Nokea
Mrs. Dailey tells the nurse that she uses eyedrops which make her pupils get small. Which of the following drugs would produce this effect?
- A. Epinephrine (Adrenalin)
- B. Acetazolamide (Diamox)
- C. Atropine
- D. Pilocarpine
Correct Answer: D
Rationale: Pilocarpine is a miotic agent that constricts the pupil, commonly used in treating glaucoma by improving aqueous humor outflow.
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Tom reports a history of carpal tunnel syndrome. What else would you expect to find in his history?
- A. Crepitus (grating feeling on palpation over joint during range of motion) due to loss of articular cartilage and bony overgrowth in joint.
- B. Excessive forward curvature of the thoracic spine (kyphosis) due to pathologic vertebral fractures and collapsing of the anterior portion of the vertebral bodies in the thoracic area.
- C. Pain and numbness or tingling sensation in the hand over the palmar surface of the thumb, index, and middle fingers, and lateral aspect of the ring finger, that is worse at night.
- D. Acute onset of excruciating pain in joint due to accumulation of uric acid within the joint.
Correct Answer: C
Rationale: Carpal tunnel syndrome affects the median nerve, causing pain and numbness in specific areas.
The nurse is reviewing the laboratory results for a preoperative patient. Which test result should be brought to the attention of the surgeon immediately?
- A. Serum K+ of 3.8 mEq/L
- B. Hemoglobin of 15 g/dL
- C. Blood glucose of 100 mg/dL
- D. White blood cell (WBC) count of 18,500/µL
Correct Answer: D
Rationale: An elevated WBC count indicates potential infection, requiring immediate attention.
A male nurse would be providing culturally competent care by requesting that a female nurse provide the care for which patient?
- A. Arab male
- B. Latino male
- C. Arab female
- D. African American female
Correct Answer: C
Rationale: In Arab culture, modesty and gender roles dictate that female caregivers attend to women, especially regarding intimate care.
Which tubes drain gastric contents (select all that apply)?
- A. T-tube
- B. Hemovac
- C. Nasogastric tube
- D. Indwelling catheter
Correct Answer: D
Rationale: Nasogastric and gastrointestinal tubes drain gastric contents effectively.
A client with emphysema is being cared for by a nurse. Which of the following findings should the nurse not expect to assess in this client?
- A. Dyspnea
- B. Bradycardia
- C. Barrel chest
- D. Clubbing of the fingers
Correct Answer: B
Rationale: Step 1: Emphysema causes impaired gas exchange, leading to dyspnea (A) due to difficulty breathing.
Step 2: Emphysema results in hyperinflation of the lungs, causing a barrel chest (C) due to increased chest diameter.
Step 3: Clubbing of the fingers (D) is a sign of chronic hypoxia, commonly seen in emphysema.
Step 4: Bradycardia (B) is not typically associated with emphysema; tachycardia is more common due to the body compensating for hypoxia.