Nursing Elites

1. A client is being taught about the use of digoxin. Which of the following should be included?

• A. Monitor for low blood pressure
• B. It can cause bradycardia
• C. Take it with calcium supplements
• D. It has no side effects

Correct answer: B

Rationale: The correct answer is B: 'It can cause bradycardia.' Digoxin can cause bradycardia as one of its side effects. Clients should be educated about this potential effect and instructed to monitor their heart rate before taking the medication. Choice A is incorrect because digoxin is more likely to cause arrhythmias than low blood pressure. Choice C is incorrect as calcium supplements can interfere with the absorption of digoxin. Choice D is incorrect as digoxin has various side effects, and clients should be aware of them.

2. A nurse is caring for an older adult client with delirium. Which intervention will most effectively reduce the client's risk for falls?

• A. Using a night-light
• B. Demonstrating how to use the call light
• C. Placing the bedside table in close proximity
• D. Hourly rounding by the nurse

Correct answer: D

Rationale: Hourly rounding by the nurse is the most effective intervention to reduce the risk of falls in older adult clients with delirium. This intervention ensures that the nurse regularly checks on the client, assesses their needs, and assists them with any activities, thereby minimizing the chances of falls. Using a night-light (choice A) may help improve visibility but does not provide continuous assistance and monitoring. Demonstrating how to use the call light (choice B) is important but may not prevent falls directly. Placing the bedside table in close proximity (choice C) is helpful for convenience but does not address the continuous monitoring and assistance needed to prevent falls in this case.

3. A healthcare professional is caring for a client receiving potassium-sparing diuretics. Which of the following should the healthcare professional monitor?

• A. Hypokalemia
• B. Hyperkalemia
• C. Hypoglycemia
• D. Hyponatremia

Correct answer: B

Rationale: Corrected Rationale: When a client is receiving potassium-sparing diuretics, the healthcare professional should monitor for hyperkalemia. Potassium-sparing diuretics can cause potassium retention, leading to elevated potassium levels in the blood. Monitoring potassium levels is crucial to prevent hyperkalemia-related complications such as cardiac arrhythmias. Choices A, C, and D are incorrect because potassium-sparing diuretics typically do not cause hypokalemia, hypoglycemia, or hyponatremia.

4. A client who is at 32 weeks gestation and has a history of cardiac disease is being cared for by a nurse. Which of the following positions should the nurse place the client in to best promote optimal cardiac output?

• A. The chest
• B. Standing
• C. Supine
• D. Left lateral

Correct answer: D

Rationale: The correct answer is the left lateral position. Placing the client in the left lateral position promotes optimal cardiac output during pregnancy by reducing pressure on the inferior vena cava, improving blood flow to the heart and fetus. Choice A, 'The chest,' is incorrect as it does not describe a position that benefits cardiac output. Choice B, 'Standing,' is incorrect as it does not alleviate pressure on the vena cava. Choice C, 'Supine,' is contraindicated in pregnancy, especially in clients with cardiac disease, as it can compress the vena cava and decrease cardiac output.

5. A nurse is preparing to administer lactated Ringer's (LR) 1,000 mL IV to infuse over 8 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

• A. 19 gtt/min
• B. 20 gtt/min
• C. 21 gtt/min
• D. 22 gtt/min

Correct answer: C

Rationale: Calculation: 1000 mL / 480 minutes × 10 gtt/mL = 20.83, rounded to 21 gtt/min. This ensures proper IV fluid administration over the prescribed time. Choice C is the correct answer as it reflects the accurate calculation based on the given parameters. Choice A is incorrect because it does not accurately calculate the infusion rate. Choice B is incorrect as it does not consider the precise calculation required. Choice D is incorrect as it deviates from the correct calculation.

Similar Questions