An 11-year-old child with beta-thalassemia major is admitted for blood transfusion. The child underwent splenectomy last month. Which of the following is a PRIORITY nursing intervention?
A. Prevent infections
B. Promote high-fat intake
C. Encourage frequent voiding
D. Maintain adequate hydration
A nurse plans to provide morning care for a bedridden client.
What is the priority action that the nurse should consider before starting?
A. Remove the pillows
B. Remove the bed sheets
C. Ensure that the bed is locked
D. Ensure that the client is at the side of the bed
A nurse received a handover to take care of four patients. After gathering the necessary information, the nurse planned the care. Considering the priority of nursing care, which of the following cases the nurse would assess FIRST?
A. A patient with abdominal pain
B. A patient with chest tightness
C. A patient with diabetic foot needs dressing
D. A patient scheduled for cataract surgery after 3 hours
A nurse provides health instructions to a client with bipolar disorder who is recently started on Lamotrigine tablets. Which instruction should the nurse give to the client in case skin rash develops?
A. Not to worry as it will subside within 3 days
B. Continue on medication and keep monitoring
C. Report the problem immediately to the doctor
D. Reduce the dose and take half of the prescribed dose
The nurse manager is conducting an annual disaster drill.
Based on the disaster triage, which of the following types of injuries would have LESS priority to receive care?
A. Conscious victim with fracture femur
B. Conscious victim with superficial cuts
C. Unconscious victim with signs of internal bleeding
D. Unconscious victim with open skull fracture and brain matter showing
A seven-year-old boy had tonsillectomy few hours ago. The mother asks the nurse about the type of food to be given when he awakes. The nurse replies as the following:
A. Citrus juice
B. Crushed ice
C. Fruits cut into pieces
D. Carbonated beverages
A client refuses to take an oral dose of Dulcolax (Bisacodyl tablets). What is the nurse's BEST response?
A. Report to the physician
B. Crush the medication and mix it with apple sauce
C. Inform the patient that this medication must be taken twice a day
D. Have the client suck on ice chips for several minutes before taking the medication
A nurse is planning to collect data regarding health status of a patient with anemia.
Which of the following questions would the nurse ask the patient related to the patient's health status?
A. "How often do you exercise per week?"
B. "How many hours per day do you sleep?"
C. "Do you frequently attend the clinic visits?"
D. "Are you allergic to certain type of drug or food?"
While caring for a patient with leg ulcers, the nurse expects the patient to receive which of the following medical managements?
A. Anticoagulant therapy
B. Hyperbaric oxygenation
C. Decompression therapy
D. Positive pressure therapy
A nursing instructor provides a session to a group of nursing students about the importance of anion gap in an acid base imbalance. Which of the following statements if made by the nursing student would indicate the understanding of the teaching?
A. The normal anion gap value is 6-8 mEq/L
B. Anion gap of < 8 indicates metabolic alkalosis
C. Anion gap of > 12 indicates metabolic acidosis
D. Anion gap is calculated to decide the dose of soda bicarbonate
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