Nursing Elites

1. A healthcare provider is preparing to administer a dose of levothyroxine. Which of the following should the healthcare provider do?

• A. Give it with food
• B. Assess the patient's heart rate
• C. Administer it in the evening
• D. Give it with calcium supplements

Correct answer: B

Rationale: The correct answer is to assess the patient's heart rate. Levothyroxine is a thyroid hormone replacement medication that can increase metabolism. One of the potential side effects of levothyroxine is tachycardia (rapid heart rate). Therefore, it is essential for the healthcare provider to assess the patient's heart rate before administering the medication to monitor for any signs of tachycardia. Giving levothyroxine with food may affect its absorption, so it is typically recommended to administer it on an empty stomach. Administering it in the evening is not necessary unless specifically prescribed by the healthcare provider, and giving it with calcium supplements can interfere with the absorption of levothyroxine.

2. A nurse is caring for a newborn immediately following birth. What should the nurse do first?

• A. Instill erythromycin ophthalmic ointment
• B. Place identification bracelets on the newborn
• C. Weigh the newborn
• D. Dry the newborn

Correct answer: D

Rationale: Drying the newborn is the first priority to prevent heat loss, which can occur rapidly in newborns due to their large surface area and lack of body fat. This helps maintain the newborn's body temperature and prevent hypothermia. Instilling erythromycin ophthalmic ointment, placing identification bracelets, and weighing the newborn can be important steps but should come after ensuring the newborn is dried to maintain their body temperature.

3. A healthcare provider is educating a client about the use of finasteride. Which of the following should be included?

• A. It is used to treat hypertension
• B. It can cause hair loss
• C. It may take several months to see results
• D. It is safe for use during pregnancy

Correct answer: C

Rationale: Correct answer: The healthcare provider should inform the client that finasteride may take several months to show therapeutic effects for conditions like hair loss or benign prostatic hyperplasia. Choice A is incorrect as finasteride is not used to treat hypertension. Choice B is incorrect because finasteride is actually used to treat hair loss, not cause it. Choice D is incorrect as finasteride is contraindicated during pregnancy due to the risk of harm to a male fetus.

4. A nurse is assessing a newborn and notes that the infant has yellow-tinged skin. Which of the following is the priority nursing action?

• A. Assess the infant's bilirubin levels
• B. Initiate phototherapy
• C. Monitor the infant's temperature
• D. Encourage breastfeeding

Correct answer: A

Rationale: Yellow-tinged skin (jaundice) in a newborn can indicate hyperbilirubinemia. The priority action is to assess the infant's bilirubin levels to determine the severity of the jaundice and the need for further interventions, such as phototherapy. Initiating phototherapy (choice B) is premature without knowing the actual bilirubin levels. Monitoring the infant's temperature (choice C) is important but not the priority in this situation. Encouraging breastfeeding (choice D) is beneficial but not the priority when dealing with jaundice in a newborn.

5. A nurse is teaching a client about the dietary management of irritable bowel syndrome (IBS). Which of the following instructions should the nurse include?

• A. Decrease fiber intake
• B. Drink peppermint tea
• C. Increase foods that are high in fat
• D. Avoid foods with gluten

Correct answer: B

Rationale: The correct answer is B: 'Drink peppermint tea.' Peppermint tea can help relax the smooth muscles of the gastrointestinal tract, reducing symptoms of IBS, such as bloating and abdominal discomfort. Choices A, C, and D are incorrect. Decreasing fiber intake is not recommended for IBS management as fiber can help regulate bowel movements. Increasing foods high in fat can exacerbate symptoms of IBS, as high-fat foods can be harder to digest. Avoiding foods with gluten is more relevant for individuals with gluten sensitivity or celiac disease, not specifically for IBS management.

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