NCLEX-PN quotation
A client with breast cancer has been given a prescription for cyclophosphamide. The nurse determines that the client understands the proper use of the medication if the client makes which statements?
"I will increase fluid intake to 2 to 3 L/day." and "I will observe my urine carefully for signs of bleeding."
A primary health care provider instructs a client with rheumatoid arthritis to take ibuprofen. The nurse reinforces the instructions, knowing that the normal adult dose for this client is which?
400 mg orally 3 times a day
A client with acquired immunodeficiency syndrome (AIDS) has become infected with histoplasmosis. The nurse monitors the client for which manifestation of histoplasmosis?
Dyspnea
The nurse is caring for a client diagnosed with Paget's disease. What abnormal laboratory values would the nurse specifically monitor in a client with Paget's disease?
Elevated serum calcium, Elevated serum alkaline phosphatase (ALP) Elevated 24-hour urinary hydroxyproline level
The nurse is reinforcing instructions to a pregnant client regarding the need to consume folic acid in the diet. The nurse determines that the client understands the instructions when the client states that it is necessary to include which food item in the diet?
Green, leafy vegetables
The nurse is caring for a client prescribed an oral hypoglycemic agent that has just been diagnosed with a urinary tract infection. The primary health care provider plans to treat the infection with sulfamethoxazole. The nurse should expect that because of medication interactions, the primary health care provider will adjust which prescription?
Lower dose of the oral hypoglycemic
A client with carcinoma is admitted to the hospital for a chemotherapy treatment with intravenous bleomycin sulfate. The plan of care mentions observing for interstitial pneumonitis as the priority of care. Which finding most closely correlates to symptoms of interstitial pneumonitis and requires reporting?
Lung wheezing and shortness of breath
The nurse is planning to put aneurysm precautions in place for the client with a cerebral aneurysm. Which item should be included as part of the precautions?
Maintaining the head of the bed at 15 degrees
A camp nurse is reinforcing instructions to the parents of the children who are attending a daytime camp for the summer. The nurse instructs the parents to check their child daily for the presence of tick bites and tells the parents that if a tick is found to do which action first?
Suffocate the tick with a substance such as nail polish.
The client recently diagnosed with toxoplasmosis asks the nurse, "What is toxoplasmosis? How did I get it, and what do I have to do to get rid of it"? Which information should the nurse include in the response?
Toxoplasmosis is treated with sulfadiazine, Pregnant people should not empty litter boxes, Toxoplasmosis is an organism found in rare pork.. Toxoplasmosis may cause a severe inflammatory response.
The nurse reviews the results of a bilirubin level on a 2-day-old, jaundiced, term newborn. The results indicate a total bilirubin level of 7.2 mg/dL. The newborn's mother verbalizes concern over the bilirubin results. On which interpretation of the bilirubin result does the nurse base a response?
Within acceptable ranges
What is Histoplasmosis
is an opportunistic fungal infection that can occur in the client with AIDS. The infection begins as a respiratory infection and can progress to disseminated infection. Typical signs and symptoms include fever, dyspnea, cough, and weight loss. There also may be enlargement of the client's lymph nodes, liver, and spleen.
A client is to be monitored for residual urine every 8 hours. Which are appropriate nursing actions for the nurse to complete this task?
it is necessary for the client to void, then obtain a bladder scan. If less than 100 mL of urine (or the specific amount prescribed) is viewed on the scan, continuing to monitor as prescribed is appropriate
The nurse is caring for a client following a total hip replacement. The client has been diagnosed with iron deficiency anemia. The nurse instructs the client to increase intake of which foods?
should increase intake of foods that are naturally high in iron. The best sources of dietary iron are red meat, liver and other organ meats, blackstrap molasses, clams, mussels, and oysters.
A client is being discharged from the ambulatory care unit following cataract removal. Which instruction from the discharge teaching plan should the nurse reinforce?
to wear a metal or plastic shield. not to rub the eye. Aspirin or medications containing aspirin are not to be administered, the client is instructed to take acetaminophen as needed for pain, not to sleep on the side of operate, not to lift more than 5 pounds.
