Nokea
A nurse has been ordered to administer Morphine to a patient. Which of the following effects is unrelated to Morphine's effects on the patient?
- A. Depressed function of the CNS
- B. Increased blood flow
- C. Decreased venous capacity
- D. Pain relief
Correct Answer: C
Rationale: Venous capacity increases with morphine use, not decreases, as it causes vasodilation.
You may also like to solve these questions
A partner is concerned because the client frequently daydreams about moving to Arizona to get away from the pollution and crowding in southern California. The nurse explains that
- A. such fantasies can gratify unconscious wishes or prepare for anticipated future events
- B. detaching or dissociating in this way postpones painful feelings
- C. converting or transferring a mental conflict to a physical symptom can lead to conflict within the partnership
- D. isolating the feelings in this way reduces conflict within the client and with others
Correct Answer: A
Rationale: such fantasies can gratify unconscious wishes or prepare for anticipated future events. Fantasy is imagined events (daydreaming) to express unconscious conflicts or gratify unconscious wishes.
A thirty-seven year-old female in room 307 has a diagnosis of acquired immune deficiency syndrome (AIDS). Which of the following situations requires nurse intervention?
- A. A certified nursing assistant states, 'The patient in 307 is not wearing gloves shaving her legs.'
- B. A nursing assistant at the nursing station states, 'The patient in 307 has a respiratory rate of 16.'
- C. A nursing student in the cafeteria states, 'Dr. Jones told the patient in room 307 that she was going to die.'
- D. A certified nursing assistant states, 'Dr. Jones hasn't made rounds this morning.'
Correct Answer: C
Rationale: Patient confidentiality should be observed, especially in public places. The nurse should tell the nursing student do not discuss confidential information in public.
The nurse is reinforcing teaching to a client about preventing transmission of the hepatitis A virus. Which of these instructions is most appropriate?
- A. Get the hepatitis A vaccine before traveling to endemic areas.'
- B. Avoid sexual contact until the infection is resolved.'
- C. Take antiviral medications as prescribed.'
- D. Use condoms to prevent transmission.'
Correct Answer: A
Rationale: Hepatitis A is primarily transmitted through the fecal-oral route. Vaccination is the most effective way to prevent infection, especially before travel to endemic areas.
Which of the following statements describes the purpose of client restraint?
- A. Restraints are a nursing measure used to maintain client control.
- B. Restraints are an emergency intervention taken as a last resort to protect a client from imminent danger.
- C. Restraints are a therapeutic measure designed to positively reinforce client behavior.
- D. Restraints are an emergency measure that can only be taken by a nurse under the direct supervision of a physician.
Correct Answer: B
Rationale: The use of restraints as an emergency measure is taken primarily as a last resort to protect a client from harm. Typically, the nurse acts under a physician's order, but in an emergency, the nurse may restrain a client out of necessity for one hour prior to the client being seen by a physician or an advanced practice mental health provider.
The nurse manager is reviewing a list of serious reportable events that occurred in a hospital setting before submitting the list to an external agency. Which event should the nurse manager remove from the list before it is submitted?
- A. The nurse is seriously injured when touching the client during a cardioversion procedure.
- B. The client obtains a skin tear and abrasion while transferring from the bed to a wheelchair.
- C. The client has a hip fracture after wandering off the unit and falling down the stairs.
- D. The client has a cardiac arrest; the serum potassium level was low and not reported to the HCP.
Correct Answer: B
Rationale: A skin tear and abrasion are not considered serious reportable events, unlike the other options which involve serious injuries or failures.