Nokea
Erysipelas
- A. responds to erythromycin
- B. is caused strep pneumoniae
- C. results from microorganism exotoxin production
- D. typically occurs on the neck
Correct Answer: A
Rationale: Erysipelas erythro clears strep pyogenes, not pneumo, toxins, neck-only, or TEN's peel. Nurses dose this chronic red edge.
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A 50-year-old male patient has been hospitalized for a wedge resection of the left lower lung lobe after a routine chest x-ray shows carcinoma. The patient is anxious and asks if he can smoke. Which statement by the nurse would be most therapeutic?
- A. Smoking is the reason you are here
- B. The doctor left orders for you not to smoke
- C. You are anxious about the surgery. Do you see smoking as helping?
- D. Smoking is OK right now, but after your surgery it is contraindicated
Correct Answer: C
Rationale: Anxiety's screaming here naming it and asking if smoking helps opens a door to his feelings, not a lecture. Blaming smoking shames him, spiking stress. Citing orders shuts down dialogue. Greenlighting it's reckless nicotine constricts vessels, risking surgical healing, especially post-lung resection. Therapeutic nursing in oncology digs into emotions, guiding patients through fear without judgment, key for pre-op calm.
According to Johnson and Chang (2014), people living with chronic illness are more likely than the general population to:
- A. Have significantly reduced activity and subsequent loss of independence
- B. Be required to see their doctor more regularly
- C. Experience periods of hospitalisation as a consequence of acute flare-ups of their underlying chronic disease
- D. Stay home and reduce their activity and social interactions
Correct Answer: A
Rationale: Chronic illness curbs activity arthritis, COPD slash mobility, stealing independence, a standout hit over frequent doctor visits, hospital stays from flares, or self-imposed isolation. Those ripple too, but reduced function's the core burden, reshaping daily life. Nurses prioritize this, boosting support, a chronic truth where physical loss leads.
Which nursing action should be included in the plan of care for a client returning to the surgical unit following a left modified radical mastectomy with dissection of axillary lymph nodes?
- A. Obtain permanent breast prosthesis before the patient is discharged from the hospital
- B. Teach the patient to use the ordered patient-controlled analgesia (PCA) every 10 minutes
- C. Place a pink bracelet on the client warning against venipunctures or blood pressures in the left arm
- D. Insist that the patient examine the surgical incision when the initial dressings are removed
Correct Answer: C
Rationale: Mastectomy with axillary dissection risks lymphedema a pink bracelet flags the left arm, barring venipuncture or BP cuffs to prevent swelling, a priority in post-op care. Prosthesis comes later, post-healing. PCA teaching avoids rigid timing PRN's key. Forcing incision checks risks distress, not healing. Nurses lock in this bracelet, safeguarding lymph flow, a must-do in this surgical aftermath to dodge chronic arm woes.
Which organism is most commonly responsible for travelers diarrhea?
- A. toxigenic strain of e coli
- B. clostridium difficile
- C. salmonella
- D. rotavirus
Correct Answer: A
Rationale: Travelers' trots E. coli's toxigenic strain leads, not C. diff, salmonella, rotavirus, or cholera's flood. Nurses peg this chronic globe-trotter.
Which is not a common cause of respiratory symptoms in HIV/AIDS patients?
- A. community acquired bacterial pneumonia
- B. non hodgkins lymphoma
- C. Pulmonary Embolus
- D. CMV
Correct Answer: C
Rationale: Pulmonary embolus isn't HIV's lung usual clots tie to beds, not AIDS' immune dive. Pneumonia, lymphoma, CMV, PCP thrive in CD4's fall; emboli don't care. Nurses chase opportunists first, a chronic breath thief lineup skipping this oddball.