Nokea
Build-up of bile salts may cause the systemic symptom of
- A. Hypotension.
- B. Pruritis (itching).
- C. Ecchymosis (bruising).
- D. Urticaria (hives).
Correct Answer: B
Rationale: Bile salt accumulation can lead to itching.
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What would be the best response by the nurse to a quiet and uncommunicative client?
- A. Think over the following questions.
- B. Discuss them with your instructor or peers.
- C. Acknowledge their feelings and encourage expression.
- D. Offer silence and wait patiently.
Correct Answer: D
Rationale: Silence can provide the client with space to open up when they feel ready, fostering trust and rapport.
You are admitting an elderly client to the medical unit. Which factor indicates that this client has a risk for acid-base imbalances?
- A. Myocardial infarction 1 year ago
- B. Occasional use of antacids
- C. Shortness of breath with extreme exertion
- D. Chronic renal insufficiency
Correct Answer: D
Rationale: The correct answer is D: Chronic renal insufficiency. Chronic renal insufficiency can lead to metabolic acidosis or alkalosis due to impaired kidney function in regulating acid-base balance. Renal insufficiency can cause retention or loss of bicarbonate ions, leading to imbalances. Myocardial infarction, occasional use of antacids, and shortness of breath with extreme exertion are not direct risk factors for acid-base imbalances.
What are life-threatening complications of shock?
- A. Catheter infection
- B. Pulmonary edema
- C. Kidney failure
- D. Stasis ulcers
Correct Answer: C
Rationale: Kidney failure is a severe complication of shock due to prolonged hypoperfusion and ischemi
What is first-line therapy for insomnia?
- A. Complementary therapies such as melatonin
- B. Cognitive-behavioral therapies such as relaxation therapy
- C. Benzodiazepine-receptor-like agents (e.g., zolpidem [Ambien])
- D. Over-the-counter medication such as diphenhydramine (Benadryl)
Correct Answer: B
Rationale: The correct answer is B. Cognitive-behavioral therapy (CBT) is the first-line treatment for insomnia due to its effectiveness and lack of side effects. Melatonin (A) and over-the-counter medications (D) are secondary options, while benzodiazepines (C) are reserved for short-term use.
Which task is appropriate to delegate to the nursing assistant?
- A. Chest compressions
- B. Bag-valve mask ventilation
- C. Assisting with oral intubation
- D. Placing the defibrillator pads
Correct Answer: A
Rationale: Chest compressions are a physical task that can be delegated to a nursing assistant under supervision.