Nokea
A patient has recently been prescribed (Norvasc). Which of the following side effect/s should the patient specifically watch out for?
- A. Hypotension and Angina
- B. Hypertension
- C. Lower extremity edema
- D. Peripheral sensory loss and SOB
Correct Answer: A
Rationale: Both angina and hypotension are associated with Norvasc's side effects.
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A mother has come to the pediatric clinic concerned about the recent outbreak of West Nile Virus. The ages of her children are 5, 7, and 10. The mother has asked the nurse what she can do to prevent her children from contracting this illness. Which piece of information is best to provide the mother with?
- A. The children should wear long sleeves and long pants while outside.
- B. Apply insect repellant containing DEET when the children are outside.
- C. Remove standing water from the property.
- D. All of the above.
Correct Answer: D
Rationale: It is recommended that the children wear insect repellant containing DEET and long-sleeve shirts and long pants when they are outside. Removing standing water can help decrease the number of breeding mosquitoes.
A 93 year-old female with a history of Alzheimer's Disease gets admitted to an Alzheimer's unit. The patient has exhibited signs of increased confusion and limited stability with gait. Moreover, the patient is refusing to use a w/c. Which of the following is the most appropriate course of action for the nurse?
- A. Recommend the patient remain in her room at all times.
- B. Recommend family members bring pictures to the patient's room.
- C. Recommend a speech therapy consult to the doctor.
- D. Recommend the patient attempt to walk pushing the w/c for safety.
Correct Answer: B
Rationale: Stimulation in the form of pictures may decrease signs of confusion.
A nurse has been assigned a patient who has recently been diagnosed with Guillain-Barre' Syndrome. Which of the following statements is the most applicable when discussing the impairments with Guillain-Barre' Syndrome with the patient?
- A. Guillain-Barre' Syndrome gets better after 5 years in almost all cases.
- B. Guillain-Barre' Syndrome causes limited sensation in the abdominal region.
- C. Guillain-Barre' Syndrome causes muscle weakness in the legs.
- D. Guillain-Barre' Syndrome does not affect breathing in severe cases.
Correct Answer: C
Rationale: Muscle weakness in the lower extremities is found in acute cases of Guillain-Barre' Syndrome.
The teaching plan for a postpartum client who is about to be discharged should include which of the following instructions?
- A. It is normal for your breasts to be tender. You should call the physician if you also have redness and fatigue.
- B. Because your baby was delivered vaginally, you might have to urinate more frequently.
- C. It is normal to run a low-grade temperature for a few days. If it is higher than 100°F, call your physician.
- D. Be sure to call your physician if your vaginal discharge becomes bright red.
Correct Answer: D
Rationale: The vaginal discharge after birth is called lochia, and it changes from red (rubra) to serosa (clear) on the third postpartum day. If it returns to red or contains clots, it could signal impending hemorrhage or infection and the physician should be notified.
Which of the following home-care strategies is most likely to negatively impact the body image of a client with Cushing's syndrome?
- A. providing safety measures to prevent falls
- B. taking medications as prescribed
- C. wearing a medical ID indicating Cushing's syndrome
- D. having regular health assessments
Correct Answer: C
Rationale: All of the strategies listed are included in home care for the client with Cushing's syndrome. Choice 3 is the best answer because wearing a medical ID is a visible sign that something is wrong and a constant reminder to the client that he or she has a loss of body function. Choice 1 might enhance body image because it prevents falls that could cause further injury and debilitation. Taking medications as prescribed should enhance body image because it decreases the symptoms present. Having regular health assessments indicates an enhanced body image because it signals the desire to take care of the body and keep it at its best.