Nokea
Karen is suspected of having a hormone imbalance. What would you expect to monitor
- A. Electrolyte levels.
- B. Thyroid studies, follicle-stimulating hormone (FSH), and luteinizing hormone (LH).
- C. Caloric intake.
- D. All of the above.
Correct Answer: D
Rationale: Hormonal imbalances affect multiple systems and require comprehensive monitoring.
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Mary has been dieting and exercising daily. Her weight is well below the recommended minimum for her height. Assessment for Mary would include looking for
- A. Ecchymosis and extraocular movements.
- B. Temporal wasting and irregular heart rhythm.
- C. Peripheral edema and rales.
- D. Periorbital edema and chorea.
Correct Answer: B
Rationale: Extreme weight loss can lead to temporal wasting and cardiac irregularities.
A client with respiratory failure is receiving mechanical ventilation and continues to produce ABG results indicating respiratory acidosis. Which action should you expect to correct this problem?
- A. Increase the ventilator rate from 6 to 10 per minute
- B. Decrease the ventilator rate from 10 to 6 per minute
- C. Increase the oxygen concentration from 30% to 40%
- D. Decrease the oxygen concentration from 40% to 30%
Correct Answer: A
Rationale: Increasing the ventilator rate enhances CO2 removal, correcting respiratory acidosis by improving ventilation.
What is the most appropriate response to Harold Smith asking what he can do to prevent black lung disease?
- A. Suggest he seek symptomatic medical treatment
- B. Reassure him that black lung is a disease of the past
- C. Encourage him to change jobs
- D. Recommend psychologic counseling
Correct Answer: C
Rationale: Changing jobs eliminates exposure to coal dust, preventing black lung.
What is the role of the vestibular system?
- A. Balance and spatial orientation
- B. Vision correction
- C. Hearing amplification
- D. None of the above
Correct Answer: A
Rationale: The vestibular system is responsible for maintaining balance and spatial orientation.
You are taking histories from several clients who report vertigo. Which client report concerns you the most?
- A. Vertigo with hearing loss
- B. Episodic vertigo
- C. Vertigo without hearing loss
- D. Merry-go-round' vertigo
Correct Answer: A
Rationale: Vertigo accompanied by hearing loss may indicate Meniere's disease or other serious inner ear disorders requiring prompt evaluation.