Nursing Elites

1. When teaching a client about the use of risperidone, which of the following should be included?

• A. It is an SSRI
• B. Monitor for metabolic syndrome
• C. It has no side effects
• D. It can be taken with alcohol

Correct answer: B

Rationale: The correct answer is B: 'Monitor for metabolic syndrome.' Risperidone is not an SSRI but an atypical antipsychotic. Choice A is incorrect. Choice C is also incorrect as risperidone, like any medication, can have side effects. Choice D is wrong because alcohol consumption should generally be avoided while taking risperidone. Educating clients about monitoring for metabolic syndrome, weight gain, and other potential side effects is crucial in managing their health effectively while on this medication.

2. A nurse is in an acute care facility, caring for a client who is postop following abdominal surgery. Which behavior should the nurse identify as increasing the client's risk for constipation?

• A. Increased fiber intake
• B. Suppression of the urge to defecate
• C. Ambulation twice a day
• D. Daily laxative use

Correct answer: B

Rationale: The correct answer is B: 'Suppression of the urge to defecate.' Suppressing the urge to defecate can lead to constipation, especially in postoperative clients. It is essential to encourage clients to respond to the urge to defecate to prevent constipation. Increased fiber intake (Choice A) is beneficial for preventing constipation. Ambulation (Choice C) helps promote bowel motility and can reduce the risk of constipation. Daily laxative use (Choice D) may contribute to laxative dependence but is not the behavior most directly associated with increasing the risk of constipation in this scenario.

3. A nurse is teaching a client about the use of levetiracetam. Which of the following should be included in the teaching?

• A. It can cause weight loss
• B. Monitor for mood changes
• C. It is an over-the-counter medication
• D. It has no side effects

Correct answer: B

Rationale: The correct answer is B. Levetiracetam can cause mood changes and behavioral side effects, so clients should be monitored for these effects. Choice A is incorrect because levetiracetam is not typically associated with weight loss. Choice C is incorrect as levetiracetam is a prescription medication, not available over the counter. Choice D is incorrect as all medications, including levetiracetam, have potential side effects.

4. A nurse is conducting an infertility assessment for a newly admitted client. Which of the following factors should the nurse identify as affecting the client's fertility?

• A. Premature ovarian failure
• B. Renal calculi
• C. Dysmenorrhea
• D. Recurrent urinary tract infection

Correct answer: A

Rationale: Premature ovarian failure should be identified as affecting the client's fertility. It leads to reduced or absent ovarian function, resulting in decreased estrogen production and irregular menstrual cycles, which can impact fertility. Renal calculi, dysmenorrhea, and recurrent urinary tract infections do not directly affect fertility and are not typically associated with infertility assessments. Renal calculi are kidney stones that do not directly relate to reproductive health. Dysmenorrhea is painful menstruation but does not necessarily indicate infertility. Recurrent urinary tract infections primarily affect the urinary system and do not directly impact fertility.

5. A client at risk for coronary artery disease seeks advice from a nurse. What should the nurse recommend to reduce the risk?

• A. Increase your intake of saturated fats.
• B. Exercise for 150 minutes per week.
• C. Take iron supplements daily.
• D. Limit fruits and vegetables in your diet.

Correct answer: B

Rationale: The correct recommendation to reduce the risk of coronary artery disease is to exercise for at least 150 minutes per week. Regular exercise is crucial in maintaining cardiovascular health and reducing the chances of developing heart disease. Increasing intake of saturated fats (Choice A) is counterproductive as it can raise cholesterol levels and contribute to arterial plaque formation. Taking iron supplements daily (Choice C) is not directly related to reducing the risk of coronary artery disease. Limiting fruits and vegetables in the diet (Choice D) is also not advisable, as they are essential components of a heart-healthy diet due to their high fiber and nutrient content.

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