Nursing Elites

1. A nurse is preparing to administer verapamil to a client who is 2 days postmyocardial infarction. The nurse should monitor the client for which of the following outcomes as a therapeutic response to the medication?

• A. Decreased blood pressure
• B. Decreased anginal pain
• C. Decreased heart rate
• D. Decreased anxiety

Correct answer: B

Rationale: The correct answer is B: Decreased anginal pain. Verapamil is a calcium channel blocker used to relieve angina by reducing myocardial oxygen demand. Monitoring for decreased anginal pain is essential as it indicates a therapeutic response to the medication. Choices A, C, and D are incorrect as verapamil's primary goal in this context is not to decrease blood pressure, heart rate, or anxiety.

2. While working the night shift, a nurse observes a colleague behaving strangely. What is the best course of action?

• A. Ignore the behavior and continue working
• B. Report the behavior to the supervisor
• C. Ask the colleague if everything is okay
• D. Discuss the behavior with other colleagues

Correct answer: B

Rationale: When a nurse observes a colleague behaving strangely, the best course of action is to report the behavior to the supervisor. Unusual behavior by a healthcare professional could compromise patient safety and should be addressed promptly. Ignoring the behavior (Choice A) could potentially lead to negative outcomes for patients. Asking the colleague directly (Choice C) may not be appropriate if the behavior poses a risk. Discussing the behavior with other colleagues (Choice D) may not directly address the issue and could lead to gossip rather than a resolution.

3. A nurse is caring for a female client who has osteoporosis and a new prescription for raloxifene. What should the nurse assess prior to initiating therapy?

• A. Pregnancy status
• B. Bone density
• C. Calcium levels
• D. Blood pressure

Correct answer: A

Rationale: The correct answer is A: Pregnancy status. Raloxifene is a pregnancy category X drug, which means it can cause serious birth defects. Therefore, it is crucial for the nurse to assess the client's pregnancy status before initiating therapy. Choice B, bone density, while important in osteoporosis management, is not a specific concern related to initiating raloxifene therapy. Choice C, calcium levels, and choice D, blood pressure, are not directly related to the initiation of raloxifene therapy in a female client with osteoporosis.

4. A client is being prepared for discharge after a stroke. Which of the following interventions should be included in the discharge plan to prevent complications?

• A. Recommend physical therapy to improve mobility
• B. Teach the client how to use an incentive spirometer
• C. Encourage the client to ambulate daily
• D. Provide education on proper medication management

Correct answer: D

Rationale: The correct answer is to provide education on proper medication management. Proper medication management is crucial in reducing the risk of stroke recurrence and ensuring the client adheres to the treatment plan. While physical therapy, incentive spirometer use, and daily ambulation are important aspects of stroke rehabilitation, they are not directly related to preventing complications during the discharge phase.

5. When caring for a client's tracheostomy at home, which instruction should the nurse include in the teaching?

• A. Clean with alcohol
• B. Cover the tracheostomy when outside
• C. Replace the tube weekly
• D. Use tap water to clean

Correct answer: B

Rationale: Covering the tracheostomy when outside is crucial as it helps prevent dust and other irritants from entering the airway, reducing the risk of complications. Cleaning with alcohol (choice A) can be too harsh for the skin around the tracheostomy site. While replacing the tube weekly (choice C) is important, it is typically done by healthcare providers. Using tap water to clean (choice D) is not recommended as it may introduce contaminants to the tracheostomy site.

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