Nokea
List in order the nociceptive processes that occur to communicate tissue damage to the CNS. No. 1 is the first process and No. 4 is the last process.
- A. Perception
- B. Modulation
- C. Transmission
- D. Transduction
Correct Answer: D
Rationale: The correct order is D (transduction), C (transmission), B (modulation), A (perception).
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Which value shows the normal range of plasma pH?
- A. 7.35 to 7.45
- B. 6.35 to 6.45
- C. 7 to 8
- D. 8.35 to 8.45
Correct Answer: A
Rationale: The normal range of plasma pH is 7.35 to 7.45, which indicates a slightly alkaline environment essential for proper cellular function.
Denise is recovering from an open cholecystectomy. You know that because of the location of the surgery, she has an increased risk of postoperative:
- A. Myocardial infarction.
- B. Respiratory complications.
- C. Deep vein thrombosis.
- D. Wound infection.
Correct Answer: B
Rationale: Open cholecystectomy involves abdominal surgery, which can impair respiratory function due to pain and reduced mobility. This increases the risk of respiratory complications such as atelectasis or pneumonia.
What condition should the nurse anticipate that might occur during epidural and spinal anesthesia?
- A. Spinal headache
- B. Hypotension and bradycardia
- C. Loss of consciousness and seizures
- D. Downward extension of nerve block
Correct Answer: B
Rationale: Epidural and spinal anesthesia commonly cause hypotension and bradycardia due to sympathetic blockade.
Where was the mistake made in the nursing process with this patient?
- A. Planning
- B. Diagnosis
- C. Evaluation
- D. Assessment
Correct Answer: B
Rationale: The initial diagnosis of ineffective self-health management overlooked the financial barrier, which is a root cause rather than lack of knowledge.
Place these steps for eye drop administration in the correct order.
- A. Gently press on the lacrimal duct for 1 minute.
- B. Gently pull downward to expose the lower conjunctival sac.
- C. Have the client gently close the eye and move it around.
- D. Have the client look up while you instill the number of prescribed drops.
Correct Answer: D
Rationale: The correct sequence ensures proper administration of eye drops, starting with positioning the client and ending with pressing the lacrimal duct to prevent systemic absorption.