Nokea
An older client is diagnosed with osteoarthritis. Which of the following should the nurse encourage the client to do?
- A. Increase joint immobility to prevent pain.
- B. Use heat and cold therapy for pain management.
- C. Take aspirin in large doses for pain relief.
- D. Rest in bed for long periods of time.
Correct Answer: B
Rationale: Heat and cold therapy can help manage pain and stiffness in osteoarthritis, improving comfort and mobility.
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Chronic bloody diarrhea could be suggestive of:
- A. Irritable bowel syndrome
- B. Crohn’s disease
- C. Hepatitis A
- D. Celiac disease
Correct Answer: B
Rationale: Chronic bloody diarrhea is common in inflammatory bowel diseases like Crohn’s disease.
Desmopressin acetate (DDAVP) nasal spray has been found to be useful in the management of enuresis in children. In which of the following situations is the drug especially beneficial?
- A. Daytime incontinence
- B. Hypertensive children with enuresis
- C. Secondary enuresis
- D. Sleepovers
Correct Answer: D
Rationale: DDAVP is especially beneficial for primary nocturnal enuresis, and may be used during situations like sleepovers.
A 27-year-old male patient presents with a painless chancre on the shaft of his penis and regional lymphadenopathy. He is diagnosed with primary syphilis. The best initial treatment is:
- A. Ceftriaxone (Rocephin)
- B. Clindamycin (Cleocin)
- C. Metronidazole (Flagyl)
- D. Benzathine penicillin G (Bicillin L.A)
Correct Answer: D
Rationale: Benzathine penicillin G is the first-line treatment for primary syphilis.
All of the statements about Medicaid are true except:
- A. Medicaid is jointly funded by federal and state governments.
- B. Medicaid provides coverage for low-income people of all ages.
- C. The coverage provided under Medicaid is the same in every state.
- D. Long-term care for elderly and disabled people accounts for the largest proportion of Medicaid spending.
Correct Answer: C
Rationale: Medicaid coverage varies by state and is not the same in every state.
A 78-year-old male was recently diagnosed with Alzheimer’s disease. He scored 23/30 on his Montreal Cognitive Assessment (MoCA) and his clinical presentation is consistent with mild disease. Which of the following is NOT a common side effect of donepezil?
- A. Thrombocytopenia
- B. Bradycardia
- C. Vivid dreams
- D. Gastrointestinal distress
Correct Answer: A
Rationale: Thrombocytopenia is not a common side effect of donepezil, while bradycardia, vivid dreams, and gastrointestinal distress are.