Nokea
A nurse at an allergy clinic is providing education for a patient starting immunotherapy for the treatment of allergies. What education should the nurse prioritize?
- A. The importance of scheduling appointments for the same time each month
- B. The importance of keeping appointments for desensitization procedures
- C. The importance of avoiding antihistamines for the duration of treatment
- D. The importance of keeping a diary of reactions to the immunotherapy
Correct Answer: B
Rationale: The nurse should prioritize educating the patient on the importance of keeping appointments for desensitization procedures. Immunotherapy involves gradually increasing exposure to allergens to build tolerance and reduce allergic reactions. Missing desensitization appointments can lead to interruptions in treatment and potentially decrease the effectiveness of the therapy. It is crucial for the patient to adhere to the scheduled appointments as prescribed by the healthcare provider to ensure the success of the immunotherapy treatment.
You may also like to solve these questions
The nurse is providing care for a patient who has benefited from a cochlear implant. The nurse should understand that this patients health history likely includes which of the following? Select all that apply.
- A. The patient was diagnosed with sensorineural hearing loss.
- B. The patients hearing did not improve appreciably with the use of hearing aids.
- C. The patient has deficits in peripheral nervous function.
- D. The patients hearing deficit is likely accompanied by a cognitive deficit. E) The patient is unable to lip-read.
Correct Answer: A
Rationale: A. The patient was diagnosed with sensorineural hearing loss.
When planning care for an adolescent who plays sports, which modification should the nurse include in the care plan?
- A. Increasing carbohydrates to 55% to 60% of total intake
- B. Providing vitamin and mineral supplements
- C. Decreasing protein intake to 0.75 g/kg/day
- D. Limiting water before and after exercise
Correct Answer: A
Rationale: When planning care for an adolescent who plays sports, it is important to provide adequate nutrition to meet their increased energy needs. Carbohydrates are the main source of energy, providing fuel for physical activity. Adolescents engaged in sports require a higher carbohydrate intake and should aim for 55% to 60% of their total daily kilocalories to support their activity levels. Carbohydrates are essential for providing energy during exercise, building and repairing muscles, and promoting overall performance. Increasing carbohydrate intake in the diet is a key modification to support the energy demands of an active adolescent involved in sports.
A patient confides to the nurse that he cannot engage in sexual activity. The patient is 27 years old and has no apparent history of chronic illness that would contribute to erectile dysfunction. What does the nurse know will be ordered for this patient to assess his sexual functioning?
- A. Sperm count
- B. Ejaculation capacity tests
- C. Engorgement tests
- D. Nocturnal penile tumescence tests
Correct Answer: D
Rationale: Nocturnal penile tumescence tests are used to assess erectile dysfunction in men who are unable to engage in sexual activity. It measures the frequency and strength of erections that occur during sleep, which can provide valuable information about a man's erectile function and whether there may be underlying physiological causes for his inability to engage in sexual activity. This test can help determine if the patient's erectile dysfunction is due to physical or psychological factors. A sperm count, ejaculation capacity tests, and engorgement tests are not typically ordered to assess sexual functioning in this case.
A nurse is beginning to use patient-centered careand cultural competence to improve nursing care. Which step should the nurse takefirst?
- A. Assessing own biases and attitude
- B. Learning about the world view of others
- C. Understanding organizational forces
- D. Developing cultural skills
Correct Answer: A
Rationale: Assessing own biases and attitudes is the first step a nurse should take when beginning to use patient-centered care and cultural competence to improve nursing care. By becoming more aware of one's biases and attitudes about human behavior, the nurse can enhance self-awareness and self-reflection. This self-awareness is vital in understanding one's own perspectives, beliefs, and values that may influence interactions with patients from different cultural backgrounds. It also allows the nurse to identify areas that may require improvement or further education. Understanding and addressing personal biases is fundamental to providing patient-centered care and avoiding potential cultural misunderstandings that may arise in the healthcare setting.
Which assessment by the nurNseU wRoSuIldN dGiffTerBen.tiCatOe Ma placenta previa from an abruptio placentae?
- A. Saturated perineal pad in 1 hour
- B. Pain level 0 on a scale of 0 to 10
- C. Cervical dilation at 2 cm
- D. Fetal heart rate at 160 bpm
Correct Answer: A
Rationale: In the assessment of a patient with potential placenta previa or abruptio placentae, the nurse should pay close attention to the amount and characteristics of vaginal bleeding. Placenta previa typically presents with painless vaginal bleeding, which can be sudden and significant. Therefore, a saturated perineal pad within a short period of time (1 hour) is more indicative of placenta previa, as opposed to abruptio placentae which usually presents with painful vaginal bleeding and may not necessarily saturate a perineal pad quickly. Monitoring the amount of bleeding and keeping track of pad saturation over time can provide valuable information to differentiate between these two conditions.