Nokea
A nurse is caring for a client who has cancer. The client¢â‚¬â„¢s adult child asks the nurse for information about the client¢â‚¬â„¢s treatment plan. Which of the following responses should the nurse make?
- A. I will ask your mother's primary care provider to speak with you
- B. What would you like to know about your mother's treatment?
- C. I cannot provide this information to you without your mother's consent
- D. You will have to speak directly to your mother about her treatment
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Your long-term care patient has chronic pain and at this point in time, the patient needs increasing dosages to adequately control this pain. What is this patient most likely affected by?
- A. Drug addiction
- B. Drug interactions
- C. Drug side effects
- D. Drug tolerance
Correct Answer: D
Rationale: The correct answer is D: Drug tolerance. When a patient needs increasing dosages to achieve the same pain relief, it indicates the development of drug tolerance. This means the body has adapted to the drug, requiring higher doses to produce the same effect. Choice A, drug addiction, is incorrect because drug addiction involves a psychological and physical dependence on the drug, which is not described in the scenario. Choice B, drug interactions, is incorrect as it refers to the effects when multiple drugs interact with each other, not the situation described. Choice C, drug side effects, is also incorrect as it pertains to the unintended effects of a drug, not the need for higher doses to control pain.
Jansen is receiving metformin (Glucophage). What will be the best plan of the nurse with regard to patient education with this drug? Select one that does not apply.
- A. It stimulates the pancreas to produce more insulin.
- B. It must be taken after meals.
- C. It decreases sugar production in the liver.
- D. It inhibits absorption of carbohydrates.
Correct Answer: A
Rationale: The correct choice that does not apply is A. Metformin does not stimulate the pancreas to produce more insulin; instead, it works by decreasing sugar production in the liver, inhibiting carbohydrate absorption, and reducing insulin resistance. It is recommended to take metformin with meals to reduce gastrointestinal side effects. Option B is incorrect as metformin is usually taken with meals. Option D is also incorrect as metformin does not inhibit the absorption of carbohydrates.
Select the cranial nerve that is accurately paired with its name.
- A. The fourth cranial nerve: The trochlear nerve
- B. The twelfth cranial nerve: The hypoglossal nerve
- C. The tenth cranial nerve: The olfactory nerve
- D. The thirteenth cranial nerve: The auditory nerve
Correct Answer: B
Rationale: The twelfth cranial nerve is the hypoglossal nerve, which controls the muscles of the tongue. The other choices are incorrect because the trochlear nerve is the fourth cranial nerve responsible for eye movement, the olfactory nerve is the first cranial nerve responsible for the sense of smell, and there are only twelve cranial nerves, so there is no thirteenth cranial nerve.
What are the fine, down-like hairs on the newborn's ears, shoulders, lower back, and/or forehead known as?
- A. Vernix.
- B. Lanugo.
- C. Milia.
- D. Vibrissae.
Correct Answer: B
Rationale: Lanugo is the term used to describe the fine, down-like hairs found on a newborn's ears, shoulders, lower back, and/or forehead. These hairs are different from vernix, which is a waxy or cheese-like white substance covering the skin of newborns. Milia are small, white, or yellowish cysts that commonly appear on a newborn's face, while vibrissae are the thick, stiff hairs commonly found around the nose and other parts of the face.
Clients with type 1 diabetes may require which of the following changes to their daily routine during periods of infection?
- A. No change
- B. Less insulin
- C. More insulin
- D. Oral antidiabetic agents
Correct Answer: C
Rationale: During periods of infection, clients with type 1 diabetes may require more insulin to manage the increased blood glucose levels caused by stress and illness. Insulin needs often rise during infections due to the body's increased resistance to the effects of insulin. Therefore, increasing insulin doses is crucial to maintain blood glucose control. Choices A, B, and D are incorrect. Option A ('No change') is inaccurate because during infections, insulin requirements typically increase. Option B ('Less insulin') is incorrect as the body's increased insulin resistance during infections usually necessitates higher insulin doses. Option D ('Oral antidiabetic agents') is not suitable for type 1 diabetes management as these medications are primarily used for type 2 diabetes.