Nokea
Pick one:
- A. Diabetes mellitus is three times more common in Hispanics than in Blacks or Whites.
- B. Type 2 diabetes mellitus is less common than type 1 diabetes mellitus.
- C. Approximately one-half of the clients diagnosed with type 2 are obese.
Correct Answer: A
Rationale: The statement "Diabetes mellitus is three times more common in Hispanics than in Blacks or Whites" is accurate and supported by data. Studies have shown that diabetes mellitus, particularly type 2 diabetes, is more prevalent among Hispanic populations compared to Black or White populations. Factors such as genetic predisposition, lifestyle choices, and socioeconomic status can contribute to this disparity. It is important for healthcare providers to be aware of these trends to provide appropriate and culturally sensitive care to individuals at higher risk for diabetes.
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Charles is started on chemotherapy, which is aimed at restoring dopaminergic activities. An example of such a drug is:
- A. Artane
- B. Elavil
- C. Benadryl
- D. Dopar
Correct Answer: D
Rationale: Dopar is a drug that contains L-DOPA (levodopa), which is a precursor to dopamine. L-DOPA is used in the treatment of Parkinson's disease to restore dopaminergic activity in the brain. By converting into dopamine in the brain, L-DOPA helps to alleviate the symptoms of Parkinson's disease, such as muscle rigidity, tremors, and slowed movement. Therefore, Dopar is an example of a drug aimed at restoring dopaminergic activities, making it the correct choice in this scenario.
What orders would likely be included fro a client diagnosed with multiple myeloma?
- A. Bed rest
- B. Fluid restriction
- C. Corticosteroid therapy
- D. Calcium replacement therapy
Correct Answer: C
Rationale: Corticosteroid therapy is commonly used in the treatment of multiple myeloma. It is often part of the initial treatment plan for this disease and is used to help control the cancer cells by reducing inflammation and immune responses. Corticosteroids can help manage symptoms such as pain and complications related to the disease. Bed rest, fluid restriction, and calcium replacement therapy may not be directly indicated for multiple myeloma treatment.
Aling Iska, a 78-year old client consults with a hemoglobin and hematocrit levels of 11mg/dl and 32 % respectively. These finding indicates:
- A. nothing because these are normal findings
- B. the nurse should conduct a thorough nutritional assessment
- C. understanding that the client should be advised to have the test repeated in three months
- D. understanding that anemia is a part of the degeneration of the bone marrow
Correct Answer: B
Rationale: Aling Iska's hemoglobin level of 11mg/dl and hematocrit level of 32% are both below the normal range for her age group. These low levels indicate anemia, which is a condition characterized by a decrease in the number of red blood cells or hemoglobin in the blood. Anemia can be caused by various factors, such as nutritional deficiencies (iron, vitamin B12, folate), chronic diseases, or bone marrow problems. In this case, given Aling Iska's advanced age of 78 years, it is essential for the nurse to conduct a thorough nutritional assessment to determine if her anemia is related to any deficiencies that can be addressed through dietary changes or supplementation. It is important to identify the underlying cause of anemia to provide appropriate interventions and prevent further complications.
The nurse is assessing a child with croup and a sore throat in the ED. The child is drooling and agitated. The nurse should know that examining the child's throat using a tongue depressor might precipitate which of the following?
- A. Profuse coughing
- B. Inspiratory stridor
- C. Complete obstruction
- D. Increased agitation
Correct Answer: C
Rationale: When assessing a child with croup who is drooling and agitated, the nurse should be aware that examining the throat using a tongue depressor can potentially precipitate a complete airway obstruction. Croup is characterized by upper airway inflammation, particularly around the larynx and trachea, leading to a barking cough, hoarseness, and respiratory distress. In a child with croup who is already showing signs of airway compromise such as drooling and agitation, any manipulation in the throat area can cause further swelling and lead to a complete obstruction of the airway. This can be a life-threatening emergency requiring immediate intervention to secure the airway and ensure adequate oxygenation. Therefore, utmost caution should be taken when performing any procedures that may exacerbate the child's respiratory distress in this situation.
The nurse is assessing a newborn who had undergone vaginal delivery. Which of the following findings is least likely to be observed in a normal newborn?
- A. uneven head shape
- B. respirations are irregular, abdominal, 30-60 bpm
- C. (+) Moro reflex
- D. heart rate is 80 bpm
Correct Answer: D
Rationale: The heart rate of a normal newborn is typically 120 to 160 bpm. Therefore, a heart rate of 80 bpm would be least likely to be observed in a normal newborn. This finding may indicate bradycardia, which should be further evaluated and managed by the healthcare provider. Other options such as an uneven head shape, irregular respirations, (+) Moro reflex are common and expected in newborns.