Nokea
Mrs. Smith asks about treatment options for sensorineural deafness. To counsel Mrs. Smith appropriately, the nurse knows that the only type of organically caused deafness that can be effectively treated at this time is
- A. conductive deafness
- B. sensorineural deafness
- C. central deafness
- D. mixed-type deafness
Correct Answer: A
Rationale: Conductive deafness often responds well to surgical or medical interventions, unlike other types of hearing loss where treatment options are limited.
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What activity would be most difficult for Mr. Singer to modify?
- A. Cover mouth when coughing and sneezing
- B. Take the prescribed medication with meals
- C. Wear the Medic Alert bracelet
- D. Keep the stoma covered
Correct Answer: D
Rationale: Stoma care is essential to prevent infection and ensure proper breathing.
While assessing a client with pulmonary tuberculosis, which of the following findings should the nurse expect?
- A. Lethargy
- B. High-grade fever
- C. Weight gain
- D. Dry cough
Correct Answer: A
Rationale: The correct answer is A: Lethargy. In pulmonary tuberculosis, lethargy is common due to systemic symptoms like fatigue and weakness. High-grade fever is also common but not specific to pulmonary tuberculosis. Weight loss, not weight gain, is a classic symptom due to decreased appetite. Dry cough is a common symptom, but not as specific as lethargy in pulmonary tuberculosis.
Scheduling the administration of analgesics every __ hours often affords a uniform level of pain relief.
- A. Every 2 hours
- B. Every 3-4 hours
- C. Every 6 hours
- D. Every 7 hours
Correct Answer: B
Rationale: The rationale for this is that administering analgesics on a regular schedule (e.g., every 3-4 hours) helps maintain a steady level of medication in the bloodstream, providing consistent pain relief.
In what patient situations would a comprehensive assessment be performed (select all that apply)?
- A. Complaints of chest pain
- B. On initial admission to the telemetry unit
- C. On initial evaluation by the home health nurse
- D. The patient is found lying on the floor and is unresponsive
Correct Answer: B
Rationale: The correct answers are 'On initial admission to the telemetry unit,' 'On initial evaluation by the home health nurse,' and 'On arrival in the surgery holding area of the operating room.' Comprehensive assessments are necessary for baseline data collection in new or complex cases.
The following are the monometer measurements of four clients. Which of them has normal intraocular pressure (IOP)?
- A. 8 mm Hg
- B. 11 mm Hg
- C. 25 mm Hg
- D. 28 mm Hg
Correct Answer: B
Rationale: Normal intraocular pressure ranges from 10 to 21 mm Hg. Therefore, 11 mm Hg is within the normal range.