The best treatment for mononucleosis is
- A. Antibiotics.
- B. Physical therapy.
- C. Nonsteroidal anti-inflammatory drugs (NSAIDs).
- D. Rest and fluids.
Correct Answer: D
Rationale: Rest and hydration are the mainstays of treatment for mononucleosis.
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Place the steps for removal of a foreign body from the ear canal in the correct order.
- A. Refer for treatment of external otitis.
- B. Inspect the tympanic membrane for trauma.
- C. Obtain history for type of object.
- D. Choose appropriate fluid for irrigation or instillation.
Correct Answer: C
Rationale: Obtaining a history helps determine the safest method for removing the foreign body and prevents further injury.
A client with end-stage renal disease (ESRD) is receiving hemodialysis. Which assessment finding indicates a need for immediate action?
- A. Weight gain of 1 kg since the last dialysis session
- B. Blood pressure of 150/90 mm Hg
- C. Potassium level of 6.5 mEq/L
- D. Hemoglobin level of 10 g/dL
Correct Answer: C
Rationale: The correct answer is C: Potassium level of 6.5 mEq/L. High potassium levels in ESRD patients can lead to life-threatening cardiac arrhythmias. Immediate action is needed to prevent complications. A: Weight gain may indicate fluid retention, but it's not an immediate concern. B: Blood pressure is elevated but not an urgent issue. D: Hemoglobin level of 10 g/dL is within the acceptable range for ESRD patients and does not require immediate action.
When caring for a client with Alzheimer's disease, what is the most appropriate communication technique for a nurse to use?
- A. Providing detailed explanations
- B. Speaking in a loud and clear voice
- C. Using simple and direct statements
- D. Offering multiple choices to the client
Correct Answer: C
Rationale: The most appropriate communication technique for a client with Alzheimer's disease is using simple and direct statements (Choice C). This approach is effective because it helps reduce confusion and enhances understanding for individuals with cognitive impairment. Complex explanations (Choice A) may overwhelm the client. Speaking loudly (Choice B) can be perceived as aggressive or intimidating. Offering multiple choices (Choice D) may lead to decision-making difficulties. Therefore, Choice C is the best option for clear and effective communication with Alzheimer's clients.
Persons at risk are the target population for cancer screening programs. Which asymptomatic patient(s) needs extra encouragement to participate in cancer screening? (Choose all that apply.)
- A. A 19-year-old white-American female who is sexually inactive for a Pap smear.
- B. A 35-year-old white-American female for an annual mammogram.
- C. A 45-year-old African-American male for an annual prostate-specific antigen.
- D. A 49-year-old African-American male for an annual fecal occult blood test.
Correct Answer: D
Rationale: African-American males are at higher risk for prostate and colorectal cancers, making regular screening crucial for early detection.
You are working in a community health clinic and a client needs instructions for care of a hordeolum (sty) to the right upper eyelid. What is the first treatment that the client should try?
- A. Apply warm compresses 4 times/day.
- B. Gently perform hygienic eyelid scrubs.
- C. Obtain prescription for antibiotic drops.
- D. Contact the ophthalmologist.
Correct Answer: A
Rationale: Warm compresses are the first-line treatment for a hordeolum, as they promote drainage and reduce inflammation.