Question

The nurse is preparing to assist in the sedation of a client with propofol (Diprivan) prior to surgery. Which of the following contraindications associated with propofol (Diprivan) should the nurse assess for?

Answer 1

Correct Answers:

Allergies to egg or soy products

Rationale :

⚠️Propofol is formulated in a lipid emulsion that contains egg lecithin and soybean oil, making it unsafe for clients with allergies to these substances.

🩺Administering propofol to someone with such allergies may cause anaphylaxis or severe hypersensitivity reactions.

📋A thorough allergy history must be reviewed before administering any IV sedatives or anesthetics.

👨‍⚕️This is a critical contraindication that requires immediate communication with the provider if present.

📌core message

Propofol is contraindicated in clients with egg or soy allergies due to its emulsion base.

Answer 2

Correct Answers:

Eat foods that contain plenty of potassium.

Rationale :

🍌Furosemide is a loop diuretic that promotes the excretion of potassium, increasing the risk for hypokalemia.

🥦Clients must be educated to eat potassium-rich foods like bananas, oranges, and leafy greens to prevent electrolyte imbalances.

📋Low potassium can lead to muscle cramps, weakness, and cardiac dysrhythmias.

💊Supplemental potassium may also be prescribed depending on lab values.

📌core message

Teach clients on furosemide to increase dietary potassium to avoid hypokalemia.

Answer 3

Correct Answers:

Empiric therapy

Rationale :

🧪Empiric therapy is initiated based on clinical judgment before the exact organism is known, often using broad-spectrum antibiotics.

🦠It is used when waiting for culture results to avoid delays in treatment of potential infections.

📋Once culture results are available, treatment may be adjusted to a more specific agent.

🧠This approach minimizes the risk of complications while ensuring timely intervention.

📌core message

Starting antibiotics before culture results return is known as empiric therapy.

Answer 4

Correct Answers:

An oral anticoagulant medication

Rationale :

👩🏻‍🤝‍🧑🏿Clients with atrial fibrillation are at increased risk for thromboembolism, especially following a TIA.

💊An oral anticoagulant, such as warfarin or a DOAC, is prescribed to prevent clot formation and stroke.

📋This is a standard long-term management strategy to reduce stroke recurrence.

🧠Managing clot risk is a priority in atrial fibrillation care.

📌core message

Oral anticoagulants help prevent stroke in clients with atrial fibrillation and TIA history.

Answer 5

Correct Answers:

800 mL

Rationale :

🧃4 oz juice = 120 mL, 6 oz tea = 180 mL, 8 oz broth = 240 mL, 100 mL ice chips ÷ 2 = 50 mL, IV bolus = 150 mL

🧮Total intake = 120 + 180 + 240 + 150 + 50 = 800 mL

📋Ice chips count as half their volume, which is critical in accurate I&O documentation.

🧠Monitoring intake helps assess hydration and fluid balance, especially in hospitalized clients.

📌core message

Proper fluid intake calculation requires accurate unit conversion and ice chip adjustment.

Answer 6

Correct Answers:

Assess pulse and respirations.

Rationale :

🧨Percussion, vibration, and postural drainage can significantly affect cardiopulmonary function, especially in respiratory-compromised clients.

📋Checking pulse and respiratory rate first ensures the client is stable enough to tolerate the procedure.

👩‍⚕️It also provides a baseline to evaluate any changes during or after the intervention.

🧠This is a standard safety measure to prevent procedure-induced distress.

📌core message

Always assess vital signs—especially respirations and pulse—before airway clearance procedures.

Answer 7

Correct Answers:

A client who has had a cerebrovascular accident
A client who has had trauma to the head and neck
A client who is 4 hours postoperative following a leg amputation with general anesthesia

Rationale :

🧠A CVA and head/neck trauma can impair swallowing reflexes, making aspiration more likely.

😴General anesthesia can cause temporary suppression of protective airway reflexes, increasing aspiration risk post-op.

🚫Lactose intolerance and diarrhea do not affect airway protection during swallowing.

📋Clients at risk need swallow evaluations and possibly modified diets.

📌core message

Clients with neurologic impairment or recent anesthesia are at high risk for aspiration.

