Nokea
Miss Clement plans to increase her running program to 30 miles a week. Which fluid would be most desirable to avoid dehydration?
- A. Tomato juice
- B. Ice-cold mineral water
- C. Beer
- D. Lemonade
Correct Answer: B
Rationale: Ice-cold mineral water is the best choice for hydration as it replenishes fluids without added sugars or alcohol, which can dehydrate.
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In a client diagnosed with superficial mycotic infections, which of the following should the nurse closely monitor for infection?
- A. Eyes and ears
- B. Skin,hair and nails
- C. Subcutaneous tissues
- D. Mouth and teeth
Correct Answer: B
Rationale: The correct answer is B because superficial mycotic infections primarily affect the skin, hair, and nails, making these areas critical to monitor.
Tom is diagnosed with an aortic aneurysm. He asks why this did not show up on his annual physical examination. You respond by saying
- A. It did show and your physician did not want to alarm you.
- B. You probably do not remember that your physician told you about your condition.
- C. Aortic aneurysms are asymptomatic.
- D. Aortic aneurysms are always symptomatic.
Correct Answer: C
Rationale: Aortic aneurysms often do not present symptoms until they become large or rupture.
Which medication is a nonamphetamine wake-promotion drug?
- A. Modafinil (Provigil)
- B. Protriptyline (Vavactil)
- C. Desipramine (Norpramin)
- D. Methylphenidate (Concerta)
Correct Answer: A
Rationale: The correct answer is A. Modafinil is a wake-promoting agent used for conditions like narcolepsy. Protriptyline (B) and Desipramine (C) are tricyclic antidepressants, while Methylphenidate (D) is a stimulant.
Priority treatment of a fracture is
- A. Surgical reduction of the fracture.
- B. Immobilization of the area.
- C. Insertion of an internal fixation device.
- D. Reduction of the fracture.
Correct Answer: B
Rationale: Immobilization prevents further injury and promotes healing.
The nurse is caring for a client with end stage renal disease. What action should the nurse take to assess for patency in a fistula used for hemodialysis?
- A. Observe for edema proximal to the site.
- B. Irrigate with 5 mls of 0.9% Normal Saline.
- C. Palpate for a thrill over the fistula.
- D. Check color and warmth in the extremity.
Correct Answer: C
Rationale: A thrill confirms blood flow through the fistula.