Extract:

Question 1 of 5

Which statement about automated external defibrillators is accurate?

Correct Answer: D

Rationale: AEDs are designed for use by laypersons with minimal training, making them accessible for public use in emergencies.

Question 2 of 5

A client with a history of rheumatoid arthritis is prescribed etanercept (Enbrel). The nurse should monitor the client for which of the following adverse effects?

A. Increased infection risk. B. Hyperglycemia. C. Hypertension. D. Weight loss.

Correct Answer: A

Rationale: Etanercept, a biologic, increases infection risk due to immunosuppression.

Question 3 of 5

The nurse is planning preoperative teaching with a client scheduled for a transurethral resection of the prostate (TURP). Which most frequent cause of postoperative pain should the nurse plan to include in the discussion?

A. Bladder spasms B. Bleeding within the bladder C. Tension on the Foley catheter D. The lower abdominal incision

Correct Answer: A

Rationale: Bladder spasms can occur after this surgery because of postoperative bladder distention or irritation from the balloon on the indwelling urinary catheter. The nurse administers antispasmodic medications as prescribed to treat this type of pain. Options 2 and 3 are not frequent causes of pain. Some surgeons purposefully apply tension to the catheter for a few hours postoperatively to control bleeding. There is no incision with a TURP.

Question 4 of 5

The nurse is administering eyedrops to a client with glaucoma. Which of the following is a correct technique for instilling the eyedrops? The eyedrops are placed:

A. In the lower conjunctival sac. B. Near the opening of the lacrimal ducts. C. On the cornea. D. On the scleral surface.

Correct Answer: A

Rationale: Placing eyedrops in the lower conjunctival sac ensures proper absorption and minimizes irritation or injury to the cornea or sclera.

Question 5 of 5

When a client is prescribed seizure precautions, which interventions should the nurse include in the plan of care? Select all that apply.

A. Having suction equipment readily available B. Keeping all the lights on in the room at night C. Keeping a padded tongue blade at the bedside D. Assisting the client to ambulate in the hallway E. Monitoring the client closely while showering F. Locking the client's bed in its lowest position

Correct Answer: A,D,E,F

Rationale: Suction equipment should be readily available to remove accumulated secretions after the seizure. The client should be accompanied during activities such as bathing and walking so that assistance is readily available and injury is minimized if a seizure begins. The bed is maintained in a low position for safety. A quiet, restful environment is provided as part of seizure precautions. This includes undisturbed times for sleep, while using a night-light (not all lights) for safety. A padded tongue blade is not kept at the bedside because nothing is inserted into the client's mouth during the seizure. Agency procedures regarding seizure precautions are always followed.