Nokea
A nurse cares for a client who is recovering from a myocardial infarction. The client states, I will need to stop eating so much chili to keep that indigestion pain from returning. How should the nurse respond?
- A. Chili is high in fat and calories; it would be a good idea to stop eating it.
- B. The provider has prescribed an antacid for you to take every morning.
- C. What do you understand about what happened to you?
- D. When did you start experiencing this indigestion?
Correct Answer: C
Rationale: Assessing the client’s understanding of their condition helps the nurse provide appropriate education and address misconceptions about symptoms.
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Renin:
- A. Is secreted mainly in extrarenal tissues
- B. Secretion increases on lying supine
- C. Secretion increases with potassium
- D. Converts angiotensin I into angiotensin II
Correct Answer: D
Rationale: Renin is an enzyme produced by the kidneys that converts angiotensin I into angiotensin II which plays a key role in regulating blood pressure and fluid balance. The other options are incorrect because renin is not mainly secreted in extrarenal tissues its secretion does not increase on lying supine or with potassium and it does not regulate osmolality.
Regarding sumatriptan:
- A. It has a good oral bioavailability
- B. Its onset of action is within 15 minutes of subcutaneous administration
- C. Is a 5-HT agonist
- D. Acts on adrenergic and muscarinic receptors
Correct Answer: B
Rationale: Its onset of action is within 15 minutes of subcutaneous administration
In febrile convulsions:
- A. Familial predisposition is the same as in idiopathic epilepsy
- B. Carbamazepine achieves good seizure control
- C. Shigella dysentery may be a cause
- D. Deafness can occur if seizure is prolonged
Correct Answer: C
Rationale: Shigella dysentery, a bacterial infection, can cause febrile convulsions in children due to the high fever associated with the infection.
A male client with Herpes zoster (shingles) on his thorax tells the nurse that he is having difficulty sleeping. What is the probable etiology of this problem?
- A. Pain
- B. Nocturia
- C. Dyspnea
- D. Frequent cough
Correct Answer: A
Rationale: Pain from shingles can be severe and interfere with sleep, making it the most likely cause of the client's difficulty sleeping.
The MOST common cause of sudden death in competitive athletes is
- A. aortic stenosis
- B. hypertrophic cardiomyopathy
- C. coronary artery abnormalities
- D. myocarditis
Correct Answer: B
Rationale: Hypertrophic cardiomyopathy is the leading cause of sudden death in competitive athletes.