GCC 1051 - 1075

A client refuses to take the medication prescribed for her. Which action should the nurse take first?

• Encourage the client to take the medication
• Ask the client her reasons for refusing the medication
• Document that the client refused her medication
• Report the client's refusal to take the medication to the charge nurse
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A client with schizophrenia has been taking Thorazine (chlorpromazine) 200mg four times a day. Which finding should be reported to the doctor immediately?

• The client complains of thirst
• The client has gained 4 pounds in the past 2 months
• The client complains of a sore throat
• The client naps throughout the day
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A patient has chronic bronchitis. The nurse is teaching him breathing exercises. Which point should the nurse include in her teaching?

• Make inhalation longer than exhalation.
• Exhale through an open mouth.
• Use diaphragmatic breathing.
• Use chest breathing.
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An immigrant from the Kurdish Jewish population is admitted for fever of unknown origin, generalized body aches, and dyspnea. The following medication regimen is ordered: albuterol sulfate (Proventil) inhaler 2 puffs four times a day as needed for dyspnea; acetylsalicylic acid (aspirin) 650 mg PO every 4 hours as needed for pain or fever; celecoxib (Celebrex) 200 mg PO daily, and fosinopril sodium (Monopril) 10 mg PO daily. Which order should the nurse question?

• Albuterol sulfate (Proventil) inhaler 2 puffs four times a day as needed for dyspnea.
• Acetylsalicylic acid (aspirin) 650 mg PO every 4 hours as needed for pain or fever.
• Celecoxib (Celebrex) 200 mg PO daily.
• Fosinopril sodium (Monopril) 10 mg PO daily.
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A hospital client with abdominal cancer refuses surgical treatment and chemotherapy and asks about options for hospice home care. Later, the client's daughter asks the case manager to talk the client into agreeing to surgery and chemotherapy treatment. The case manager explains to the daughter that this violates which client right?

• The right to self-determination.
• The right to decline participation in research studies and experimental treatments.
• The right to expect reasonable continuity of care.
• The right to make decisions about the plan of care.
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The client with brain cancer refuses to care for herself. Which action by the nurse would be best?

• Alternate nurses caring for the client so that the staff will not get tired of caring for this client
• Talk to the client and explain the need for self-care
• Explore the reason for the lack of motivation seen in the client
• Talk to the doctor about the client's lack of motivation
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Nitroglycerin is ordered for an elderly client who is having an episode of chest pain. Which is a correct statement regarding the use of nitroglycerin spray instead of nitroglycerin tablets in this age group?

• There is increased absorption in the older client with the spray.
• Older clients attempt to chew the tablet.
• Tablets dissolve slower in this population.
• The spray lasts longer in the system.
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The nurse is reinforcing teaching to a client with iron-deficiency anemia about a high-iron diet. The nurse recognizes that teaching has been effective when the client selects which meal plan?

• Hamburger, French fries, orange juice
• Sliced veal, spinach salad, whole-wheat roll
• Vegetable lasagna, Caesar salad, toast
• Bacon, lettuce, and tomato sandwich; potato chips; tea
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A client has an order for Codeine 60 mg IM. An available vial contains Codeine 30 mg/mL. What volume of drug would the nurse administer?

• 0.5mL
• 1.0mL
• 1.5mL
• 2.0mL
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The nurse asks the client with an epidural anesthesia to void every hour during the labor. The rationale for this intervention is:

• The bladder fills more rapidly because of the medication used for the epidural.
• Her level of consciousness is such that she is in a trancelike state.
• The sensation of the bladder filling is diminished or lost.
• She is embarrassed to ask for the bedpan that frequently.
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