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Classic symptoms of appendicitis:
Classic symptoms of appendicitis:
- A. Diffused abdominal pain occurs before nausea, fever.
- B. Pain in the right side of the abdomen, fever, elevated WBC.
- C. Pain and decreased sensation in the right leg.
- D. Distended abdomen, indigestion-like symptom.
Correct Answer: B
Rationale: Right lower quadrant pain, fever, and elevated WBC are classic appendicitis symptoms.
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If a patient comes into facility with muscle weakness, where should you focus your physical assessment?
If a patient comes into facility with muscle weakness, where should you focus your physical assessment?
- A. Muscle tone
- B. Muscle strength
- C. ROM
- D. Sensory function
Correct Answer: B
Rationale: Muscle strength assessment directly evaluates the extent and distribution of weakness.
Anaphylactic shock is a serious type of blood transfusion reaction.
The pathophysiology of anaphylaxis is
- A. It is treated with adrenalin or epinephrine.
- B. A severe vasoconstriction and profound bronchodilation.
- C. Characterized by presence of rashes all throughout the body.
- D. A profound hypotension due to profound vasodilation and severe bronchoconstriction.
Correct Answer: D
Rationale: Anaphylaxis involves vasodilation and bronchoconstriction, leading to hypotension and respiratory distress.
Patients with myasthenia gravis, Guillain-Barre syndrome, or amyotrophic lateral sclerosis experience:
Patients with myasthenia gravis, Guillain-Barre syndrome, or amyotrophic lateral sclerosis experience:
- A. Progressive deterioration until death.
- B. Increased risk of respiratory complications.
- C. Deficiencies of essential neurotransmitters.
- D. Involuntary twitching of small muscle groups.
Correct Answer: B
Rationale: These conditions impair respiratory muscles, increasing the risk of complications.
A client has been taking perphenazine (Trilafon) by mouth for two days and now displays the following: head turned to the side, neck arched at an angle, stiffness and muscle spasms in neck. The nurse would expect to give which of the following as a PRN medication?
- A. Promazine (Sparine).
- B. Biperiden (Akineton).
- C. Thiothixene (Navane).
- D. Haloperidol (Haldol).
Correct Answer: B
Rationale: The symptoms describe acute dystonia, an extrapyramidal side effect of perphenazine. Biperiden, an antiparkinsonian agent, counteracts these effects. Promazine, thiothixene, and haloperidol (A, C, D) are antipsychotics and would not relieve dystonia.
A school-age child with terminal leukemia is admitted to the pediatric unit. The nurse must discuss advance directives with the child's parents. The nurse should include which information?
- A. Positive appraisal of the child's prognosis
- B. Chemotherapy options
- C. Comfort care options
- D. Bone marrow transplantation information
Correct Answer: C
Rationale: The nurse shouldn't give a positive appraisal of the child's prognosis because doing so gives the parents false hope. The nurse must be honest about the child's prognosis and provide them accurate information about treatment options, which include palliative care, comfort care, and pain management. The physician - not the nurse - should discuss such treatment options as chemotherapy or bone marrow transplantation, if indicated.