Nokea
A nurse is conducting a community health education session on influenza prevention. Which of the following recommendations should be included?
- A. Avoid vaccination if you are over 65 years old
- B. Wash hands frequently
- C. Avoid wearing masks
- D. Limit fluid intake
Correct Answer: B
Rationale: Frequent handwashing reduces influenza transmission by removing viruses from surfaces. Vaccination is critical for all ages, masks are beneficial, and fluid intake supports health, not prevention.
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The problem with sensory recognition is called
The problem with sensory recognition is called
- A. Aphasia
- B. Apraxia
- C. Agnosia
- D. Dysarthia
Correct Answer: C
Rationale: Agnosia is the inability to recognize sensory input, such as objects or sounds.
The nurse is caring for a client receiving total parenteral nutrition (TPN). Which of the following findings would indicate a complication of TPN therapy?
- A. Weight gain of 0.5 kg in 24 hours.
- B. Blood glucose level of 200 mg/dL.
- C. Temperature of 99°F (37.2°C).
- D. Urine output of 50 mL/hour.
Correct Answer: B
Rationale: A blood glucose level of 200 mg/dL indicates hyperglycemia, a common TPN complication due to high dextrose content, requiring insulin adjustment or rate change. Weight gain (A) is expected, low-grade fever (C) is nonspecific, and normal urine output (D) is unremarkable.
Patients with myasthenia gravis, Guillain-Barre syndrome, or amyotrophic lateral sclerosis experience:
Patients with myasthenia gravis, Guillain-Barre syndrome, or amyotrophic lateral sclerosis experience:
- A. Progressive deterioration until death.
- B. Increased risk of respiratory complications.
- C. Deficiencies of essential neurotransmitters.
- D. Involuntary twitching of small muscle groups.
Correct Answer: B
Rationale: These conditions impair respiratory muscles, increasing the risk of complications.
The nurse is teaching a client about the difference between tardive dyskinesia (TD) and neuroleptic malignant syndrome (NMS). Which statement is true with regards to tardive dyskinesia?
- A. TD develops within hours or years of continued antipsychotic drug use in people under 20 and over 30
- B. It can occur in clients taking antipsychotic drugs longer than 2 years
- C. Tardive dyskinesia occurs within minutes of the first dose of antipsychotic drugs and is reversible
- D. TD can easily be treated with anticholinergic drugs
Correct Answer: B
Rationale: Tardive dyskinesia is an extrapyramidal side effect that typically develops after prolonged use of antipsychotic drugs, often longer than 2 years, and is not easily reversible or treated with anticholinergics.
A client with mastoiditis has a left mastoidectomy with tympanoplasty. The nurse should observe the client for signs of damage to the sixth crania nerve, which include:
- A. Inability to chew
- B. Inability to look laterally
- C. Inability to swallow
- D. Loss of scalp sensation
Correct Answer: B
Rationale: The sixth cranial nerve (abducens) controls lateral eye movement, so damage would result in an inability to look laterally.