Nokea
In teaching parents to associate prevention with the lifestyle of their child with sickle cell disease, the nurse should emphasize that a priority for their child is to:
- A. Avoid overheating during physical activities.
- B. Maintain normal activity with some restrictions.
- C. Be cautious of others with viruses or temperatures.
- D. Maintain routine immunizations.
Correct Answer: D
Rationale: Immunizations protect against infections that can trigger crises.
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A healthcare professional is assessing a client who has a fracture of the femur. Vital signs are obtained on admission and again in 2 hours. Which of the following changes in assessment should indicate to the healthcare professional that the client could be developing a serious complication?
- A. Increased respiratory rate from 18 to 44/min
- B. Increased oral temperature from 36.6° C (97.8° F) to 37° C (98.6° F)
- C. Increased blood pressure from 112/68 to 120/72 mm Hg
- D. Increased heart rate from 68 to 72/min
Correct Answer: A
Rationale: Step 1: Increased respiratory rate from 18 to 44/min indicates potential respiratory distress, a serious complication post-fracture.
Step 2: Rapid breathing can signify hypoxemia, pulmonary embolism, or infection, requiring immediate intervention.
Step 3: Increased oral temperature and blood pressure within normal range are not as critical as respiratory distress.
Step 4: A slight increase in heart rate is common after a fracture and not indicative of a serious complication.
Mary is diagnosed with a brain tumor and is unable to speak. Where is the tumor probably located?
- A. Occipital lobe.
- B. Cerebellum.
- C. Frontal lobe.
- D. Parietal lobe.
Correct Answer: C
Rationale: The frontal lobe controls speech and language functions.
A patient who has been taking ibuprofen (Motrin) and imipramine (Tofranil) for control of cancer pain is having increased pain. What would the health care provider recommend as an appropriate change in the medication plan?
- A. Add PO oxycodone (Oxycontin) to the other medications
- B. Substitute PO propoxyphene (Darvon), a mild opioid, for imipramine
- C. Add transdermal fentanyl (Duragesic) to the use of the other medications
- D. Substitute PO hydrocodone with acetaminophen (Lortab, Vicodin) for the other medications
Correct Answer: C
Rationale: The correct answer is C. Adding a stronger opioid like transdermal fentanyl can address increased pain.
Which concept characterizes culture as continuously evolving?
- A. Learned from birth through language and socialization.
- B. Learned by members of the same cultural group.
- C. Influenced by specific conditions related to environment,technology and availability of resources.
- D. Dynamic and ever-changing.
Correct Answer: D
Rationale: Culture evolves dynamically, adapting to environmental, technological, and resource-related changes over time.
What evaluation would help Mr. Jones control his chest pain on inspiration?
- A. Evaluate the intensity and quality of his pain
- B. Explain the cause of his pain
- C. Encourage him to lie on his affected side
- D. Reassure him that the pain will subside
Correct Answer: C
Rationale: Lying on the affected side stabilizes the chest wall, reducing pain during inspiration.