Nursing Elites

1. The nurse is preparing a client for discharge following a myocardial infarction. What should the nurse prioritize in the discharge instructions?

• A. Warning signs of a potential heart attack
• B. Importance of medication adherence
• C. Follow-up appointment details
• D. All of the above

Correct answer: D

Rationale: When preparing a client for discharge after a myocardial infarction, the nurse should prioritize providing comprehensive instructions. This includes educating the client about warning signs of a potential heart attack to recognize symptoms early, stressing the importance of medication adherence for optimal recovery and prevention of further cardiac events, and ensuring understanding of follow-up appointment details for ongoing monitoring and care. All these aspects are crucial in preventing complications and promoting the client's well-being. Therefore, selecting 'All of the above' as the correct answer is the most appropriate choice. Choices A, B, and C are all essential components of a holistic discharge plan for a client post-myocardial infarction.

2. The nurse is caring for a client who is postoperative following a hip replacement. Which intervention is most important to prevent dislocation of the prosthesis?

• A. Keep the client in a low Fowler's position.
• B. Maintain hip abduction with pillows.
• C. Encourage early ambulation.
• D. Place the client in a prone position.

Correct answer: B

Rationale: Maintaining hip abduction with pillows is the most important intervention to prevent dislocation of the hip prosthesis postoperatively. This position helps keep the hip joint stable and prevents excessive internal rotation, which can lead to dislocation. Keeping the client in a low Fowler's position (Choice A) does not provide the necessary support and stability for the hip joint. While early ambulation (Choice C) is important for preventing complications such as blood clots and promoting circulation, it is not the most crucial intervention for preventing dislocation. Placing the client in a prone position (Choice D) can be harmful and increase the risk of dislocation.

3. A client begins taking an antidepressant drug during the second day of hospitalization. Which assessment is most important for the nurse to include in this client's plan of care while the client is taking the antidepressant?

• A. Appetite
• B. Mood
• C. Withdrawal
• D. Energy level

Correct answer: B

Rationale: Corrected Rationale: Monitoring the client's mood is essential when starting an antidepressant to assess for any changes or adverse effects related to the medication. Changes in mood can indicate the effectiveness of the antidepressant or potential side effects. Assessing appetite (Choice A) is important but not as crucial as monitoring mood in this context. Withdrawal symptoms (Choice C) are more relevant when discontinuing antidepressants rather than starting them. Energy level (Choice D) can be influenced by various factors and may not directly reflect the client's response to the antidepressant.

4. A client with a diagnosis of deep vein thrombosis (DVT) is receiving anticoagulant therapy. Which instruction should the nurse provide to the client?

• A. Avoid walking as much as possible
• B. Report any signs of bleeding to the healthcare provider
• C. Take aspirin for additional pain relief
• D. Wear compression stockings at night

Correct answer: B

Rationale: Reporting signs of bleeding is essential while on anticoagulant therapy to prevent complications.

5. When reconstituted, how many milligrams are in each milliliter of solution?

• A. 300 mg/mL
• B. 350 mg/mL
• C. 450 mg/mL
• D. 400 mg/mL

Correct answer: D

Rationale: After reconstitution, the concentration of the cefazolin solution is 400 mg/mL. This calculation is derived by dividing the total milligrams in the vial (1000 mg) by the total volume after reconstitution (2.5 mL). Therefore, each milliliter of the solution contains 400 mg of cefazolin. Choices A, B, and C are incorrect as they do not match the correct calculation based on the information provided.

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