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Question 1 of 5

The nurse administers the prescribed dose of hydromorphone 2 mg to a client who had knee replacement surgery 2 days ago. Which assessment finding is most concerning to the nurse?

Correct Answer: A

Rationale: Falling asleep mid-conversation (
A) may indicate opioid-induced respiratory depression, a life-threatening concern. Constipation (
B), emesis (
C), and pruritus (
D) are less urgent side effects.

Question 2 of 5

Diphenoxylate hydrochloride with atropine sulfate (Lomotil) is prescribed for a client. The nurse knows that the drug is prescribed for which of these problems the client has?

Correct Answer: A

Rationale: Lomotil is an antidiarrheal, slowing intestinal motility to reduce diarrhea.

Question 3 of 5

A client with a panic disorder has a new prescription for Xanax (alprazolam). In teaching the client about the drug's actions and side effects, which of the following should the nurse emphasize?

Correct Answer: A

Rationale: Short-term relief can be expected. Xanax is a short-acting benzodiazepine useful in controlling panic symptoms quickly.

Question 4 of 5

The nurse is talking to a client with rheumatoid arthritis who is reporting increased pain and stiffness of the joints in the morning. The nurse should encourage the client to

Correct Answer: C

Rationale: A warm shower and range-of-motion exercises (
C) reduce morning stiffness and improve mobility. Heating pads (
A) may help but are less comprehensive, high-calorie meals (
B) are irrelevant, and NSAIDs (
D) may not address stiffness immediately.

Question 5 of 5

The nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 6 inches (15.2 cm), the nurse notes a small amount of urine in the tubing. Which of the following actions should the nurse take next?

Correct Answer: D

Rationale: Advancing to the bifurcation (
D) ensures proper placement in the bladder before inflating the balloon. Measuring output (
A), inflating early (
B), or securing (
C) are premature.

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