Extract:

Question 1 of 5

A nurse is conducting a class on medication reconciliation. What information should the nurse include in the teaching?,What information should be included in medication reconciliation teaching?

A. Provide a list of the client's current medications during the change of shift report.B. Do not include over-the-counter medications in the medication reconciliation report.C. Do not perform reconciliation for a client at discharge from a health care facility.D. Provide a list of the client's current medications during admission to a health care facility.

Correct Answer: D

Rationale: Listing medications during admission ensures accurate management. Shift reports, excluding OTC drugs, and skipping discharge reconciliation are incorrect.

Question 2 of 5

A nurse is educating a patient with binge eating disorder and morbid obesity who has been prescribed orlistat. Which of the following statements, if made by the patient, would indicate that they understand the teaching? Which statement indicates understanding of orlistat teaching?

A. I will stop taking orlistat and call my doctor if my urine gets darker in color.B. I will take my dose of orlistat every morning an hour before breakfast.C. I will feel less hungry during meals while I am taking orlistat.D. I will eat a no-fat diet to prevent side effects from the medication.

Correct Answer: A

Rationale: Dark urine may indicate liver damage, a serious side effect, showing understanding. Incorrect timing, no hunger effect, and no-fat diet are wrong.

Question 3 of 5

A nurse is conducting a class on medication reconciliation. What information should the nurse include in the teaching?,What information should be included in medication reconciliation teaching?

A. Provide a list of the client's current medications during the change of shift report.B. Do not include over-the-counter medications in the medication reconciliation report.C. Do not perform reconciliation for a client at discharge from a health care facility.D. Provide a list of the client's current medications during admission to a health care facility.

Correct Answer: D

Rationale: Listing medications during admission ensures accurate management. Shift reports, excluding OTC drugs, and skipping discharge reconciliation are incorrect.

Question 4 of 5

A nurse is performing tracheostomy care for a patient and plans to remove copious secretions. What actions should the nurse take? What action should the nurse take for tracheostomy suctioning?

A. Lubricate the suction catheter tip with sterile salineB. Hyperventilate the patient on 100% oxygen prior to suctioningC. Perform chest physiotherapy prior to suctioningD. Suction two to three times with a 60-second pause between passes

Correct Answer: D

Rationale: Suctioning 2-3 times with 60-second pauses removes secretions effectively without hypoxia. Other actions risk complications.

Question 5 of 5

A nurse is caring for an older adult patient with left-sided heart failure. What assessment findings should the nurse expect? What finding should the nurse expect in left-sided heart failure?

A. Frothy sputumB. Dependent edemaC. Nocturnal polyuriaD. Jugular distention

Correct Answer: A

Rationale: Frothy sputum indicates pulmonary edema, common in left-sided heart failure. Other findings are right-sided.