Nursing Elites

1. A nurse is assessing a client who is 2 days postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?

• A. Serosanguineous drainage on the dressing
• B. Heart rate of 88/min
• C. Urine output of 30 mL/hr
• D. Blood pressure of 110/70 mm Hg

Correct answer: C

Rationale: The correct answer is C because a urine output of 30 mL/hr indicates oliguria, which can be a sign of dehydration or kidney impairment postoperatively. This finding should be reported to the provider for further evaluation. Choices A, B, and D are within normal parameters for a client who is 2 days postoperative following abdominal surgery and do not raise immediate concerns. Serosanguineous drainage on the dressing is an expected finding in the early postoperative period, a heart rate of 88/min is within the normal range, and a blood pressure of 110/70 mm Hg is also within normal limits.

2. A client who has glaucoma and a new prescription for timolol eyedrops is receiving teaching from a nurse. Which of the following statements indicates an understanding of the teaching?

• A. I will place the eye drops in the center of my eye.
• B. I will place pressure on the corner of my eye after using the drops.
• C. I should expect my tears to turn red after using the drops.
• D. I should expect the drops to appear cloudy.

Correct answer: B

Rationale: The correct answer is B because placing pressure on the corner of the eye after using the drops helps in better absorption. Option A is incorrect because eye drops should be placed in the conjunctival sac, not the center of the eye. Option C is incorrect because tears turning red is not an expected outcome of using timolol eyedrops. Option D is incorrect because timolol eyedrops should not appear cloudy.

3. A nurse is caring for a client who has a new prescription for spironolactone. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the medication?

• A. Serum sodium.
• B. Serum calcium.
• C. Serum potassium.
• D. Serum glucose.

Correct answer: C

Rationale: Corrected Rationale: Spironolactone is a potassium-sparing diuretic, so serum potassium should be monitored to evaluate its effectiveness. Monitoring serum potassium levels is crucial because spironolactone can cause hyperkalemia as a side effect. Serum sodium, serum calcium, and serum glucose levels are not directly affected by spironolactone and would not provide an accurate assessment of the medication's effectiveness.

4. A client with osteoporosis should be encouraged to perform which of the following interventions as part of the plan of care?

• A. Encourage the client to increase calcium intake.
• B. Apply heat to the affected joints to reduce stiffness.
• C. Encourage weight-bearing exercises to prevent bone loss.
• D. Limit fluid intake to prevent swelling.

Correct answer: C

Rationale: The correct answer is to encourage weight-bearing exercises to prevent bone loss in clients with osteoporosis. Weight-bearing exercises help to strengthen bones and reduce the risk of fractures. Increasing calcium intake (Choice A) is important for bone health but is not the priority intervention for preventing bone loss in osteoporosis. Applying heat to affected joints (Choice B) may help with stiffness but does not address the underlying bone loss in osteoporosis. Limiting fluid intake (Choice D) is not relevant to managing osteoporosis and preventing bone loss.

5. A client with iron deficiency anemia has a new prescription for ferrous sulfate. Which of the following instructions should the nurse include?

• A. Take with a glass of milk to prevent stomach upset.
• B. Take with orange juice to enhance absorption.
• C. Take on an empty stomach to increase absorption.
• D. Take with food to reduce gastrointestinal upset.

Correct answer: C

Rationale: The correct instruction is to take ferrous sulfate on an empty stomach to increase absorption. This is because taking it with food or dairy products like milk can reduce its absorption. Orange juice is not recommended as it may interfere with the absorption of iron. Taking ferrous sulfate on an empty stomach may cause gastrointestinal upset, but this can be minimized by gradually increasing the dose.

Similar Questions