Nokea
Patients with rheumatoid arthritis typically have pain
- A. With activity.
- B. Only upon awakening.
- C. Late in the evening.
- D. All day without remission.
Correct Answer: A
Rationale: RA pain worsens with activity due to joint inflammation.
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During an assessment, an older adult client's son reports that the client has been sick with a respiratory illness for the past 6 days. Which of the following assessment findings is a manifestation of pneumonia in the older adult client?
- A. Bradycardia
- B. Night sweats
- C. Confusion
- D. Narrowed pulse pressure
Correct Answer: C
Rationale: Step 1: Pneumonia in older adults often presents with atypical symptoms.
Step 2: Confusion is a common manifestation due to decreased oxygen levels.
Step 3: Respiratory illness can lead to hypoxia, causing confusion.
Step 4: Bradycardia, night sweats, and narrowed pulse pressure are not typical manifestations of pneumonia in older adults.
To determine if chilling is the result of an emerging complication or of infusing cold blood, what action is essential?
- A. Monitoring the client’s temperature before,during and after the transfusion.
- B. Documenting the client’s temperature after the transfusion.
- C. Documenting the temperature of the blood before the transfusion.
- D. Comparing the client’s temperature with the temperature of the blood.
Correct Answer: A
Rationale: The correct answer is A because monitoring the client’s temperature throughout the transfusion helps identify complications.
2. What therapies are included in the mind-body medicine National Center for Complementary and Alternative Medicine (NCCAM) category (select all that apply)?
- A. Use of hands to realign energy flow
- B. Communication with the Creator or the Sacred
- C. Learned control of physiologic responses of the body
- D. Self-directed practice of focusing, centering, and relaxing
Correct Answer: C
Rationale: The correct answers are C. Mind-body medicine focuses on techniques like learned control of physiological responses (e.g., biofeedback) and self-directed practices such as meditation or relaxation, which align with options C and D.
What drugs are used to treat shock in MI, trauma, septicemia, renal failure, and cardiac decompensation?
- A. Dopamine
- B. Digoxin
- C. Epinephrine
- D. Dobutamine
Correct Answer: A
Rationale: Dopamine is a vasopressor that supports blood pressure and improves cardiac output in various types of shock.
Following a bone marrow transplant, the patient has an increased risk for
- A. Bleeding.
- B. Infection.
- C. Clot formation.
- D. Nausea and vomiting.
Correct Answer: B
Rationale: Immunosuppression increases the risk of infection post-transplant.