Nokea
Rewrite each of the following questions asked by the nurse so that it is an open-ended question designed to gather information about the patient’s functional health patterns.
- A. Are you having any pain?
- B. Do you have a good relationship with your spouse?
- C. How long have you been ill?
- D. Do you exercise regularly?
Correct Answer: B
Rationale: N/A
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Which eating disorder involves self-starvation?
- A. Binge-eating disorder
- B. Bulimarexia
- C. Bulimia nervosa
- D. Anorexia nervosa
Correct Answer: D
Rationale: Anorexia nervosa is characterized by extreme calorie restriction and self-starvation.
What condition should the nurse anticipate that might occur during epidural and spinal anesthesia?
- A. Spinal headache
- B. Hypotension and bradycardia
- C. Loss of consciousness and seizures
- D. Downward extension of nerve block
Correct Answer: B
Rationale: Epidural and spinal anesthesia commonly cause hypotension and bradycardia due to sympathetic blockade.
A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which of the following actions is the nurse's highest priority?
- A. Initiating oxygen therapy
- B. Providing immediate rest for the client
- C. Positioning the client in high-Fowler's
- D. Administering a nebulized beta-adrenergic
Correct Answer: D
Rationale: The correct answer is D: Administering a nebulized beta-adrenergic. This is the highest priority because it directly addresses the acute asthma exacerbation by helping to open up the airways and improve breathing. Step 1: Assess the client's respiratory status Step 2: Administering the nebulized beta-adrenergic medication to relieve bronchospasm and improve airflow Step 3: Monitor the client's response to the medication and adjust care accordingly. Other choices are incorrect because A: Oxygen therapy may be needed but addressing the bronchospasm is the priority. B: Rest is important but not the priority in managing an acute asthma exacerbation. C: Positioning is helpful but not the priority over administering the medication to improve breathing.
What general appearance and obvious physical characteristic components should the nurse evaluate when completing a biocultural assessment?
- A. Skin color,bone structure and eye shape.
- B. Mobility and gait.
- C. Behavioral patterns.
- D. All of the above.
Correct Answer: D
Rationale: Evaluating multiple aspects of physical appearance provides a comprehensive understanding of the client's biocultural context.
When performing a neurologic assessment on Ken, the physician notices that there is contraction of his facial muscle after tapping the facial nerve anterior to his ear. He recognizes this as Chvostek’s sign. This is seen in:
- A. Hyponatremia.
- B. Hypokalemia.
- C. Hypocalcemia.
- D. Hypomagnesemia.
Correct Answer: C
Rationale: The correct answer is Hypocalcemia (C). Chvostek's sign is a clinical sign of hypocalcemia, where tapping the facial nerve causes twitching of facial muscles due to increased neuromuscular excitability caused by low calcium levels.