Nokea
Differentiate between the various types of bipolar disorder.
- A. High blood pressure
- B. Increased heart rate
- C. Decreased oxygen supply
- D. Muscle relaxation
Correct Answer: A
Rationale: The correct answer is A because it is the most appropriate response based on physiological and medical principles.
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Allison Lynn, 20, is a student in a health sciences class and asks you to further explain the reason for lack of insulin in Type I Diabetes. You state that the most accepted theory is that:
- A. the insulin produced is not effective at the tissue level.
- B. not enough insulin is made to manage the metabolic needs.
- C. inflammation of the pancreas causes irregular release of insulin.
- D. the body's immune system destroyed the cells that make insulin.
Correct Answer: D
Rationale: Type I diabetes is the definition of that disease process that occurs when no insulin is produced, so there is no insulin to get to the cell level. Some Type II diabetes occurs because of insulin resistance. No insulin is being produced. This is one pathophysiological cause of Type II diabetes. Pancreatitis does cause irregular release of insulin, but not all people with pancreatitis develop Type I diabetes An autoimmune process is the most accepted theory of the root cause of Type I diabetes. The body produces an antibody which attacks and destroys the beta cells, leading to a lack of insulin.
A patient who received spinal anesthesia four hours ago during surgery is transferred to the surgical unit and, after 90 minutes, now reports severe incisional pain. The patient's blood pressure is 170/90 mmHg, pulse is 108 beats/min, temperature is 99oF (37.2oC), and respirations are 30 breaths/min. The patient's skin is pale, and the surgical dressing is dry and intact. The most appropriate nursing intervention is to
- A. medicate the patient for pain.
- B. place the patient in a high Fowler position and administer oxygen.
- C. place the patient in a reverse Trendelenburg position and open the IV line.
- D. report the findings to the provider.
Correct Answer: D
Rationale: The nurse should report these findings to the provider because the patient may be experiencing complications such as hypertension or hypovolemia.
Your postoperative patient develops a cellulitis in her leg. Your nursing treatments would include
- A. Keeping both her legs elevated as much as possible.
- B. Encouraging ambulation as much as possible to help with the blood flow.
- C. Application of ice four times a day for an hour each to reduce inflammation.
- D. Application of moisturizing lotion three times daily to keep the skin moist.
Correct Answer: A
Rationale: Elevation helps reduce swelling and improve circulation in cellulitis.
What is a long and healthy life dependent upon?
- A. A diet high in animal fat, cholesterol, and calories
- B. Early retirement from work
- C. Vigorous physical activity once a week
- D. Interest in life
Correct Answer: D
Rationale: Interest in life contributes positively to mental health and overall well-being, which are key components of a long and healthy life.
Mrs. Smith asks about treatment options for sensorineural deafness. To counsel Mrs. Smith appropriately, the nurse knows that the only type of organically caused deafness that can be effectively treated at this time is
- A. conductive deafness
- B. sensorineural deafness
- C. central deafness
- D. mixed-type deafness
Correct Answer: A
Rationale: Conductive deafness often responds well to surgical or medical interventions, unlike other types of hearing loss where treatment options are limited.