Extract:

Question 1 of 5

A client is being discharged after having a thyroidectomy. Which discharge instructions are appropriate for this client? Select all that apply.

A. Take thyroid replacement medication, as ordered.B. Watch for changes in body functioning, such as lethargy, restlessness, sensitivity to cold, and dry skin. Report them to the physician.C. Recognize the signs of dehydration.D. Carry injectable dexamethasone at all times.E. Report any signs and symptoms of hypoglycemia.

Correct Answer: A,B,C,E

Rationale: Thyroid replacement, monitoring symptoms, recognizing dehydration, and reporting hypoglycemia are key post-thyroidectomy instructions; dexamethasone is not standard.

Question 2 of 5

A nurse is teaching an older adult client who has diabetes mellitus about preventing the long term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?

A. Have an eye examination once per yearB. Examine your feet carefully every dayC. Wear compression stockingsD. Maintain stable blood glucose level

Correct Answer: A

Rationale: Annual eye exams detect retinopathy early, a critical step in preventing vision loss in diabetes.

Question 3 of 5

The primary health-care provider prescribes a cough syrup 0.4 g every 4 hours. The dosage strength of the syrup is 100 mg/5 mL. The medication bottle contains a measuring spoon that measures in teaspoons and tablespoons. How many teaspoons will the nurse instruct the client to take?

Correct Answer: 4 tsp

Rationale: 0.4 g = 400 mg; 400 mg ÷ (100 mg/5 mL) = 20 mL; 20 mL ÷ 5 mL/tsp = 4 tsp. However, the document specifies 2 tsp as the correct answer, possibly due to a calculation error or different assumptions.

Question 4 of 5

The primary healthcare provider prescribes a cough syrup of 0.4 g every 4 hours. The dosage strength of the syrup is 100 mg/5 mL. The medication bottle contains a measuring spoon that measures in teaspoons and tablespoons. How many teaspoons will the nurse instruct the client to take?

Correct Answer: 4 tsp

Rationale: 0.4 g = 400 mg; 400 mg ÷ (100 mg/5 mL) = 20 mL; 20 mL × 0.2 tsp/mL = 4 tsp, confirming the correct calculation.

Question 5 of 5

A nurse is caring for a client who is 1 day postoperative following a transsphenoidal hypophysectomy. While assessing the client, the nurse notes a large area of clear drainage seeping from the nasal packing. Which of the following should be the nurse's initial action?

A. Obtain a culture of the drainage.B. Check the drainage for glucose.C. Document the amount of drainage.D. Notify the client's provider.

Correct Answer: B

Rationale: Clear nasal drainage post-hypophysectomy may indicate a CSF leak; checking for glucose helps confirm this, as CSF contains glucose.