Nokea
During an abdominal examination, the NP percusses the bulging area of the abdomen. Which sounds suggest the presence?
- A. Tympanic
- B. Dullness
- C. Hyperresonant sounds
- D. Normal resonance
Correct Answer: B
Rationale: Dullness suggests the presence of fluid or a solid mass in the abdomen, indicating conditions like ascites or tumors.
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The nurse is assessing an older client who is at risk for falls. Which of the following should be prioritized in the care plan?
- A. Frequent repositioning of the client
- B. Improving the client's strength and balance
- C. Encouraging the client to use a walker at all times
- D. Promoting regular sleep patterns
Correct Answer: B
Rationale: Strengthening balance and improving mobility are essential in reducing the risk of falls in older adults.
The nurse is teaching a client with osteoarthritis how to manage pain. Which of the following interventions would be most helpful?
- A. Use heat pads for 30 minutes on painful joints.
- B. Perform joint exercises only when pain is absent.
- C. Avoid using joint protection devices.
- D. Rely solely on pharmacological interventions.
Correct Answer: A
Rationale: Heat therapy can help relieve pain and stiffness in osteoarthritis by promoting blood circulation and reducing muscle spasms.
Which antihypertensive would be appropriate to prescribe for a hypertensive patient (B/P 150/95) in her third trimester?
- A. Candesartan
- B. Lisinopril
- C. Methyldopa
- D. Furosemide
Correct Answer: C
Rationale: Methyldopa is safe for use in pregnancy and is the preferred antihypertensive for hypertension during pregnancy.
Which of the following is the most appropriate description of “personhood” as it relates to people with dementia?
- A. Personhood is a universal concept that is defined the same way in all cultures.
- B. The ability to relate to others as people, rather than preserving cognitive independence, is an important aspect of “personhood.”
- C. The ability to recognize family members by name is an important aspect of “personhood.”
- D. A deterioration in cognitive function demonstrates the decreasing value of older adults in society.
Correct Answer: B
Rationale: Personhood focuses on maintaining human connections, even when cognitive decline occurs.
An older client is diagnosed with osteoarthritis. Which of the following should the nurse encourage the client to do?
- A. Increase joint immobility to prevent pain.
- B. Use heat and cold therapy for pain management.
- C. Take aspirin in large doses for pain relief.
- D. Rest in bed for long periods of time.
Correct Answer: B
Rationale: Heat and cold therapy can help manage pain and stiffness in osteoarthritis, improving comfort and mobility.