Question

A nurse is educating a client with systemic lupus erythematosus about the use of prednisone. Which piece of information should be prioritized?

Answer 1

Correct Answers:

Prednisone should never be discontinued abruptly.

Rationale :

🔹 Abrupt discontinuation can result in adrenal insufficiency, a life-threatening complication.

🔹 Prednisone suppresses cortisol production, requiring a gradual taper to allow adrenal recovery.

🔹 Patients must be taught about signs of hypotension, fatigue, or weakness during withdrawal.

🔹 Other effects like fat redistribution and sodium retention are important but not immediately life-threatening.

🔹 Teaching should emphasize medication adherence and scheduled tapering.

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Answer 2

Correct Answers:

If Lyme disease is not successfully treated, it is usually fatal.

Rationale :

🟢 Lyme disease is rarely fatal, even if left untreated; complications are typically chronic rather than lethal.

🟢 It may result in neurologic, cardiac, or joint issues, but death is not common.

🟢 Antibiotic treatment for 14–21 days is the standard for early-stage Lyme.

🟢 Bull’s-eye rash (erythema migrans) is an early hallmark sign.

🟢 Tick prevention, especially in summer months, remains a key public health strategy.

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Answer 3

Correct Answers:

Monitor staff members’ hand hygiene practices.

Rationale :

🟠 Hand hygiene is the single most effective intervention to prevent healthcare-associated infections (HAIs).

🟠 Monitoring ensures compliance with handwashing protocols and correct technique.

🟠 Even with policies in place, lack of adherence can increase infection rates.

🟠 Education and isolation are useful, but direct observation influences behavior most.

🟠 Infection control must be measurable and consistently reinforced.

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Answer 4

Correct Answers:

Have a drink every 1 to 2 hours.

Rationale :

🔴 Older adults often have a reduced thirst mechanism, putting them at risk for dehydration.

🔴 Encouraging routine fluid intake regardless of thirst helps prevent fluid volume deficit.

🔴 Sipping water frequently improves hydration without overwhelming frail systems.

🔴 Diuretic timing and sodium reduction help but don’t directly increase intake.

🔴 Maintaining hydration reduces risk for UTIs, confusion, and hypotension.

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Answer 5

Correct Answers:

83 ml/hour

Rationale :

🟣 Calculation: 2000 mL ÷ 24 hr = 83.3 mL/hr, rounded to 83 mL/hr.

🟣 This ensures the entire prescribed volume is delivered evenly over 24 hours.

🟣 Accurate fluid rate calculations are essential to avoid fluid overload or deficit.

🟣 Nurses must know how to calculate mL/hr to program IV pumps correctly.

🟣 Double-checking infusion rates is part of safe medication administration.

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Answer 6

Correct Answers:

Inquire about standard nurse-client ratios at the hospitals there.

Rationale :

🟢 Nurse-patient ratios directly impact workload, stress, and patient safety outcomes.

🟢 Understanding staffing levels helps the nurse assess realistic job expectations.

🟢 Magnet status and affiliations are beneficial but don't guarantee safe ratios.

🟢 Ratio data informs nurses about potential for burnout or support.

🟢 It also indicates how well hospitals adhere to safe practice standards.

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Answer 7

Correct Answers:

Implement Airborne Precautions for the patient.

Rationale :

🔶 Despite a negative TB skin test, a CD4 count <200 can cause anergy (false-negative result).

🔶 Fever, night sweats, and cough are classic symptoms of active TB, especially in HIV-positive patients.

🔶 Airborne precautions (N95 mask, negative pressure room) are necessary until TB is ruled out.

🔶 TB is a leading opportunistic infection in AIDS patients and is highly infectious.

🔶 Early isolation protects staff and other patients while awaiting further diagnostics.

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Answer 8

Correct Answers:

Prepare to administer vancomycin.

Rationale :

🔵 Vancomycin is the first-line IV drug for serious MRSA infections, including in urine.

🔵 MRSA requires antibiotic sensitivity testing, and vancomycin is typically effective.

🔵 Other options (respirator, visitor limits) aren't needed for urinary MRSA unless systemic.

🔵 Standard and contact precautions should still be used with MRSA.

🔵 Early treatment helps prevent systemic spread or sepsis.

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Answer 9

Correct Answers:

Implement a toileting schedule for the patient.

Rationale :

🟠 Toileting schedules prevent urgency-related falls in elderly patients who may rush to the bathroom.

🟠 Ambulatory patients often fall due to nocturia, poor lighting, or unfamiliar environments.

🟠 Toileting every 2–3 hours reduces the chance of incontinence-related falls.

🟠 Scheduled toileting supports mobility and autonomy, unlike overuse of restraints or rails.

🟠 Lights help, but don’t substitute for planned voiding.

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Answer 10

Correct Answers:

The most serious adverse effect of this medication is retinal damage.

