Extract:

Question 1 of 5

The charge nurse determines that the new nurse understands the concepts associated with suicide and suicide intentions when the new nurse makes which statement?

Correct Answer: D

Rationale: Most people who do commit suicide have given definite clues or warnings about their intentions. The individual who is suicidal is not necessarily psychotic. A suicide attempt is not an attention-seeking behavior, and each act should be taken very seriously. Suicide is not an inherited condition. The remaining options are considered myths regarding suicide.

Question 2 of 5

When developing the plan of care for a 12-year-old child who is to receive 48 hours of chemotherapy that is associated with nausea and vomiting, at which of the following times should the nurse anticipate administering an antiemetic?

A. Immediately following chemotherapy. B. 30 minutes before the chemotherapy starts, then every 4 to 6 hours. C. When the 12-year-old requests medication for nausea, then every 4 hours as needed. D. On starting the chemotherapy infusion, and then routinely every 8 hours.

Correct Answer: B

Rationale: Administering an antiemetic 30 minutes before chemotherapy and every 4-6 hours prophylactically minimizes nausea and vomiting.

Question 3 of 5

A physical assessment is performed on a suicidal client upon admission to the inpatient unit. The nurse understands its importance because it provides information regarding which priority assessment data?

A. The presence of abnormalities B. Evidence of physical self-harm C. Both subjective and objective baseline data D. Existing medical problems and complaints

Correct Answer: B

Rationale: The physical assessment of a suicidal client should be thorough and should focus on the evidence of self-harm or the client's formulation of a plan for the suicide attempt. Although all of the choices are correct, preventing self-harm is the priority in the context of the suicidal client. Clients with a history of self-harm are greater suicide risks.

Question 4 of 5

The nurse should inform a client taking carbamazepine (Tegretol) that it can affect other medications in which of the following ways?

A. It decreases the effects of oral anticoagulants B. It decreases the serum concentration of verapamil (Calan) C. It increases the serum concentration of other anticonvulsants D. It increases the effects of oral contraceptives

Correct Answer: A

Rationale: Carbamazepine induces liver enzymes, reducing the effects of oral anticoagulants like warfarin by increasing their metabolism. It does not typically affect verapamil, other anticonvulsants, or contraceptives in the ways described.

Question 5 of 5

A client with acute myocardial infarction receives therapy with alteplase. Which finding indicates to the nurse that the client is experiencing a possible complication?

A. Epistaxis B. Vomiting C. ECG changes D. Absent pedal pulses

Correct Answer: A

Rationale: Bleeding is an adverse effect of altepase therapy. The bleeding can be superficial or internal and can be spontaneous. None of the remaining options are side or adverse effects of altepase therapy.