Nokea
A patient with gout is treated with drug therapy to prevent future attacks. The nurse teaches the patient that what is most important for the patient to do?
- A. Avoid all foods high in purine, such as organ meats.
- B. Have periodic determination of serum uric acid levels.
- C. Increase the dosage of medication with the onset of an acute attack.
- D. Perform active range of motion (ROM) of all joints that have been affected by gout.
Correct Answer: B
Rationale: Monitoring uric acid levels ensures treatment efficacy.
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What sign/symptom would NOT be associated with infant botulism?
- A. difficulty suckling
- B. limp body
- C. stiff neck
- D. weak cry
Correct Answer: C
Rationale: The correct answer is C: stiff neck. Infant botulism is characterized by muscle weakness, including difficulty suckling, a limp body, and a weak cry. A stiff neck is not typically associated with infant botulism. The toxin affects the nervous system, causing muscle paralysis, but does not typically lead to neck stiffness. Therefore, choice C is the correct answer. Choices A, B, and D are incorrect because they are all common signs and symptoms of infant botulism, reflecting the muscle weakness and paralysis caused by the toxin.
You are caring for a patient with a recurrent glioblastoma who is receiving dexamethasone (Decadron) 4 mg IV every 6 hours to relieve symptoms of right arm weakness and headache. Which assessment information concerns you the most?
- A. The patient does not recognize family members.
- B. The blood glucose level is 234 mg/dL.
- C. The patient complains of a continued headache.
- D. The daily weight has increased 1 kg.
Correct Answer: A
Rationale: Changes in recognition could indicate neurological deterioration requiring immediate attention.
Which of the following receptors does not span the cell membrane 7 times
- A. beta-Adrenergic receptor
- B. Rhodopsin
- C. 5-HTic receptor
- D. Mineralocorticoid receptor
Correct Answer: D
Rationale: The mineralocorticoid receptor is an intracellular receptor that does not span the cell membrane. It belongs to the steroid hormone receptor family and acts as a transcription factor after binding to its ligand. In contrast, beta-adrenergic receptors, rhodopsin, 5-HTic receptors, and LH receptors are G-protein-coupled receptors (GPCRs) that span the membrane seven times.
When the patient has a rapidly growing brain tumor, what slows expansion of cerebral brain tissue into the adjacent hemisphere?
- A. Ventricles
- B. Falx cerebri
- C. Arachnoid layer
- D. Tentorium cerebella
Correct Answer: B
Rationale: The falx cerebri limits the expansion of brain tissue into adjacent hemispheres.
Which description is most characteristic of osteoarthritis (OA) when compared to rheumatoid arthritis (RA)?
- A. Not systemic or symmetric
- B. Rheumatoid factor (RF) positive
- C. Most commonly occurs in women
- D. Morning joint stiffness lasts one to several hours
Correct Answer: A
Rationale: OA is localized and asymmetric.