Nokea
Before giving a beta-adrenergic blocker glaucoma agent, you would notify the physician if the client discloses a history of what condition?
- A. Hypertension
- B. Tachycardia
- C. Rheumatoid arthritis
- D. Bradycardia
Correct Answer: D
Rationale: Beta-adrenergic blockers can exacerbate bradycardia, so the physician should be notified before administration.
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9. When the family members of a postoperative patient leave after a visit, the patient tells the nurse that his family gave him a headache by fussing over him so much. What is an appropriate intervention by the nurse?
- A. Administer the PRN analgesic prescribed for his postoperative pain.
- B. Ask the patient’s permission to use acupressure to ease his headache.
- C. Reassure the patient that his headache will subside now that his family has gone.
- D. Teach the patient biofeedback methods to relieve his headaches by controlling cerebral blood flow.
Correct Answer: B
Rationale: Asking the patient’s permission to use acupressure (option B) is an appropriate non-pharmacological intervention that respects patient autonomy and may effectively alleviate the headache.
What are these sensory phenomena called when a client hears voices or sees images that do not objectively exist?
- A. Mania
- B. Delusions
- C. Seasonal affective disorder
- D. Hallucinations
Correct Answer: D
Rationale: Hallucinations involve perceiving things that are not present, such as hearing voices or seeing images.
An excited mother calls you for advice. 'My child got cleaning solution in the eyes and I rinsed it out with water. What should I do? She is still screaming!' What do you instruct the caller to do immediately?
- A. Comfort the child and check vision.
- B. Continue to irrigate eyes with water.
- C. Call Poison Control.
- D. Call 911.
Correct Answer: B
Rationale: Continuing to irrigate the eyes helps flush out any remaining chemical irritants and minimizes damage.
List the order in which you will assess these patients.
- A. An ambulatory, dazed 25-year-old male with a bandaged head wound
- B. An irritable infant with a fever, petechiae, and nuchal rigidity
- C. A 35-year-old jogger with a twisted ankle, having pedal pulse and no deformity
- D. A 50-year-old female with moderate abdominal pain and occasional vomiting
Correct Answer: B
Rationale: The infant with fever, petechiae, and nuchal rigidity may indicate meningitis, a life-threatening condition requiring immediate attention.
Which of the four phases of pain transmission is characterized by the peripheral nerve fibers forming synapses with neurons in the spinal cord and the pain impulses moving away from the spinal cord to the reticular activating system, the limbic system, the thalamus, and finally the cerebral cortex?
- A. Modulation
- B. Transduction
- C. Transmission
- D. Perception
Correct Answer: C
Rationale: The correct answer is C because during the transmission phase, pain signals are relayed from the spinal cord to various parts of the brain for processing.