Nursing Elites

1. A healthcare provider is caring for a client prescribed amiodarone. Which of the following should the healthcare provider monitor?

• A. Liver function tests
• B. Serum potassium levels
• C. Blood pressure
• D. All of the above

Correct answer: D

Rationale: Amiodarone is known to potentially affect liver function, potassium levels, and blood pressure. Monitoring all these parameters regularly is crucial to detect any adverse effects early on. Liver function tests are necessary as amiodarone can cause hepatotoxicity. Serum potassium levels should be monitored due to the risk of hypokalemia or hyperkalemia with amiodarone use. Blood pressure monitoring is essential as amiodarone can cause hypotension or hypertension. Choosing 'All of the above' is the correct answer because all these parameters should be monitored to ensure the client's safety and well-being. Monitoring only one or two of these parameters may lead to missing important signs of adverse effects.

2. A nurse is planning to discharge a client who has quadriplegia to his home. The nurse suggests that the family might need respite care services. When a family member asks how respite care can help, which response should the nurse provide?

• A. Respite care provides medical support to the client.
• B. Respite care assists with financial planning for the client’s needs.
• C. Respite care provides long-term housing.
• D. Respite care allows the primary caregiver time away from day-to-day care responsibilities.

Correct answer: D

Rationale: The correct answer is D. Respite care is designed to give primary caregivers temporary relief from the responsibilities of care, allowing them to take a break. Choice A is incorrect because respite care is not primarily focused on providing medical support to the client. Choice B is incorrect as respite care does not specifically assist with financial planning for the client's needs. Choice C is incorrect as respite care does not provide long-term housing, but rather short-term relief for caregivers.

3. A nurse is teaching a client who is pregnant about the amniocentesis procedure. Which of the following statements should the nurse include in the teaching?

• A. You do not need to have a full bladder for the procedure
• B. You will not receive magnesium sulfate before the procedure
• C. The procedure will take longer than 30 minutes to complete
• D. You should report if you experience any contractions after the procedure

Correct answer: D

Rationale: The correct statement to include in the teaching about amniocentesis is that the client should report if they experience any contractions after the procedure. This is crucial because contractions could indicate preterm labor or other complications following the amniocentesis. Choices A and B are incorrect as a full bladder is not required for the procedure, and magnesium sulfate is not typically given before an amniocentesis. Choice C is incorrect as the procedure usually takes about 20-30 minutes to complete.

4. A nurse is caring for a client with a new prescription for metoprolol. Which of the following should the nurse monitor?

• A. Blood pressure
• B. Liver function
• C. Serum potassium levels
• D. Blood glucose

Correct answer: A

Rationale: Corrected Rationale: Metoprolol is a beta-blocker commonly used to treat conditions like hypertension and angina. As a beta-blocker, it primarily affects the cardiovascular system by reducing heart rate and blood pressure. Therefore, the nurse should monitor the client's blood pressure regularly to assess the drug's effectiveness and ensure that it is within the therapeutic range. Monitoring liver function, serum potassium levels, or blood glucose is not typically required for clients taking metoprolol, as its primary impact is on the heart and blood vessels, making choice A the most appropriate monitoring parameter.

5. A nurse is assessing a client who is 12 hours post-surgery. The client has an indwelling urinary catheter, and the nurse notes a urinary output of 15 mL/hr. Which of the following interventions should the nurse implement first?

• A. Irrigate the catheter
• B. Assess the patency of the catheter
• C. Increase the IV fluid rate
• D. Notify the provider

Correct answer: B

Rationale: The nurse should first assess the patency of the catheter to ensure that the low output is not caused by a blockage. It is crucial to rule out any obstructions before considering other interventions. Irrigating the catheter without verifying patency may worsen the situation if there is a blockage. Increasing IV fluid rate may not address the underlying issue if the problem lies with the catheter. Notifying the provider should come after ensuring the catheter's patency.

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