Nokea
A client has periodic outbreaks of cold sores long after the initial infection of herpes simplex virus. Why does this occur?
- A. The client has low resistance.
- B. The client has not received proper treatment.
- C. The viruses are dormant in the client.
- D. The viruses are immune to the therapy.
Correct Answer: C
Rationale: The correct answer is C because the herpes simplex virus can become dormant in nerve cells and reactivate periodically, leading to recurrent outbreaks.
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Which teaching strategies should be used when it is difficult to reach the desired goals of the session (select all that apply)?
- A. DVD
- B. Role play
- C. Discussion
- D. Printed material
Correct Answer: B
Rationale: The correct answers are 'Role play,' 'Discussion,' and 'Lecture-discussion.' These strategies encourage active participation and engagement, which can help overcome barriers to achieving learning goals. DVDs and printed materials may not engage the patient as effectively in challenging situations.
What is the primary role of lubricating eye drops?
- A. Moisten the eyes
- B. Treat infections
- C. Correct refractive errors
- D. None of the above
Correct Answer: A
Rationale: Lubricating drops relieve dryness and discomfort by moisturizing the ocular surface.
Following treatment with fluoxetine, a selective serotonin reuptake inhibitor for depression, Mary hardly sleeps, is hyperactive, easily distracted, and appears elated. You would expect her physician to
- A. Continue the selective serotonin reuptake inhibitor.
- B. Start a mood stabilizer.
- C. Switch to a tricyclic antidepressant.
- D. Add a monoamine oxidase inhibitor.
Correct Answer: B
Rationale: Mood stabilizers are used to treat symptoms of mania or hypomania associated with bipolar disorder.
A client continually repeats phrases that others have just said. The nurse recognizes this behavior as:
- A. Autistic.
- B. Ecopraxic.
- C. Echolalic.
- D. Catatonic.
Correct Answer: C
Rationale: Echolalia is the repetition of words or phrases heard from others.
A healthcare professional is assessing a client who has a fracture of the femur. Vital signs are obtained on admission and again in 2 hours. Which of the following changes in assessment should indicate to the healthcare professional that the client could be developing a serious complication?
- A. Increased respiratory rate from 18 to 44/min
- B. Increased oral temperature from 36.6° C (97.8° F) to 37° C (98.6° F)
- C. Increased blood pressure from 112/68 to 120/72 mm Hg
- D. Increased heart rate from 68 to 72/min
Correct Answer: A
Rationale: Step 1: Increased respiratory rate from 18 to 44/min indicates potential respiratory distress, a serious complication post-fracture.
Step 2: Rapid breathing can signify hypoxemia, pulmonary embolism, or infection, requiring immediate intervention.
Step 3: Increased oral temperature and blood pressure within normal range are not as critical as respiratory distress.
Step 4: A slight increase in heart rate is common after a fracture and not indicative of a serious complication.