Nursing Elites

1. A nurse is preparing to administer morphine sulfate to a client. What should the nurse assess before administration?

• A. Assess for pain relief.
• B. Monitor for respiratory depression.
• C. Assess the infusion site for complications.
• D. Increase the dosage if the client reports more pain.

Correct answer: B

Rationale: Correct answer: Before administering morphine sulfate, the nurse should monitor for respiratory depression as it is a significant side effect of this medication. Assessing for pain relief (Choice A) is important but not a pre-administration assessment. Checking the infusion site for complications (Choice C) is relevant for IV medications, not specifically for morphine sulfate. Increasing the dosage if the client reports more pain (Choice D) is not appropriate without further assessment and medical orders.

2. A nurse is caring for a client who has heart failure and is prescribed furosemide. Which of the following outcomes indicates that the medication is effective?

• A. Improvement in visual acuity
• B. Decreased respiratory rate
• C. Weight loss of 1.36 kg (3 lb) in 24 hours
• D. Increased urinary output

Correct answer: D

Rationale: The correct answer is D. Increased urinary output is the desired outcome when administering furosemide to a client with heart failure. Furosemide is a diuretic that promotes the excretion of excess fluids from the body, which helps in reducing fluid overload, a common symptom of heart failure. Choices A, B, and C are not directly related to the action of furosemide in treating heart failure. Visual acuity improvement, decreased respiratory rate, and rapid weight loss are not typical indicators of furosemide effectiveness in managing heart failure.

3. A nurse is teaching a client about levothyroxine for primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?

• A. Take this medication until your symptoms are gone and then discontinue
• B. Symptoms improve immediately after starting the medication
• C. The medication decreases the overproduction of the thyroid hormone thyroxine
• D. Tremors, nervousness, and insomnia may indicate your dose is too high

Correct answer: D

Rationale: Tremors, nervousness, and insomnia indicate that the dose may be too high, requiring a dose adjustment.

4. A client has hypertension and a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?

• A. Suggest that the client use a salt substitute
• B. Obtain a 12-lead ECG
• C. Obtain a blood sample for a serum sodium level
• D. Advise the client to add citrus juices and bananas to their diet

Correct answer: B

Rationale: Obtaining a 12-lead ECG is crucial in this situation to assess cardiac function due to the elevated potassium level. High potassium levels can lead to dangerous arrhythmias, and an ECG helps in detecting any cardiac abnormalities. Choices A, C, and D are incorrect. Suggesting a salt substitute can further elevate the client's potassium levels. Checking serum sodium levels is not the priority when dealing with high potassium levels. Advising the client to add citrus juices and bananas, which are high in potassium, would worsen the situation.

5. An occupational health nurse in a factory is planning interventions to reduce environmental stressors for employees. Which of the following interventions should the nurse use to affect physical agents in the environment?

• A. Teach workers to choose personal strategies to cope with work stress
• B. Limit the amount of time workers spend in temperatures over 43.3°C (110°F)
• C. Provide ear plugs for use at workstations throughout the factory
• D. Obtain dosimeters for employees to wear when using new machinery that emits radiation

Correct answer: B

Rationale: Limiting exposure to extreme temperatures is important to protect workers from heat-related illnesses.

Similar Questions