Nokea
Complications of overeating include which of the following?
- A. Hyperlipidemia
- B. Type I diabetes
- C. Sleep disturbances
- D. Rheumatoid arthritis
Correct Answer: A
Rationale: Overeating can lead to elevated cholesterol levels, contributing to hyperlipidemia and cardiovascular risks.
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Lack of adequate nutrition in older adults may lead to:
- A. Delayed wound healing
- B. Shorter hospital stays
- C. Improved immune status
- D. Decreased mortality rates
Correct Answer: A
Rationale: Poor nutrition weakens tissues and impairs the body's ability to repair itself, resulting in delayed wound healing and increased susceptibility to infections.
A nurse assesses a client’s pain level as a 5 out of 10 on the pain scale. The order reads for the client to receive morphine. Which of the following five ways of managing pain does the drug morphine fall under?
- A. Altering pain transmission at the level of the spinal cord
- B. Combining analgesics with adjuvant drugs
- C. Blocking brain perception
- D. Interrupting pain-transmitting chemicals at the site of injury
Correct Answer: A
Rationale: The correct answer is A because morphine primarily works by altering pain transmission at the level of the spinal cord by binding to opioid receptors.
During a shower three days ago, Jeremy Robb, 19, discovered a firm lump in his left testis. He went to the student health center at his university, was referred to a local physician and was admitted to the hospital for a left orchiectomy and lymph node resection. Risk factors for cancer of the testes include:
- A. smoking.
- B. undescended testicle.
- C. multiple sex partners.
- D. genital trauma.
Correct Answer: B
Rationale: Smoking has been linked to cancer of the lungs, bladder, and pancreas, but has not been linked directly to cancer of the testes. Males who had undescended testicle(s) have been found to have a higher incidence of cancer of the testes later. It is theorized that the internal heat the testes are exposed to while in the abdomen causes the damage to the testes. Multiple sex partners is a risk for genital warts, AIDS, and sexually transmitted diseases, but has not been shown to be a risk for cancer of the testes. Genital trauma more likely causes bladder and ureteral damage.
A client with hypertension is being taught about lifestyle modifications. Which statement by the client indicates a need for further teaching?
- A. I will reduce my sodium intake to help control my blood pressure.
- B. I need to start walking at least 30 minutes most days of the week.
- C. I can continue drinking alcohol as long as it is not in excess.
- D. I will check my blood pressure regularly at home.
Correct Answer: C
Rationale: The correct answer is C because excessive alcohol consumption can raise blood pressure. Step 1: Alcohol can lead to hypertension. Step 2: Limiting alcohol intake is crucial in managing hypertension. Step 3: Choices A, B, and D promote healthy behaviors that help control blood pressure. Summary: Choice C is incorrect as it goes against hypertension management, while choices A, B, and D align with lifestyle modifications for hypertension.
The most common, preventable complication of abdominal surgery is
- A. atelectasis.
- B. fluid and electrolyte imbalance.
- C. thrombophlebitis.
- D. urinary retention.
Correct Answer: D
Rationale: Urinary retention is a common issue post-abdominal surgery due to anesthesia effects and immobility.