Extract:

Question 1 of 5

When quinidine gluconate is prescribed for a client the nurse reviews the client's medical record. Which condition is a contraindication in the use of this medication?

Correct Answer: D

Rationale: Quinidine gluconate is an antidysrhythmic medication used as prophylactic therapy to maintain normal sinus rhythm after conversion of atrial fibrillation and/or atrial flutter. It is contraindicated in complete AV block, intraventricular conduction defects, abnormal impulses and rhythms caused by escape mechanisms, and myasthenia gravis. It is used with caution in clients with preexisting asthma, muscle weakness, infection with fever, and hepatic or renal insufficiency.

Question 2 of 5

The nurse is caring for a neonate with respiratory distress syndrome. Which intervention should the nurse anticipate?

A. Administer surfactant B. Provide high-flow oxygen C. Initiate antibiotic therapy D. Perform chest physiotherapy

Correct Answer: A

Rationale: Surfactant administration is the primary treatment for respiratory distress syndrome in neonates, improving lung compliance and oxygenation.

Question 3 of 5

A child with the diagnosis of Hirschsprung's disease has a temporary colostomy. The nurse provides instructions to the parents about colostomy care at home. Which statement by the parents indicates their understanding of the instructions?

A. We will give antidiarrheal medications. B. We will report signs of skin breakdown. C. We will give saline water enemas if my child doesn't pass stool. D. We will apply a heat lamp to any moist red tissue around the stoma.

Correct Answer: B

Rationale: The parents are instructed to report signs of skin breakdown or stomal complications, such as ribbonlike stools or failure to pass flatus or stools, to the primary health care provider or the nurse. Moist, red granulation tissue may grow around an ostomy site and does not require special treatment. The remaining options are incorrect actions and considered contraindicated.