaxillary fixation to repair and stabilize the fracture. Which of the following actions is the priority for the nurse to take?
A. Relieve the client's pain.
Pain relief is important, but the immediate priority post-surgery is to ensure the client’s airway is not compromised.
B. Promote oral hygiene.
Promoting oral hygiene is necessary to prevent infection, but it is not the immediate priority.
C. Prevent aspiration.
Preventing aspiration is the priority because the client’s jaw is wired shut, increasing the risk of aspiration which can lead to serious respiratory complications.
D. Ensure adequate nutrition.
Ensuring adequate nutrition is important for recovery, but it comes after ensuring the client’s airway and breathing are safe and stable.
Full Explanation
A. Pain relief is important, but the immediate priority post-surgery is to ensure the client’s airway is not compromised.
B. Promoting oral hygiene is necessary to prevent infection, but it is not the immediate priority.
C. Preventing aspiration is the priority because the client’s jaw is wired shut, increasing the risk of aspiration which can lead to serious respiratory complications.
D. Ensuring adequate nutrition is important for recovery, but it comes after ensuring the client’s airway and breathing are safe and stable.
A nurse is preparing to administer desipramine 150 mg PO daily to a client to treat diabetic neuropathy. The amount available is desipramine 100 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Full Explanation
- Identify the prescribed dose: The prescribed dose is 150 mg.
- Identify the strength available: The strength available is 100 mg per tablet.
- Calculate the number of tablets: Divide the prescribed dose by the strength available per tablet.
= 150/100= 1.5 tablets
A nurse is collecting the medical history from a client who has manifestations of the syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the client if he has a history of which of the following conditions that can cause SIADH?
A. Osteoarthritis
Osteoarthritis is not known to cause SIADH. It is a degenerative joint disease and does not typically affect antidiuretic hormone regulation.
B. Small Cell Lung cancer
Small Cell Lung cancer is associated with SIADH as it can produce ectopic ADH, leading to increased water retention and dilutional hyponatremia.
C. Dyspepsia
Dyspepsia is a digestive disorder and is not related to SIADH. It involves discomfort or pain in the upper abdomen.
D. Liver cirrhosis
Liver cirrhosis can cause fluid imbalance and hyponatremia, but it is not a primary cause of SIADH. SIADH is more commonly associated with malignancies like Small Cell Lung cancer.
Full Explanation
A. Osteoarthritis is not known to cause SIADH. It is a degenerative joint disease and does not typically affect antidiuretic hormone regulation.
B. Small Cell Lung cancer is associated with SIADH as it can produce ectopic ADH, leading to increased water retention and dilutional hyponatremia.
C. Dyspepsia is a digestive disorder and is not related to SIADH. It involves discomfort or pain in the upper abdomen.
D. Liver cirrhosis can cause fluid imbalance and hyponatremia, but it is not a primary cause of SIADH. SIADH is more commonly associated with malignancies like Small Cell Lung cancer.