Nokea
A patient had abdominal surgery 3 months ago and calls the clinic with complaints of severe abdominal pain and cramping, vomiting, and bloating. What should the nurse most likely suspect as the cause of the patient’s problem?
- A. Infection
- B. Adhesion
- C. Contracture
- D. Evisceration
Correct Answer: B
Rationale: Postoperative adhesions can form after abdominal surgeries, causing obstruction and symptoms such as pain, cramping, vomiting, and bloating. Adhesions are bands of fibrous tissue that develop during the healing process.
You may also like to solve these questions
Which type of hypersensitivity reaction occurs with rheumatoid arthritis and acute glomerulonephritis?
- A. Type I or IgE-mediated hypersensitivity reaction
- B. Type II or cytotoxic hypersensitivity reaction
- C. Type III or immune-complex mediated hypersensitivity reaction
- D. Type IV or delayed hypersensitivity reaction
Correct Answer: C
Rationale: Type III hypersensitivity involves immune complexes depositing in tissues, leading to inflammation, as seen in rheumatoid arthritis and acute glomerulonephritis.
All of the following are true with respect to IgE molecules, EXCEPT which one?
- A. They are the principal immunoglobulin class involved in allergic reactions.
- B. They are involved in mediating anti-parasitic immune responses.
- C. They will cross the placenta and fix complement.
- D. They can effect the release of histamine and other chemical mediators.
Correct Answer: C
Rationale: The correct answer is C. IgE molecules do not cross the placenta and fix complement, unlike IgG. IgE is the principal immunoglobulin in allergic reactions (A), mediates anti-parasitic immune responses (B), and triggers the release of histamine and other mediators (D). IgE plays a specific role in allergic responses and defense against parasites. IgG is the main immunoglobulin that crosses the placenta and fixes complement. Therefore, IgE does not share this function.
A client has been newly diagnosed with systemic lupus erythematosus and is reviewing self-care measures with the nurse. Which statement by the client indicates a need to review the material?
- A. I will avoid direct sunlight as much as possible.
- B. Baby powder is good for the constant sweating.
- C. Grouping errands will help prevent fatigue.
- D. Rest time will have to become a priority.
Correct Answer: B
Rationale: The correct answer is B. Baby powder is not recommended for individuals with systemic lupus erythematosus, as it can irritate the skin and worsen symptoms. A: Avoiding direct sunlight is crucial due to photosensitivity. C: Grouping errands helps conserve energy. D: Rest is important to manage fatigue. Summary: A, C, and D are all appropriate self-care measures for a client with systemic lupus erythematosus, while using baby powder is not recommended.
A site of intense B cell proliferation in the lymph node is
- A. Germinal center
- B. Paracortex
- C. Medulla
- D. Infected tissue
Correct Answer: A
Rationale: The correct answer is A: Germinal center. Germinal centers are specialized regions within lymph nodes where B cells undergo intense proliferation, somatic hypermutation, and class switching to generate high-affinity antibodies. This process is crucial for the adaptive immune response. Paracortex (B) contains T cells, not B cells. Medulla (C) is mainly involved in filtering lymph. Infected tissue (D) is not a specific site for B cell proliferation.
The nurse is caring for a patient who has had a total hip replacement and is using an abductor wedge. For which finding should the nurse assess?
- A. Muscle spasms
- B. Alteration in peripheral circulation
- C. Compression fracture
- D. Appropriateness of the size of the wedge
Correct Answer: B
Rationale: The correct answer is B: Alteration in peripheral circulation. The abductor wedge can affect blood flow to the legs, leading to potential complications like deep vein thrombosis. The nurse should assess for signs of impaired circulation such as color changes, temperature differences, and peripheral pulses. Muscle spasms (A) may occur due to the surgery but are not directly related to the wedge. Compression fracture (C) is not typically a concern with an abductor wedge. Assessing the appropriateness of the wedge size (D) is important but not as critical as monitoring for alterations in peripheral circulation.