Nokea
A 43-year-old man came to the ED reporting that for short periods of time he feels detached from his body and sometimes he feels like he is floating. The patient states he had not taken any drugs and his drug toxicology test results are negative. What is your best response?
- A. Does this condition interfere with activities of daily living?
- B. Did you ever take hallucinogenic at any time in your life?
- C. Let me ask our psychiatrist to assess you.
- D. Do you have any other symptoms?
Correct Answer: C
Rationale: Referral to a psychiatrist addresses potential underlying psychiatric conditions causing these symptoms.
You may also like to solve these questions
What are the criteria for diagnosing systemic inflammatory response syndrome (SIRS)?
- A. Dehydration
- B. Overhydration
- C. Electrolyte imbalance
- D. Hypertension
Correct Answer: A
Rationale: Dehydration results from fluid loss exceeding intake, causing symptoms like dry mucous membranes, poor skin turgor, and hypotension.
What drugs are used to treat shock in MI, trauma, septicemia, renal failure, and cardiac decompensation?
- A. Dopamine
- B. Digoxin
- C. Epinephrine
- D. Dobutamine
Correct Answer: A
Rationale: Dopamine is a vasopressor that supports blood pressure and improves cardiac output in various types of shock.
Prioritize them in order of severity.
- A. A 35-year-old male complaining of severe, intermittent cramps with three episodes of watery diarrhea, 2 hours after eating
- B. An 11-year-old boy with a low-grade fever, left lower quadrant tenderness, nausea, and anorexia for the past 2 days
- C. A 40-year-old female with moderate left upper quadrant pain, vomiting small amounts of yellow bile, and worsening symptoms over the past week
- D. A 56-year-old male with a pulsating abdominal mass and sudden onset of pressure-like pain in the abdomen and flank within the past hour
Correct Answer: D
Rationale: A pulsating abdominal mass with sudden onset of pain suggests a possible abdominal aortic aneurysm, a life-threatening condition.
What cultural elements should a nurse ask about or observe when performing a cultural assessment on a client?
- A. Health beliefs,dietary preferences and communication styles.
- B. Only health beliefs.
- C. Only dietary preferences.
- D. Only communication styles.
Correct Answer: A
Rationale: Comprehensive cultural assessments include health beliefs, dietary preferences, and communication styles to tailor care appropriately.
A client with tuberculosis is starting combination drug therapy. Which of the following medications should the nurse NOT plan to administer?
- A. Rifampin
- B. Isoniazid
- C. Acyclovir
- D. Pyrazinamide
Correct Answer: C
Rationale: The correct answer is C: Acyclovir. Acyclovir is an antiviral medication used to treat herpes infections, not tuberculosis. Rifampin, Isoniazid, and Pyrazinamide are all first-line drugs for tuberculosis treatment. Rifampin is a bactericidal agent, Isoniazid disrupts mycobacterial cell wall synthesis, and Pyrazinamide targets actively replicating bacteria. Therefore, the nurse should not plan to administer Acyclovir as it is not indicated for tuberculosis treatment.