A confirmatory laboratory test for HIV includes
- A. Western blot.
- B. Low WBC.
- C. Comprehensive metabolic panel.
- D. Enzyme-linked immunosorbent assay (ELISA).
Correct Answer: A
Rationale: Western blot is used to confirm HIV infection.
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Which neurotransmitter influences movement, memory, thoughts, and judgment?
- A. Norepinephrine
- B. Dopamine
- C. Epinephrine
- D. Serotonin
Correct Answer: B
Rationale: Dopamine plays a key role in regulating movement, memory, motivation, and decision-making processes in the brain.
Denise is recovering from an open cholecystectomy. You know that because of the location of the surgery, she has an increased risk of postoperative:
- A. Myocardial infarction.
- B. Respiratory complications.
- C. Deep vein thrombosis.
- D. Wound infection.
Correct Answer: B
Rationale: Open cholecystectomy involves abdominal surgery, which can impair respiratory function due to pain and reduced mobility. This increases the risk of respiratory complications such as atelectasis or pneumonia.
What is the role of corticosteroids in treating uveitis?
- A. Reduce inflammation
- B. Prevent infection
- C. Correct refractive errors
- D. None of the above
Correct Answer: A
Rationale: Corticosteroids are used to reduce inflammation in uveitis, preserving vision.
A client had an evacuation of a subdural hematoma. Which of the following actions should the nurse take first?
- A. Observe for cerebrospinal fluid (CSF) leaks from the evacuation site.
- B. Assess for an increase in temperature.
- C. Check the oximeter.
- D. Monitor for manifestations of increased intracranial pressure.
Correct Answer: C
Rationale: Step 1: Checking the oximeter is essential to assess the client's oxygen saturation levels immediately post-procedure.
Step 2: Hypoxia can lead to serious complications, impacting the client's neurological status.
Step 3: The nurse must prioritize oxygenation status to prevent further brain injury or hypoxemia.
Step 4: Observing for CSF leaks, assessing temperature, and monitoring ICP are important but not as immediate as ensuring adequate oxygen supply.
Summary: Option C is correct as it addresses the most critical and immediate concern post-procedure, ensuring optimal oxygenation for the client's neurological recovery. Options A, B, and D are important but secondary to maintaining oxygen levels.
The PACU nurse applies warm blankets to a postoperative patient who is shivering and has a body temperature of 96.0°F (35.6°C). What treatment also may be used to treat the patient?
- A. Oxygen
- B. Vasodilating drugs
- C. Antidysrhythmic drugs
- D. Analgesics or sedatives
Correct Answer: A
Rationale: Shivering increases oxygen demand; providing oxygen supports metabolic needs.