Nokea
A patient has recently been diagnosed with symptomatic bradycardia. Which of the following medications is the most recognized for treatment of symptomatic bradycardia?
- A. Questran
- B. Digitalis
- C. Nitroglycerin
- D. Atropine
Correct Answer: D
Rationale: Atropine encourages increased rate of conduction in the AV node.
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All of the following are clinical manifestations indicating male climacteric except:
- A. hot flashes.
- B. loss of reproductive ability.
- C. headaches.
- D. heart palpitations.
Correct Answer: B
Rationale: The likelihood of fathering children does decrease with aging and decreased testosterone production, but men do not lose their ability to reproduce during the climacteric. Many men do not experience any physical symptoms of climacteric but some men do report hot flashes, headaches, and heart palpitations, among other symptoms.
A 55 year-old female asks a nurse the following, 'Which mineral/vitamin is the most important to prevent progression of osteoporosis.' The nurse should state:
- A. Potassium
- B. Magnesium
- C. Calcium
- D. Vitamin B12
Correct Answer: C
Rationale: Calcium is the most recognized osteoporosis treatment.
Chemotherapeutic agents often produce a degree of myelosuppression including leukopenia. Leukopenia does not present immediately but is delayed several days or weeks because:
- A. the client's hemoglobin and hematocrit are normal.
- B. red blood cells are affected first.
- C. folic acid levels are normal.
- D. the current white cell count is not affected by chemotherapy.
Correct Answer: D
Rationale: Time is required to clear circulating cells before the effect that chemotherapeutic drugs have on precursor cell maturation in the bone marrow becomes evident.
In hanging a parenteral IV fluid that is to be infused by gravity, rather than with an infusion pump, the nurse notes that the IV tubing is available in different drop factors. Which tubing is a microdrop set?
- A. 15 drops per milliliter
- B. 60 drops per milliliter
- C. 20 drops per milliliter
- D. 10 drops per milliliter
Correct Answer: B
Rationale: All microdrop sets are calculated to give 60 drops for each milliliter of IV fluid. Macrodrop sets are calculated to give 10, 15, or 20 drops for each milliliter of IV fluid.
The nurse can promote relief of muscle pain, spasms, and tension by:
- A. having the client continue his activities as usual.
- B. immobilizing the client.
- C. applying heat, cold, pressure, or vibration to the painful area.
- D. giving as much pain medication as needed to ease the muscle.
Correct Answer: C
Rationale: Superficial heat and cold, massage, pressure, or vibration can be applied to alleviate pain associated with muscle tension, pain, or spasms.