GCC 551 - 575

Which information should be given to the client taking phenytoin (Dilantin)?

• Taking the medication with meals will increase its effectiveness.
• The medication can cause sleep disturbances.
• More frequent dental appointments will be needed for special gum care.
• The medication decreases the effects of oral contraceptives.
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The nurse is caring for an infant with atopic dermatitis. An important part of the infant's care will be:

• Keeping the infant warm
• Trimming the fingernails
• Using soap for bathing
• Applying peroxide to dry areas
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Hyperosmolar hyperglycemic nonketotic syndrome (HHNS) can be differentiated from diabetic ketoacidosis (DK) by which physiologic finding?

• Increased serum osmolarity.
• Hypokalemia.
• Hyperglycemia.
• Absence of ketosis.
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A postsurgical client requires a blood transfusion. Which disorder is common in critically ill and postsurgical clients requiring blood transfusions?

• Hypercalcemia.
• Hyperkalemia.
• Hypocalcemia.
• Hypokalemia.
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The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because:

• Hallucinogenic drugs create both stimulant and depressant effects.
• Hallucinogenic drugs induce a state of altered perception.
• Hallucinogenic drugs produce severe respiratory depression.
• Hallucinogenic drugs induce rapid physical dependence.
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A monthly testicular self-exam is recommended for males to permit early detection and treatment of testicular cancer. Testicular cancer is more prevalent:

• As male clients age with the highest incidence in the elderly.
• In male clients who have a second type of cancer.
• Among young, adult male clients between 20 and 35 years of age.
• In male clients with mental retardation.
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The mother of a 6-month-old asks when her child will have all his baby teeth. The nurse knows that most children have all their primary teeth by age:

• 12 months
• 18 months
• 24 months
• 30 months
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The heart rhythm of a patient in cardiac arrest undergoing cardiopulmonary resuscitation (CPR) deteriorates to ventricular fibrillation. Which action should the nurse take first?

• Administer 1 mg of epinephrine I.V.
• Defibrillate with a monophasic defibrillator at 360 joules.
• Continue CPR.
• Administer 40 units of vasopressin I.V.
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The nurse is performing an assessment of an elderly client with a total hip repair. Based on this assessment, the nurse decides to medicate the client with an analgesic. Which finding most likely prompted the nurse to decide to administer the analgesic?

• The client's blood pressure is 130/86.
• The client is unable to concentrate.
• The client's pupils are dilated.
• The client grimaces during care.
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The physician has ordered Cortisporin ear drops for a 2-year-old. To administer the ear drops, the nurse should:

• Pull the ear down and back
• Pull the ear straight out
• Pull the ear up and back
• Leave the ear undisturbed
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