Nokea
Lenore White is an 80-year-old woman who smokes two packs of cigarettes per day. What two ethical principles are in conflict?
- A. Beneficence and community
- B. Nonmaleficence and justice
- C. Autonomy and justice
- D. Autonomy and nonmaleficence
Correct Answer: D
Rationale: The nurse faces a dilemma between respecting autonomy (the patient’s choice to smoke) and preventing harm (nonmaleficence).
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The most common treatment for Helicobacter pylori is a triple therapy, interpreted as
- A. 2 antibiotics and proton pump inhibitor for 7-14 days
- B. 3 different antibiotics for 7-20 days
- C. 3 rounds of the same antibiotic over 3 weeks
- D. 2 proton pump inhibitors and 1 antibiotic for 7-14 days
Correct Answer: A
Rationale: Triple therapy for H. pylori typically includes 2 antibiotics and a proton pump inhibitor for 7-14 days.
A 70-year-old man has bothersome lower urinary tract syndrome (LUTS) associated with benign prostatic hyperplasia (BPH). His symptoms are no longer well managed with lifestyle modifications. He is interested in medication to reduce his urinary symptoms but is concerned about possible side effects. He notes that he is recently married and sexual activity is very important to him. Which of the following medications would be most appropriate for this patient?
- A. Alfuzosin
- B. Ditropan
- C. Dutasteride
- D. Tamsulosin
Correct Answer: D
Rationale: Tamsulosin is an alpha-1 blocker that helps alleviate urinary symptoms without significantly impacting sexual function.
A nurse is working with an older adult who is at risk for malnutrition. Which of the following interventions is the most appropriate?
- A. Administer high-calorie supplements.
- B. Encourage intake of a variety of foods rich in vitamins and minerals.
- C. Restrict caloric intake to prevent weight gain.
- D. Focus on protein supplements exclusively.
Correct Answer: B
Rationale: A balanced diet with a variety of foods helps ensure adequate nutrition, including vitamins and minerals, in older adults.
A common cause of decreased libido in men is due to:
- A. Decreased blood flow in the hypogastric arterial system
- B. Endocrine dysfunction
- C. Neurologic deficit
- D. Impaired neural innervation
Correct Answer: B
Rationale: Endocrine dysfunction, particularly low testosterone, is a common cause of decreased libido in men.
A 40-year-old admits to multiple sex partners and presents with several lesions over his body. Findings reveal hemorrhagic vesiculopustular lesions over the hands and feet. These lesions are most likely associated with:
- A. Gonococcemia
- B. Infective endocarditis
- C. Hyperthyroidism
- D. Peripheral vascular disease
Correct Answer: A
Rationale: Hemorrhagic vesiculopustular lesions, particularly on the hands and feet, are associated with gonococcemia.