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Scheduling the administration of analgesics every __ hours often affords a uniform level of pain relief.
- A. Every 2 hours
- B. Every 3-4 hours
- C. Every 6 hours
- D. Every 7 hours
Correct Answer: B
Rationale: The rationale for this is that administering analgesics on a regular schedule (e.g., every 3-4 hours) helps maintain a steady level of medication in the bloodstream, providing consistent pain relief.
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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 making a home visit to a client with chronic pyelonephritis, which nursing action has the highest priority?
- A. Follow-up on lab values before the visit.
- B. Observe client findings for the effectiveness of antibiotics.
- C. Ask for a log of urinary output.
- D. As for the log of the oral intake.
Correct Answer: B
Rationale: Monitoring antibiotic effectiveness is crucial in managing pyelonephritis.
What do you tell patients is the most important risk factor for lung cancer when you are teaching about lung cancer prevention?
- A. Cigarette smoking.
- B. Exposure to environmental/occupational carcinogens.
- C. Exposure to environmental tobacco smoke (ETS).
- D. Pipe or cigar smoking.
Correct Answer: A
Rationale: Cigarette smoking is the leading cause of lung cancer, accounting for the majority of cases worldwide.
Identify the areas of symptom investigation using PQRST that still need to be addressed to provide additional important information (select all that apply).
- A. Timing
- B. Quality
- C. Severity
- D. Palliative
Correct Answer: B
Rationale: The correct answers are 'Timing,' 'Quality,' 'Severity,' and 'Precipitating.' Using the PQRST framework ensures comprehensive evaluation of symptoms. Timing refers to onset and duration; Quality describes the nature of the symptom; Severity quantifies intensity; and Precipitating factors explore triggers.
For Mrs. Allen's weight reduction program to be successful, what should the nurse explain?
- A. An anorexiant should be used 4-6 weeks at the beginning
- B. An intestinal bypass is recommended if rapid weight loss is not achieved
- C. Personal eating habits must be assessed objectively
- D. Complete fasting for a week is necessary
Correct Answer: C
Rationale: Assessing personal eating habits objectively helps identify areas for improvement and fosters sustainable lifestyle changes.