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Alex is a 78-year-old married man with sudden onset of confusion and disorientation; he is exhibiting combative behavior. He has no previous psychiatric history. A psychiatric consultation has been called. You suspect Alex has
- A. Delirium.
- B. Psychosis.
- C. Depression.
- D. Panic disorder.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A patient with colorectal cancer has continuous, poorly localized abdominal pain at an intensity of 5 on a scale of 0 to 10. How does the nurse teach the patient to use pain medications?
- A. On an around-the-clock schedule
- B. As often as necessary to keep the pain controlled
- C. By alternating two different types of drugs to prevent tolerance
- D. When the pain cannot be controlled with distraction or relaxation
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with asthma presents with bilateral wheezing, decreased pulse oxygen saturation, and suprasternal retraction on inhalation. Which actions should the nurse take? (SATA)
- A. Administer prescribed salmeterol (Serevent) inhaler.
- B. Assess the client for a tracheal deviation.
- C. Administer oxygen to maintain saturations above 94%.
- D. Perform peak expiratory flow measurements.
Correct Answer: C
Rationale: The correct answer is C. Administer oxygen to maintain saturations above 94%. In asthma exacerbation, maintaining oxygen saturation is crucial to prevent hypoxia. Oxygen therapy helps improve oxygen delivery to tissues and organs. Administering salmeterol (choice A) may help with long-term management but is not an immediate priority. Tracheal deviation assessment (choice B) is not relevant to asthma exacerbation. Performing peak expiratory flow measurements (choice D) may be helpful for monitoring asthma severity but is not the priority in this acute situation.
How will recognizing that clients have different perceptions of time assist the nurse to provide more sensitive care?
- A. Adapting care plans to accommodate varying time perspectives.
- B. Enforcing strict schedules regardless of cultural differences.
- C. Ignoring time-related preferences.
- D. None of the above.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In view of the fact that most older adults take at least six prescription drugs, what are four nursing interventions that can specifically help prevent problems caused by multiple drug use in older patients?
- A. Medication reconciliation
- B. Patient education regarding side effects
- C. Regular review of medication regimens
- D. Monitoring for drug interactions
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Tim presents with an acute episode of gout. You expect the physician to prescribe
- A. Nonsteroidal anti-inflammatory medications and colchicine.
- B. Allopurinol and aspirin.
- C. Antibiotics and acetaminophen.
- D. Bisphosphonates and calcium.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.