Nokea
Clients who have had active tuberculosis are at risk for recurrence. Which of the following conditions increases that risk?
- A. Cool and damp weather.
- B. Active exercise and exertion.
- C. Physical and emotional stress.
- D. Rest and inactivity.
Correct Answer: C
Rationale: Physical and emotional stress can weaken the immune system, increasing the risk of tuberculosis recurrence. Weather, exercise, and rest do not directly influence recurrence.
You may also like to solve these questions
After treatment with radioactive iodine (RAI) in the form of sodium iodide 131I, the nurse teaches the client to:
- A. Monitor for signs and symptoms of hyperthyroidism.
- B. Rest for 1 week to prevent complications of the medication.
- C. Take thyroxine replacement for the remainder of the client's life.
- D. Assess for hypertension and tachycardia resulting from altered thyroid activity.
Correct Answer: C
Rationale: RAI often destroys enough thyroid tissue to cause hypothyroidism, requiring lifelong thyroxine replacement. Monitoring for hyperthyroidism is unnecessary post-treatment, and rest or assessing for hypertension/tachycardia are not primary concerns.
Pseudoephedrine (Sudafed) has been ordered as a nasal decongestant. Which of the following is a possible adverse effect of this drug?
- A. Constipation.
- B. Bradycardia.
- C. Diplopia.
- D. Restlessness.
Correct Answer: D
Rationale: Pseudoephedrine is a sympathomimetic that can cause central nervous system stimulation, leading to restlessness. Constipation, bradycardia, and diplopia are not common adverse effects of this medication.
The nurse is performing a physical assessment on a client. To assess the client's visual acuity, the nurse would use a
- A. Snellen chart.
- B. tonometer device.
- C. penlight.
- D. slit lamp.
Correct Answer: A
Rationale: The Snellen chart is used to assess visual acuity by testing distance vision. A tonometer measures intraocular pressure, a penlight examines pupil response, and a slit lamp evaluates eye structures.
Which of the following dietary measures would be useful in preventing esophageal reflux?
- A. Eating small, frequent meals.
- B. Increasing fluid intake.
- C. Avoiding air swallowing with meals.
- D. Adding a bedtime snack to the dietary plan.
Correct Answer: A
Rationale: Small, frequent meals reduce gastric distention and lower the risk of reflux compared to large meals. The other options are less effective or may worsen symptoms.
The nurse is caring for a client with a peripherally inserted central catheter (PICC) in the left upper extremity. It would indicate correct nursing care if the nurse
- A. pulsatile flushes each lumen with 0.9% sodium chloride (normal saline) in a 5 mL syringe.
- B. slowly flushes each lumen with 0.9% sodium chloride (normal saline) in a 10 mL syringe.
- C. pulsatile flushes each lumen with sterile water in a 10 mL syringe.
- D. pulsatile flushes each lumen with 0.9% sodium chloride (normal saline) in a 10 mL syringe.
Correct Answer: D
Rationale: PICC lines require pulsatile flushing with 0.9% saline in a 10 mL syringe to maintain patency and prevent occlusion.