Nursing Elites

1. Which medication is commonly used to treat hyperthyroidism?

• A. Methimazole
• B. Levothyroxine
• C. Propylthiouracil
• D. Aspirin

Correct answer: A

Rationale: Methimazole is the correct answer. It is commonly used to treat hyperthyroidism by inhibiting the production of thyroid hormones. Levothyroxine, on the other hand, is a medication used to treat hypothyroidism by providing synthetic thyroid hormone. Propylthiouracil is another medication used to treat hyperthyroidism by blocking the production of thyroid hormones. Aspirin is not used to treat hyperthyroidism, but rather for pain relief and reducing inflammation.

2. A nurse is caring for a client who has a new temporary synchronous pacemaker. Which of the following should the nurse report to the provider?

• A. The client's pulse oximetry level is 96%.
• B. The client develops hiccups.
• C. The ECG shows pacing spikes after the QRS complex.
• D. The client's heart rate is 90 beats per minute.

Correct answer: C

Rationale: The correct answer is C. Pacing spikes after the QRS complex indicate a malfunction of the pacemaker and should be reported. Choice A is not directly related to the pacemaker function. Choice B, hiccups, are common and not typically associated with pacemaker issues. Choice D, a heart rate of 90 beats per minute, is within the normal range and does not indicate a pacemaker malfunction.

3. A client is receiving discharge instructions following a stroke. Which of the following client statements indicates an understanding of the teaching?

• A. I will avoid using aspirin for pain.
• B. I will consume dairy products to increase my calcium intake.
• C. I will drink 1.5 to 2 liters of fluid each day.
• D. I will need to limit my intake of fiber.

Correct answer: A

Rationale: The correct answer is A. Avoiding aspirin is crucial for this client as it can increase the risk of bleeding after a stroke. Choice B about consuming dairy products for calcium intake is not directly related to stroke management. Choice C regarding fluid intake is a good practice for overall health but not specifically related to stroke care. Choice D about limiting fiber intake is not typically a concern after a stroke unless there are specific complications that warrant it.

4. Which electrolyte imbalance is most common in patients receiving furosemide?

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

Correct answer: A

Rationale: The correct answer is A, Hypokalemia. Furosemide, a loop diuretic, commonly leads to potassium loss in the urine, causing hypokalemia. This electrolyte imbalance should be closely monitored in patients taking furosemide. Choices B, C, and D are incorrect because hypercalcemia, hyponatremia, and hyperkalemia are not typically associated with furosemide use.

5. A nurse is providing teaching about folic acid to a client who is primigravida. Which of the following information should the nurse include in the teaching?

• A. You should take folic acid to prevent neural tube defects in your baby.
• B. You should consume at least 400 micrograms of folic acid daily.
• C. You can increase your dietary intake of folic acid by consuming cereals and citrus fruits.
• D. You should expect improved energy levels when taking folic acid supplements.

Correct answer: C

Rationale: The correct answer is C. Folic acid helps prevent neural tube defects, and dietary sources like cereals and citrus fruits are good options to increase folic acid intake. Choice A is incorrect because folic acid is primarily recommended to prevent neural tube defects, not to prevent infections. Choice B is incorrect because the recommended daily intake of folic acid for pregnant women is at least 400 micrograms, not 300. Choice D is incorrect because folic acid is not typically associated with improving energy levels.

Similar Questions