A 17-year-old is diagnosed with mild bronchospasm. Which of the following would provide relief?
- A. Inhaled mometasone (Asmanex)
- B. Inhaled levalbuterol (Xopenex)
- C. Oral montelukast (Singulair)
- D. Oral dextromethorphan/guaifenesin product
Correct Answer: B
Rationale: Levalbuterol is a fast-acting bronchodilator that provides relief from bronchospasm.
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The nurse is assessing an older client who is at risk for falls. Which of the following should be prioritized in the care plan?
- A. Frequent repositioning of the client
- B. Improving the client's strength and balance
- C. Encouraging the client to use a walker at all times
- D. Promoting regular sleep patterns
Correct Answer: B
Rationale: Strengthening balance and improving mobility are essential in reducing the risk of falls in older adults.
Why is it important to consider intracranial hemorrhage when a patient presents with epistaxis?
- A. It indicates a possible allergic reaction.
- B. It may suggest a more serious underlying condition.
- C. It is a common cause of nasal congestion.
- D. It usually resolves without treatment.
Correct Answer: B
Rationale: Epistaxis can be a symptom of intracranial hemorrhage, especially if the bleeding is sudden or severe.
Headaches with symptoms of nausea and vomiting may be associated with all of the following, EXCEPT:
- A. Migraine headache
- B. Brain tumors
- C. Subarachnoid hemorrhage
- D. Tension headache
Correct Answer: D
Rationale: Tension headaches typically do not present with nausea and vomiting.
A 32-year-old woman presents with dull puffiness of the eyes, pronounced non-pitting periorbital edema. This finding is suggestive of:
- A. Nephrotic syndrome
- B. Myxedema
- C. Cushing syndrome
- D. Sinusitis
Correct Answer: B
Rationale: Myxedema, associated with hypothyroidism, causes puffiness and edema around the eyes.
A common pathological finding in a patient with asthma is:
- A. Necrosis of small airways
- B. Absence of goblet cells
- C. Absence of ciliary regeneration
- D. Hypertrophy of smooth muscle
Correct Answer: D
Rationale: Asthma is characterized by smooth muscle hypertrophy, airway remodeling, and inflammation.
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