Extract:

Question 1 of 5

A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take?

A. Suction the client's airway every 4 hr.B. Secure the endotracheal tube to the client's lower jaw.C. Monitor the client's cuff pressure every 8 hr.D. Place the client in a prone position.

Correct Answer: C

Rationale: Monitoring cuff pressure every 8 hours prevents tracheal damage from overinflation. Suctioning is as needed, securing isn't to the jaw, and prone positioning depends on condition.

Question 2 of 5

A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the following findings should the nurse expect?

A. Weight gainB. BradycardiaC. Heat intoleranceD. Constipation

Correct Answer: C

Rationale: Hyperthyroidism increases metabolism, causing heat intolerance. Weight loss, tachycardia, and diarrhea are more typical than gain, bradycardia, or constipation.

Question 3 of 5

A nurse is assisting with the care of a client who is postoperative following a gastrectomy. Which of the following actions should the nurse take?

A. Monitor the client for signs of dumping syndrome.B. Keep the client in a supine position for 24 hr.C. Administer a high-carbohydrate diet immediately.D. Instruct the client to avoid drinking fluids with meals.

Correct Answer: A

Rationale: Dumping syndrome (rapid gastric emptying) is a risk post-gastrectomy, requiring monitoring. Supine isn't needed, diet starts low-carb, and fluid timing varies.

Question 4 of 5

A nurse is reinforcing teaching with a client who has a new prescription for fluticasone via inhaler. Which of the following statements should the nurse include?

A. You should rinse your mouth after each use.B. You might notice an increase in your energy levels.C. This medication might cause your urine to turn red.D. You should take this medication once per week.

Correct Answer: A

Rationale: Rinsing the mouth after fluticasone prevents oral thrush, a common side effect. Energy and urine color aren't affected, and it's dosed daily or as prescribed.

Question 5 of 5

A nurse is caring for a client who has a new prescription for clonazepam. Which of the following actions should the nurse take?

A. Instruct the client to take the medication daily regardless of need.B. Monitor the client for signs of drowsiness.C. Administer the medication with a high-fat meal.D. Check the client's respiratory rate prior to administration.

Correct Answer: B

Rationale: Clonazepam causes drowsiness, requiring monitoring. It's as prescribed (not always daily), taken without regard to meals, and respiratory checks aren't primary.