Nokea
A client with a skeletal traction reports a throbbing pain. Which of the following actions should the nurse take to relieve the pain?
- A. Administer antibiotics
- B. Elevate the extremity
- C. Petal cast edges with waterproof tape
- D. Massage the area of pain
Correct Answer: B
Rationale: Elevation can help reduce pain by decreasing swelling.
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A woman wears a size 7 shoe. She says, My feet are huge. I've asked three orthopedists to surgically reduce my feet. The patient tries to buy shoes to make her feet look smaller and, in social settings, conceals both feet under a table or chair. Which health problem is likely?
- A. Dissociative amnesia with fugue
- B. Illness anxiety disorder
- C. Body dysmorphic disorder
- D. Dissociative identity disorder
Correct Answer: C
Rationale: The correct answer is C: Body dysmorphic disorder. This disorder involves a preoccupation with perceived flaws in physical appearance that are not observable to others. In this case, the woman's belief that her feet are huge despite wearing a size 7 shoe indicates a distorted body image. She seeks surgical interventions and hides her feet, which are characteristic behaviors of individuals with body dysmorphic disorder.
A: Dissociative amnesia with fugue involves memory loss and wandering behavior, which are not exhibited in this scenario.
B: Illness anxiety disorder involves excessive worry about having a serious illness, which is not the focus of the woman's concern.
D: Dissociative identity disorder involves the presence of two or more distinct identities or personality states, which is not evident in this case.
The 'sodium-potassium pump' pumps ___________.
- A. sodium ions out and potassium ions in
- B. sodium ions in and potassium ions out
- C. sodium and potassium ions in
- D. sodium and potassium ions out
Correct Answer: A
Rationale: The sodium-potassium pump is a membrane protein that actively transports sodium ions out of the neuron and potassium ions into the neuron. This process requires energy in the form of ATP and helps maintain the resting membrane potential. By creating a concentration gradient of these ions, the pump ensures that the neuron is ready to generate action potentials and transmit nerve impulses efficiently.
A patient has an atherosclerotic plaque in the middle cerebral artery. What does the nurse recognize about this patient's situation?
- A. Assessment will reveal distended jugular veins.
- B. Cerebral circulation may be maintained through the circle of Willis.
- C. The patient will develop a loss of temporal and parietal lobe function.
- D. Increased pressure in the middle cerebral artery will back up into the vertebral arteries.
Correct Answer: B
Rationale: The circle of Willis can maintain cerebral circulation if one artery is compromised.
MRS. Post is being discharged tomorrow on a regimen of prednisone and aspirin to control her symptoms of systemic lupus erythematosus. She should be told to call her physician immediately if which one of the following occurs?
- A. Missed menstrual period
- B. Inability to take oral medications because of vomiting
- C. Temperature elevated to 99.6°F
- D. Ankle edema
Correct Answer: B
Rationale: Vomiting can interfere with medication absorption and effectiveness.
A patient taking ibuprofen (Motrin) for treatment of OA has good pain relief but is experiencing increased dyspepsia and nausea with the drug's use. The nurse consults the patient's primary care provider about doing what?
- A. Adding misoprostol (Cytotec) to the patient's drug regimen
- B. Substituting naproxen (Naprosyn) for the ibuprofen (Motrin)
- C. Returning to the use of acetaminophen but at a dose of 5 g/day instead of 4 g/day
- D. Administering the ibuprofen with antacids to decrease the gastrointestinal (GI) irritation
Correct Answer: A
Rationale: Misoprostol protects the GI tract.