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Question 1 of 5

The nurse has an order for medication to be administered intrathecally. The nurse is aware that medications will be administered by which method?

Correct Answer: D

Rationale: Intrathecal administration involves delivering medication directly into the cerebrospinal fluid, typically via a spinal injection, to target the central nervous system effectively.

Question 2 of 5

A client scheduled for a carotid endarterectomy requires insertion of an intra-arterial blood pressure-monitoring device. The nurse plans to perform the Allen test. Which observation indicates patency of the ulnar artery?

Correct Answer: C

Rationale: The Allen test assesses collateral circulation. The hand turning pink after releasing ulnar artery pressure indicates patency, ensuring adequate blood flow if the radial artery is cannulated.

Question 3 of 5

A client has been receiving Rheumatrex (methotrexate) for severe rheumatoid arthritis. The nurse should tell the client to avoid taking:

Correct Answer: A

Rationale: Aspirin can increase methotrexate toxicity by reducing its renal excretion, leading to potentially severe side effects.

Question 4 of 5

Which assignment should not be performed by the nursing assistant?

Correct Answer: D

Rationale: Administering an enema is an invasive procedure requiring clinical judgment, which is beyond the scope of a nursing assistant's responsibilities.

Question 5 of 5

A client's wife states that her elderly husband has begun to slightly slur his words and drop word endings, he has become increasingly withdrawn socially, and he is irritable, accusing her of talking behind his back and whispering at him. The nurse suspects that the client should be initially evaluated for which of the following?

Correct Answer: C

Rationale: Slurred speech, social withdrawal, and irritability with accusations of whispering suggest hearing loss (
C), which can cause communication difficulties and paranoia. Depression (
A), Alzheimer's (
B), and stroke (
D) are less likely to present with this specific combination.

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