Nokea
Symptoms of an ectopic pregnancy include:
- A. Hematuria, pelvic pain, and dizziness
- B. Amenorrhea, pelvic pain, and vaginal spotting
- C. Constipation, nausea, and fainting
- D. Fallopian pain, nausea, and breast enlargement
Correct Answer: B
Rationale: Ectopic pregnancies often present with amenorrhea, pelvic pain, and vaginal spotting due to the abnormal implantation site.
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While teaching a client about their medications, the client asks how long it will take before the effects of lithium take place. What is the best response of the nurse?
- A. Immediately.
- B. Several days.
- C. 2 weeks.
- D. 1 month.
Correct Answer: C
Rationale: Lithium typically takes 2 weeks to show therapeutic effects.
Priority Decision: A patient in the PACU has emergence delirium manifested by agitation and thrashing. What should the nurse assess for first in the patient?
- A. Hypoxemia
- B. Neurologic injury
- C. Distended bladder
- D. Cardiac dysrhythmias
Correct Answer: A
Rationale: Hypoxemia is a common cause of agitation and delirium during emergence from anesthesia.
What is the role of antiviral medications in treating herpes zoster ophthalmicus?
- A. Reduce viral replication
- B. Prevent bacterial infection
- C. Correct vision
- D. None of the above
Correct Answer: A
Rationale: Antivirals target the varicella-zoster virus, reducing its replication and severity.
65-year-old Dominic is being transferred into the PACU from the OR. Once there, initial assessment will focus on:
- A. Airway, breathing, circulation, and wound site.
- B. Intake, output, and intravenous access.
- C. Abdominal sounds, oxygen setting, and level of consciousness.
- D. Pulse oximeter, pupil responses, and deep tendon reflexes.
Correct Answer: A
Rationale: The ABCs (airway, breathing, circulation) are the priority in postoperative assessments to ensure the patient's immediate physiological stability. The wound site is also assessed for signs of bleeding or infection.
A client is 12 hours postoperative and has a chest tube to a disposable water-seal drainage system with suction. The healthcare provider should intervene for which of the following observations?
- A. Constant bubbling in the suction-control chamber
- B. Continuous bubbling in the water-seal chamber
- C. Bloody drainage in the collection chamber
- D. Fluid-level fluctuations in the water-seal chamber
Correct Answer: B
Rationale: The correct answer is B: Continuous bubbling in the water-seal chamber. Continuous bubbling in the water-seal chamber indicates an air leak in the system, which can lead to lung collapse. The water-seal chamber should have intermittent bubbling during exhalation but should not bubble continuously. Constant bubbling in the suction-control chamber (A) is expected and indicates proper suction is being applied. Bloody drainage in the collection chamber (C) is common in the immediate postoperative period. Fluid-level fluctuations in the water-seal chamber (D) can be normal due to changes in intrathoracic pressure.