Rationale :

🟡 Hydroxychloroquine can cause irreversible retinopathy if used long-term or at high doses.

🟡 Baseline and regular eye exams are required during therapy.

🟡 While nausea or hair changes may occur, visual loss is the greatest risk.

🟡 Retinal toxicity is related to cumulative dosage and duration of use.

🟡 Patients must report visual changes immediately for evaluation.

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QLexNursing

1 :
A nurse is educating a client with systemic lupus erythematosus about the use of prednisone. Which piece of information should be prioritized?

2 :
A nurse has conducted an educational session for a community group on Lyme disease. Which statement by a participant indicates a need for further review of the material?

3 :
A nursing manager is worried about the number of infections in the hospital unit. What action by the manager would be most effective in preventing these infections?

4 :
A nurse is caring for an older patient admitted with mild dehydration. What advice should the nurse give to best address this issue?

5 :
A patient is scheduled to receive 2000 ml of Normal Saline over 24 hours. How much fluid should be administered per hour?

6 :
A nurse is discussing with a colleague who is relocating to a new state and needs to find a new job there. What is the best advice the nurse can give?

7 :
A patient diagnosed with HIV-II is admitted to the hospital presenting symptoms of fever, night sweats, and a severe cough. The laboratory results show a CD4+ cell count of 180/mm and a negative tuberculosis (TB) skin test conducted 4 days prior. What is the first action the nurse should take?

8 :
A nurse is providing care for a patient who has a methicillin-resistant Staphylococcus aureus (MRSA) infection, which was cultured from the urine. What is the most appropriate action for the nurse to take?

9 :
An elderly patient, who is ambulatory and independent, is admitted to the hospital. What intervention by the nurse would be most effective in preventing falls for this patient?

10 :
The primary healthcare provider prescribes Hydroxychloroquine for a patient. What information should the nurse include when discussing this medication with the patient?

QLexNursing

1 : A nurse is educating a client with systemic lupus erythematosus about the use of prednisone. Which piece of information should be prioritized?

2 : A nurse has conducted an educational session for a community group on Lyme disease. Which statement by a participant indicates a need for further review of the material?

3 : A nursing manager is worried about the number of infections in the hospital unit. What action by the manager would be most effective in preventing these infections?

4 : A nurse is caring for an older patient admitted with mild dehydration. What advice should the nurse give to best address this issue?

5 : A patient is scheduled to receive 2000 ml of Normal Saline over 24 hours. How much fluid should be administered per hour?

6 : A nurse is discussing with a colleague who is relocating to a new state and needs to find a new job there. What is the best advice the nurse can give?

7 : A patient diagnosed with HIV-II is admitted to the hospital presenting symptoms of fever, night sweats, and a severe cough. The laboratory results show a CD4+ cell count of 180/mm and a negative tuberculosis (TB) skin test conducted 4 days prior. What is the first action the nurse should take?

8 : A nurse is providing care for a patient who has a methicillin-resistant Staphylococcus aureus (MRSA) infection, which was cultured from the urine. What is the most appropriate action for the nurse to take?

9 : An elderly patient, who is ambulatory and independent, is admitted to the hospital. What intervention by the nurse would be most effective in preventing falls for this patient?

10 : The primary healthcare provider prescribes Hydroxychloroquine for a patient. What information should the nurse include when discussing this medication with the patient?

1 :
A nurse is educating a client with systemic lupus erythematosus about the use of prednisone. Which piece of information should be prioritized?

2 :
A nurse has conducted an educational session for a community group on Lyme disease. Which statement by a participant indicates a need for further review of the material?

3 :
A nursing manager is worried about the number of infections in the hospital unit. What action by the manager would be most effective in preventing these infections?

4 :
A nurse is caring for an older patient admitted with mild dehydration. What advice should the nurse give to best address this issue?

5 :
A patient is scheduled to receive 2000 ml of Normal Saline over 24 hours. How much fluid should be administered per hour?

6 :
A nurse is discussing with a colleague who is relocating to a new state and needs to find a new job there. What is the best advice the nurse can give?

7 :
A patient diagnosed with HIV-II is admitted to the hospital presenting symptoms of fever, night sweats, and a severe cough. The laboratory results show a CD4+ cell count of 180/mm and a negative tuberculosis (TB) skin test conducted 4 days prior. What is the first action the nurse should take?

8 :
A nurse is providing care for a patient who has a methicillin-resistant Staphylococcus aureus (MRSA) infection, which was cultured from the urine. What is the most appropriate action for the nurse to take?

9 :
An elderly patient, who is ambulatory and independent, is admitted to the hospital. What intervention by the nurse would be most effective in preventing falls for this patient?

10 :
The primary healthcare provider prescribes Hydroxychloroquine for a patient. What information should the nurse include when discussing this medication with the patient?