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Question 1 of 5

The physician has ordered sublingual nitroglycerin for a client. Which of the following are contraindications for administration of sublingual or buccal medications? Select all that apply.

Correct Answer: C,D

Rationale: Red, irritated mucous membranes (
C) and dehydration (
D) impair sublingual absorption. Edentulous state (
A), mild dementia (
B), and aphasia (E) do not contraindicate sublingual administration.

Question 2 of 5

An 18-month-old is admitted to the hospital with acute laryngotracheobronchitis. When assessing the respiratory status, the nurse should expect to find:

Correct Answer: A

Rationale: Acute laryngotracheobronchitis (croup) is characterized by inspiratory stridor and a harsh, barking cough due to upper airway inflammation and narrowing.

Question 3 of 5

A 6-month-old client is placed on strict bed rest following a hernia repair. Which toy is best suited to the client?

Correct Answer: A

Rationale: A colorful crib mobile is age-appropriate and safe for a 6-month-old on bed rest, providing visual stimulation.

Question 4 of 5

The nurse is caring for a 28-year-old female with a long history of heroin addiction. The client tells the nurse that she started off using a small amount recreationally, but as time went on, she needed more and more heroin to feel a high. The nurse recognizes this as

Correct Answer: C

Rationale:
Tolerance is the need for increasing doses to achieve the same effect, as described in the client’s heroin use.

Question 5 of 5

A client with AIDS tells the nurse that he regularly takes echinacea to boost his immune system. The nurse should tell the client that:

Correct Answer: A

Rationale: Echinacea may interact with antiretroviral medications, potentially reducing their effectiveness.

Similar Questions

The nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). The nurse notes that the urine output is bright red with clots. Which of the following actions should the nurse take FIRST?
The mother calls the clinic to report that her newborn has a rash on his forehead and face. Which action is most appropriate?
A client with chest pain is scheduled for a heart catheterization. Which of the following would the nurse include in the client's care plan?
The nurse is caring for a client who fractured her leg in a motor vehicle accident. A cast is applied. The nurse will assess which of the following? Select all that apply.
The nurse is monitoring the labs of a client admitted with viral hepatitis. Which of the following lab findings would the nurse expect for this client? Select all that apply.

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