Mineral oil has been prescribed for constipation, and the nurse teaches about administration of the mineral oil. Which statement by the mother indicates that teaching was effective?
1.
"I will administer the mineral oil before each meal."
2.
"I will administer the mineral oil followed by ...
NCLEX STUDY EXAM GUIDE
Mineral oil has been prescribed for constipation, and the nurse teaches about administration of the mineral oil. Which statement by the mother indicates that teaching was effective? 1.
"I will administer the mineral oil before each meal." 2.
"I will administer the mineral oil followed by a glass of warm water." 3.
"I will mix the mineral oil with a chilled drink before administration." 4.
"I will mix the mineral oil with 8 ounces of warm juice before administration." - correct answer 3. I will mix the mineral oil with a chilled drink before administration
Mineral oil is best tolerated when it is given chilled or mixed with cold drinks. Mixing the oil with
chocolate milk, blending it with ice cubes and fruit juice, or chilling it helps to disguise the taste. Administering mineral oil before meals would affect appetite
A client has been taking glucocorticoids to control rheumatoid arthritis. Which laboratory abnormality is the client at risk for as a result of taking this medication? 1.
Increased serum glucose 2.
Decreased serum sodium 3.
Elevated serum potassium 4.
Increased white blood cells - correct answer 1. Increased serum glucose
Glucocorticoids have 3 primary uses: replacement therapy for adrenal insufficiency, immunosuppressive therapy, and antiinflammatory therapy. Exogenous glucocorticoids cause the same effects on cellular activity as those of the naturally produced glucocorticoids; however, exogenous glucocorticoids also may have undesired effects. The glucocorticoids stimulate appetite and increase caloric intake. They also increase the availability of glucose for energy. These combined effects cause the blood glucose levels to rise, making the client prone to hyperglycemia. Glucocorticoids can also lead to hypokalemia. The remaining options are not expected effects of the use of glucocorticoids.
What is the priority nursing action when admitting a client who has just attempted suicide? 1.
Ensure constant observation of the client at all times. 2.
Conduct a thorough mental health assessment of the client. 3.
Determine whether the client has ever attempted suicide previously. 4.
Remove all potentially dangerous articles from among the client's belongings. - correct answer 1. Ensure constant observation of the client at all times
The plan of care for a client with a serious suicide attempt must reflect action that will promote the client's safety. Constant observation status (one-on-one by the nurse) and never being less than an arm's length away are the best interventions. While the remaining options are appropriate, none have the priority at the time of admission.
A patient is brought to the emergency department (ED) by a friend. The patient is unresponsive and respirations are slow and shallow. Which of the following is the priority intervention?
Choose 1 answer:
A
Check the patient's blood glucose level
B
Ask the friend if they were using illicit drugs
C
Administer naloxone, per protocol
D
Administer 100% oxygen per nasal cannula - correct answer D
patient is admitted to the emergency department (ED) after ingesting MDMA (ecstasy). Which of the following symptoms would the healthcare provider anticipate?
Choose all answers that apply:
A
Chest pain
B
Flaccid extremities
C
Hypertension D
Seizures
E
Hypothermia
F
Agitation - correct answer A, C, D, F
A patient who overdosed on oxycodone is given naloxone. When assessing the patient, the healthcare provider would anticipate which of these clinical manifestations of opioid withdrawal?
Choose 1 answer:
A
Depressed respirations and somnolence
B
Bradycardia and hyporthermia
C
Hyperthermia and euphoria
D
Irritability and nausea - correct answer D
A patient is brought to the emergency department by a family member. The patient has been agitated for the past several hours and has alternated between grandiosity and expressing a desire to commit suicide. Upon examination, the patient is diaphoretic, hypertensive, and tachycardic. Intoxication with which of the following substances would contribute to these
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