Nursing Elites

1. When a nurse is interviewing a client who is requesting oral contraceptives, which finding in the client’s history is a contraindication to combined oral contraceptives?

• A. Thyroid disease
• B. Allergy to penicillin
• C. Impaired liver function
• D. Abnormal blood glucose levels

Correct answer: C

Rationale: The correct answer is C: Impaired liver function. Impaired liver function is a contraindication to the use of oral contraceptives because they are metabolized in the liver. Choices A, B, and D are incorrect. Thyroid disease, allergy to penicillin, and abnormal blood glucose levels are not contraindications to combined oral contraceptives.

2. A healthcare professional is assessing a client for signs of dehydration. Which of the following should the healthcare professional look for?

• A. Bradycardia
• B. Dry mucous membranes
• C. Decreased urination
• D. Both B and C

Correct answer: D

Rationale: Corrected Rationale: Signs of dehydration include dry mucous membranes and decreased urination, among other symptoms. Bradycardia is not a typical sign of dehydration; instead, tachycardia (increased heart rate) is more commonly associated with dehydration. Therefore, option A is incorrect. While dry mucous membranes and decreased urination are indicative of dehydration, selecting only one of these symptoms would not provide a comprehensive assessment. Hence, option D, which includes both dry mucous membranes and decreased urination, is the correct choice.

3. A nurse is caring for a client with celiac disease. Which food should be removed from the meal tray?

• A. Cornbread
• B. Mashed potatoes
• C. Lentils
• D. Tortillas

Correct answer: D

Rationale: The correct answer is D, Tortillas. Clients with celiac disease should avoid gluten, which is often found in tortillas. Cornbread, mashed potatoes, and lentils are gluten-free options, making them safe for individuals with celiac disease. Therefore, the other choices (A, B, and C) do not need to be removed from the meal tray.

4. A healthcare provider is assessing a client for allergies before administering propofol. Which of the following allergies is a contraindication to the medication?

• A. Eggs
• B. Milk
• C. Shrimp
• D. Peanuts

Correct answer: A

Rationale: The correct answer is A: Eggs. Propofol is contraindicated in clients with egg allergies because it contains egg lecithin, which can trigger allergic reactions in sensitive individuals. Milk, shrimp, and peanuts are not contraindications for propofol administration.

5. A nurse is developing a plan of care for a client who will be placed in halo traction following surgical repair of the cervical spine. Which of the following interventions should the nurse include in the plan?

• A. Inspect the pin site every 4 hours
• B. Monitor the client’s skin under the halo vest
• C. Ensure two personnel hold the halo device when repositioning the client
• D. Apply powder frequently to the client’s skin under the vest to decrease itching

Correct answer: B

Rationale: The correct answer is to monitor the client’s skin under the halo vest. This is important to assess for signs of skin issues such as excessive sweating, redness, or blistering, which can lead to skin breakdown and infection. Choice A is incorrect because inspecting the pin site every 4 hours is necessary but not the priority in this case. Choice C is incorrect as it is not essential for two personnel to hold the halo device during repositioning. Choice D is incorrect because applying powder frequently can actually increase the risk of skin issues by clogging pores and causing irritation.

Similar Questions