Answer 8

Correct Answers:

History of NSAID use

Rationale :

💊NSAIDs like ibuprofen or naproxen are known to damage the gastric mucosa, increasing the risk for peptic ulcer disease.

🩸They inhibit prostaglandin production, which normally protects the stomach lining.

📋Chronic NSAID use is a major modifiable risk factor in ulcer development.

🍷Moderate alcohol or tea consumption may contribute but are not as strong risk factors.

📌core message

NSAID use is a key risk factor for peptic ulcers due to its effect on gastric protection.

Answer 9

Correct Answers:

Have another nurse witness the wasted medication.

Rationale :

🔐Controlled substances must be wasted with a witness to ensure accountability and prevent diversion.

📋Documentation typically requires two signatures and must follow facility protocol.

🧠This promotes ethical medication administration and complies with legal regulations.

🚫Improper disposal or solo documentation is a violation of narcotic control policy.

📌core message

Wasting narcotics must be done with a witness to ensure safety and compliance.

Answer 10

Correct Answers:

Avoid smoking and exposure to strong odors.

Rationale :

👃Smoking impairs both taste and smell receptors, leading to long-term sensory dulling.

🚬Strong odors can desensitize or irritate olfactory receptors, reducing smell acuity.

📋Preventing exposure to irritants helps preserve sensory function as clients age.

🦷While oral hygiene is important, it’s not the primary method to maintain taste and smell.

📌core message

To maintain taste and smell, avoid smoking and strong odors, which damage receptors.

1 :
The nurse is preparing to assist in the sedation of a client with propofol (Diprivan) prior to surgery. Which of the following contraindications associated with propofol (Diprivan) should the nurse assess for?

2 :
A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?

3 :
A client is prescribed antibiotics while pending the results of their wound culture. The nurse understands this method of medication therapy is known as:

4 :
A client is diagnosed with atrial fibrillation and has experienced a transient ischemic attack (Tl)

5 :
A nurse is completing an 8-hour intake and output (1&0) record for a client who consumed 4 oz juice, 6 oz hot tea, 100 mL ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?

6 :
A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which nursing action should the nurse complete first?

7 :
A nurse is caring for a group of clients. Which of the following clients should the nurse identify as having an increased risk of aspiration while eating (select all that apply)?

8 :
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition?

9 :
A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do?

10 :
A client asks about maintaining taste and smell. Which of the following statements should the nurse make?

1 : The nurse is preparing to assist in the sedation of a client with propofol (Diprivan) prior to surgery. Which of the following contraindications associated with propofol (Diprivan) should the nurse assess for?

2 : A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?

3 : A client is prescribed antibiotics while pending the results of their wound culture. The nurse understands this method of medication therapy is known as:

4 : A client is diagnosed with atrial fibrillation and has experienced a transient ischemic attack (Tl)

5 : A nurse is completing an 8-hour intake and output (1&0) record for a client who consumed 4 oz juice, 6 oz hot tea, 100 mL ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?

6 : A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which nursing action should the nurse complete first?

7 : A nurse is caring for a group of clients. Which of the following clients should the nurse identify as having an increased risk of aspiration while eating (select all that apply)?

8 : A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition?

9 : A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do?

10 : A client asks about maintaining taste and smell. Which of the following statements should the nurse make?

1 :
The nurse is preparing to assist in the sedation of a client with propofol (Diprivan) prior to surgery. Which of the following contraindications associated with propofol (Diprivan) should the nurse assess for?

2 :
A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?

3 :
A client is prescribed antibiotics while pending the results of their wound culture. The nurse understands this method of medication therapy is known as:

4 :
A client is diagnosed with atrial fibrillation and has experienced a transient ischemic attack (Tl)

5 :
A nurse is completing an 8-hour intake and output (1&0) record for a client who consumed 4 oz juice, 6 oz hot tea, 100 mL ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?

6 :
A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which nursing action should the nurse complete first?

7 :
A nurse is caring for a group of clients. Which of the following clients should the nurse identify as having an increased risk of aspiration while eating (select all that apply)?

8 :
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition?

9 :
A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do?

10 :
A client asks about maintaining taste and smell. Which of the following statements should the nurse make?