Nursing Elites

1. A nurse is assessing a client for signs of anemia. Which of the following findings should the nurse look for?

• A. Increased energy
• B. Pale skin
• C. Elevated blood pressure
• D. Weight gain

Correct answer: B

Rationale: The correct answer is B: 'Pale skin.' Pale skin is a common sign of anemia due to reduced hemoglobin levels, which affects the skin color. Anemia is characterized by a decrease in the number of red blood cells or hemoglobin in the blood, leading to a paler complexion. Choices A, C, and D are incorrect. 'Increased energy' is not typically associated with anemia, as fatigue is a common symptom. 'Elevated blood pressure' is not a typical finding in anemia; instead, anemia may cause hypotension. 'Weight gain' is not a direct symptom of anemia; in fact, weight loss may occur in some cases due to reduced appetite or other factors associated with anemia.

2. A nurse is providing teaching for a client who is prescribed enoxaparin for DVT prevention. What is an appropriate action by the nurse?

• A. Expel the air bubble from the prefilled syringe
• B. Massage the injection site to distribute the medication
• C. Inject the medication into the lateral abdominal wall
• D. Administer an NSAID for injection site discomfort

Correct answer: C

Rationale: The correct action for a nurse when administering enoxaparin for DVT prevention is to inject the medication into the lateral abdominal wall. This is the recommended site for enoxaparin administration. Expelling the air bubble is unnecessary and may lead to a dosage error. Massaging the injection site is not recommended as it can cause bruising. Administering an NSAID for injection site discomfort is not necessary as discomfort should be minimal and transient.

3. What teaching points are important for the nurse to discuss with a client with hearing loss who has been fitted for a hearing aid?

• A. Use the highest setting to promote full auditory comprehension
• B. Use mild soap and water to clean the ear mold
• C. Turn the hearing aid off to conserve battery life during hours of sleep only
• D. Immerse the hearing aid in saline solution to keep it hygienic

Correct answer: B

Rationale: The correct teaching point for a client with hearing loss who has been fitted for a hearing aid is to use mild soap and water to clean the ear mold. It is important to keep the ear mold clean to prevent infections and maintain proper functioning. Choice A is incorrect because using the highest setting can lead to discomfort and may not be necessary for all situations. Choice C is incorrect as the hearing aid should generally be turned off when not in use, not just during sleep, to conserve battery life. Choice D is incorrect as immersing the hearing aid in saline solution can damage the device; it should be kept dry to prevent malfunction.

4. A nurse is providing teaching for a client who has a new prescription for sertraline. Which of the following statements by the client indicates understanding?

• A. I will feel better immediately after starting this medication.
• B. I can expect to urinate frequently while taking this medication.
• C. I may experience difficulty sleeping while taking this medication.
• D. I should decrease my sodium intake while taking this medication.

Correct answer: C

Rationale: The correct answer is C: 'I may experience difficulty sleeping while taking this medication.' Sertraline can cause insomnia, especially when first starting the medication, so the client should be aware of this potential side effect. Choices A, B, and D are incorrect because feeling better immediately, increased urination, and decreasing sodium intake are not commonly associated side effects of sertraline.

5. A nurse is teaching a client about the use of omeprazole. Which of the following should be included?

• A. Take the medication with food
• B. Avoid taking it with NSAIDs
• C. Monitor for gastrointestinal bleeding
• D. It can cause drowsiness

Correct answer: C

Rationale: The correct answer is C. Omeprazole is a proton pump inhibitor that can mask symptoms of gastrointestinal bleeding; clients should be monitored for this. Choices A and B are incorrect because omeprazole is usually taken before meals, and while it is important to avoid NSAIDs if possible due to their effects on the stomach, it is not directly related to omeprazole use. Choice D is also incorrect as omeprazole is not typically associated with causing drowsiness.

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