Nokea
Nursing diagnoses mostly differ from medical diagnoses, in that they are
- A. dependent upon medical diagnoses for the direction of appropriate interventions.
- B. primarily concerned with caring, while medical diagnoses are primarily concerned with curing.
- C. primarily concerned with human response, while medical diagnoses are primarily concerned with pathology.
- D. primarily concerned with psychosocial parameters, while medical diagnoses are primarily concerned with physiologic parameters.
Correct Answer: C
Rationale: Nursing diagnoses focus on the patient's response to health conditions, whereas medical diagnoses focus on the disease itself.
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The nurse is caring for a post myocardial infarction client in an intensive care unit. It is noted that urinary output has dropped from 60 -70 ml per hour to 30 ml per hour. This change is most likely due to:
- A. Dehydration.
- B. Diminished blood volume.
- C. Decreased cardiac output.
- D. Renal failure.
Correct Answer: C
Rationale: Decreased cardiac output reduces kidney perfusion, affecting urine output.
Mrs. Roberts communicates very well by lipreading. In planning Mrs. Roberts' care, it is important to
- A. face her and slightly raise your voice
- B. write everything important
- C. employ nonverbal cues to help convey your meaning
- D. avoid obscuring her view of your mouth
Correct Answer: D
Rationale: Clear visibility of the speaker's mouth is vital for effective lipreading, ensuring accurate communication.
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.
13. Priority Decision: While the nurse is obtaining a health history for a patient, the patient tells the nurse that he uses a number of herbs to maintain his health. What is the most important thing the nurse can do to address the patient’s use of these products?
- A. Ask the patient what effects the various products have.
- B. Have a working knowledge of commonly used herbs and dietary supplements.
- C. Reassure the patient that the products can continue to be used with conventional therapies.
- D. Warn the patient that there is limited research on the therapeutic and harmful effects of herbal products.
Correct Answer: B
Rationale: Having a working knowledge of commonly used herbs and dietary supplements (option B) allows the nurse to provide informed guidance and identify potential interactions.