Nokea
A nurse is providing home care for an older woman with severe osteoporosis. What complication of this disease process must the nurse consider in the plan of care?
- A. diarrhea
- B. fractures
- C. visual deficits
- D. skin disorders
Correct Answer: B
Rationale: Osteoporosis weakens bones, increasing fracture risk.
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For the trauma patient with cerebral edema, hypercarbia should be avoided to prevent:
- A. "Metabolic acidosis"
- B. Respiratory acidosis
- C. Cerebral vasodilatation
- D. Neurogenic pulmonary edema
Correct Answer: C
Rationale: Rationale: Cerebral edema increases intracranial pressure. Hypercarbia causes cerebral vasodilatation, worsening edema and increasing intracranial pressure. This can lead to further brain damage and neurological deterioration. Therefore, avoiding hypercarbia is crucial in managing cerebral edema.
Summary:
A: Metabolic acidosis is not directly related to hypercarbia in this context.
B: Respiratory acidosis can occur with hypercarbia but is not the primary concern in cerebral edema.
D: Neurogenic pulmonary edema is a potential complication of cerebral edema but is not directly caused by hypercarbia.
_______________ is any unwelcome sexual advance or behavior that intimidates a person.
- A. Sexual dysfunction
- B. Sexual intimacy
- C. Sexual etiquette
- D. Sexual harassment
Correct Answer: D
Rationale: The correct answer is D, Sexual harassment. Sexual harassment involves unwelcome sexual advances or behavior that intimidates a person. This behavior can create a hostile or offensive environment. Options A, B, and C are incorrect because sexual dysfunction refers to difficulties in sexual functioning, sexual intimacy relates to consensual romantic relationships, and sexual etiquette pertains to appropriate behavior in sexual interactions. Sexual harassment specifically addresses unwelcome and intimidating behaviors.
A good way for a nursing assistant to help a new resident adjust to life in the facility is to
- A. Think about how it would feel to have to move into a facility
- B. Tell the resident how much work it is to care for him
- C. Cover up any mistakes to make the resident feel more confident about the facility's care
- D. Push the resident to join in activities even if he says he does not want to
Correct Answer: A
Rationale: The correct answer is A. By putting oneself in the resident's shoes, the nursing assistant can empathize with their feelings and provide personalized support. This approach shows understanding and compassion, fostering trust and comfort.
B: This choice is incorrect because it may create anxiety or guilt in the resident, leading to a negative adjustment experience.
C: Covering up mistakes can erode trust and credibility, causing the resident to feel insecure and uneasy about the care provided.
D: Forcing the resident to participate in activities goes against their autonomy and may result in resistance or resentment, hindering the adjustment process.
A spill that occurs on any surface within a healthcare facility
- A. Requires a nursing assistant to pick out any pieces of glass from the spill and discard them
- B. Can be absorbed by a special liquid soap
- C. May require the use of heavy-duty gloves for clean up
- D. Requires the use of an autoclave
Correct Answer: C
Rationale: The correct answer is C because a spill in a healthcare facility may contain harmful substances or pathogens, necessitating the use of heavy-duty gloves for safe cleanup to prevent exposure or contamination. This is crucial in maintaining a safe and hygienic environment.
A: Incorrect because picking out glass pieces is not the primary concern when dealing with a spill in a healthcare facility.
B: Incorrect as regular soap is not sufficient to handle spills containing hazardous materials.
D: Incorrect as an autoclave is used for sterilization of medical equipment, not for cleaning up spills.
An adult patient who experiences the loss of his/her gag reflex following a closed-head and suspected spinal injury may have suffered an injury to which of the following cranial nerves?
- A. Cranial nerve X (vagus)
- B. Cranial nerve III (oculomotor)
- C. Cranial nerve XII (hypoglossal)
- D. Cranial nerve IX (glossopharyngeal)
Correct Answer: A
Rationale: The correct answer is A: Cranial nerve X (vagus). The vagus nerve is responsible for the gag reflex. A loss of gag reflex in a patient with a closed-head and spinal injury indicates damage to the vagus nerve. The other choices are incorrect because: B (oculomotor) is responsible for eye movement, C (hypoglossal) is responsible for tongue movement, and D (glossopharyngeal) is responsible for swallowing and taste sensation. None of these cranial nerves are directly related to the gag reflex.