Nokea
Patients with pernicious anemia are treated with
- A. Oral iron.
- B. Oral folic acid.
- C. Parenteral vitamin B12.
- D. Oral prednisone.
Correct Answer: C
Rationale: Vitamin B12 deficiency in pernicious anemia requires parenteral administration.
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On assessment of the abdomen in a patient with peritonitis, you would expect to find
- A. A soft abdomen with bowel sounds every 2 to 3 seconds.
- B. Rebound tenderness and guarding (protecting).
- C. Hyperactive, high-pitched bowel sounds and a firm abdomen.
- D. Ascites and increased vascular pattern on the skin.
Correct Answer: B
Rationale: Peritonitis causes rebound tenderness and guarding due to inflammation of the peritoneum.
When selecting audiovisual and written materials as teaching strategies, what is important for the nurse to do?
- A. Provide the patient with these materials before the planned learning experience.
- B. Ensure that the materials include all the information the patient will need to learn.
- C. Review the materials before use for accuracy and appropriateness to learning needs and goals.
- D. Assess the patient’s auditory and visual ability because these functions are necessary for these strategies to be effective.
Correct Answer: C
Rationale: The correct answer is 'Review the materials before use for accuracy and appropriateness to learning needs and goals.' Ensuring the materials are accurate and appropriate is critical to effective teaching. Providing materials beforehand or ensuring they cover all needed information may not always be feasible or necessary.
Joan is apprehensive about undergoing bronchoscopy. You respond by saying
- A. The thought of this procedure seems to be disturbing you. You will be sleeping during this procedure. I will ask your physician to visit you again and answer any questions that you might have regarding the procedure.
- B. Your physician has performed this procedure frequently.
- C. I had it performed 3 years ago and I was fine.
- D. You would not feel a thing. You will be fine.
Correct Answer: A
Rationale: Option A provides emotional support, reassurance, and an opportunity for further clarification, which is essential in reducing patient anxiety.
When assessing a patient for anaphylaxis, you would be alert for
- A. Chest pain and indigestion.
- B. Hives and dyspnea.
- C. Hypertension and blurred vision.
- D. Headache and photophobia.
Correct Answer: B
Rationale: Anaphylaxis often presents with hives and difficulty breathing.
A client with tuberculosis is starting combination drug therapy. Which of the following medications should the nurse NOT plan to administer?
- A. Rifampin
- B. Isoniazid
- C. Acyclovir
- D. Pyrazinamide
Correct Answer: C
Rationale: The correct answer is C: Acyclovir. Acyclovir is an antiviral medication used to treat herpes infections, not tuberculosis. Rifampin, Isoniazid, and Pyrazinamide are all first-line drugs for tuberculosis treatment. Rifampin is a bactericidal agent, Isoniazid disrupts mycobacterial cell wall synthesis, and Pyrazinamide targets actively replicating bacteria. Therefore, the nurse should not plan to administer Acyclovir as it is not indicated for tuberculosis treatment.