Nokea
A patient who had major surgery is experiencing emotional stress as well as physiologic stress from the effects of surgery. What can this stress cause?
- A. Diuresis
- B. Hyperkalemia
- C. Fluid retention
- D. Impaired blood coagulation
Correct Answer: C
Rationale: Surgical stress triggers hormonal responses leading to fluid retention.
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For Mr. Jones’ persistent productive cough, what nursing action would be most appropriate?
- A. Increase intake of warm liquids
- B. Administer narcotic cough medication
- C. Monitor the amount of sputum produced each day
- D. Place the patient on strict bed rest
Correct Answer: A
Rationale: Warm liquids soothe the throat and thin mucus, facilitating expectoration.
A client with Parkinson's disease is prescribed carbidopa-levodopa (Sinemet). What should the nurse include in the teaching about this medication?
- A. Take the medication without a high-protein meal.
- B. Expect the medication to take several weeks to reach full effectiveness.
- C. The medication may cause urine to turn light.
- D. You may experience a rapid heartbeat as a common side effect.
Correct Answer: B
Rationale: The correct answer is B: Expect the medication to take several weeks to reach full effectiveness. This is because carbidopa-levodopa (Sinemet) is a medication used to treat Parkinson's disease by increasing dopamine levels in the brain. It takes time for the medication to build up in the system and reach its full therapeutic effect.
Choice A is incorrect because it is recommended to take carbidopa-levodopa with a high-protein meal to help reduce potential gastrointestinal side effects. Choice C is incorrect as the medication does not typically cause urine discoloration. Choice D is incorrect as a rapid heartbeat is not a common side effect of carbidopa-levodopa.
In summary, choice B is correct because it aligns with the pharmacokinetics of the medication, while the other choices are not consistent with the usual effects and recommendations for carbidopa-levodopa.
Why would T3, T4, blood chemistry panel, and drug screen tests be performed prior to admission?
- A. Deep breathing exercises
- B. Avoid social interactions
- C. Ignore stressors
- D. Increase workload
Correct Answer: D
Rationale: The correct answer is D because it is the most appropriate response based on physiological and medical principles.
What behavioral clues will you watch for to identify an increased risk for suicide?
- A. Deep breathing exercises
- B. Avoid social interactions
- C. Ignore stressors
- D. Increase workload
Correct Answer: D
Rationale: The correct answer is D because it is the most appropriate response based on physiological and medical principles.
What best describes Mrs. West’s change in vital signs postoperatively?
- A. Decrease in BP indicates shock is imminent
- B. Elevated temperature indicates wound infection
- C. Decrease in BP is consistent with hypertension
- D. Elevation in temperature is consistent with normal postoperative recovery
Correct Answer: D
Rationale: A mild fever is common after surgery due to inflammatory response.