Extract:

Question 1 of 5

A nurse is preparing to administer eye drops to a child. Which of the following actions should the nurse take?

A. Apply pressure to the lacrimal punctum after administering the drops.B. Position the child side-lying on the bed before administering the drops.C. Wipe from the outer to the inner canthus after administering the drops.D. Flush the eye with normal saline solution before administering the drops.

Correct Answer: A

Rationale: Applying pressure to the lacrimal punctum prevents systemic absorption of the drops. Side-lying isn't required, wiping outward prevents contamination, and flushing isn't standard pre-administration.

Question 2 of 5

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

A. You should take this medication with a full glass of milk.B. You might notice an increase in your energy levels.C. This medication might cause you to feel drowsy.D. You should stop taking this medication if your pain resolves.

Correct Answer: C

Rationale: Gabapentin often causes drowsiness, a key side effect. Milk isn't required, energy may decrease, and stopping abruptly risks withdrawal or seizures.

Question 3 of 5

A nurse is reviewing information about advance directives with a newly admitted client. Which of the following statements by the client indicates an understanding of the information?

A. Advance directives include instructions for resolving financial matters after my death.B. Federal legislation dictates the legal guidelines for advance directives.C. Advance directives include a living will.D. My medical record should not include my advance directives.

Correct Answer: C

Rationale: Advance directives include a living will, outlining treatment preferences. They don't cover finances, federal law supports but doesn't dictate specifics, and records should include them.

Question 4 of 5

A nurse is caring for a client who has anorexia nervosa and a behavioral management plan in place. Which of the following findings should the nurse identify as an indication that the behavioral plan is effective?

A. Potassium 3.5 mEq/LB. Sodium 130 mEq/LC. Hgb 10 g/dLD. BMI 14.5

Correct Answer: A

Rationale: A potassium of 3.5 mEq/L (normal range) suggests stabilization, a sign of effective management in anorexia. Low sodium, hemoglobin, and BMI indicate ongoing issues.

Question 5 of 5

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

A. You should take this medication at bedtime.B. You might notice an increase in your bowel movements.C. This medication might cause your skin to turn blue.D. You should report any new abdominal pain to your provider.

Correct Answer: D

Rationale: Abdominal pain could indicate a complication (e.g., ulcer worsening) with pantoprazole, requiring reporting. It's taken before meals, doesn't increase stools, and skin color isn't affected.