Nokea
The main goal of treatment for acute glomerulonephritis is to
- A. encourage activity.
- B. encourage high protein intake.
- C. maintain fluid balance.
- D. teach intermittent urinary catheterization.
Correct Answer: C
Rationale: Maintaining fluid balance is critical in managing acute glomerulonephritis due to potential fluid overload.
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Tom reports a history of carpal tunnel syndrome. What else would you expect to find in his history?
- A. Crepitus (grating feeling on palpation over joint during range of motion) due to loss of articular cartilage and bony overgrowth in joint.
- B. Excessive forward curvature of the thoracic spine (kyphosis) due to pathologic vertebral fractures and collapsing of the anterior portion of the vertebral bodies in the thoracic area.
- C. Pain and numbness or tingling sensation in the hand over the palmar surface of the thumb, index, and middle fingers, and lateral aspect of the ring finger, that is worse at night.
- D. Acute onset of excruciating pain in joint due to accumulation of uric acid within the joint.
Correct Answer: C
Rationale: Carpal tunnel syndrome affects the median nerve, causing pain and numbness in specific areas.
What should a client with seasonal affective disorder be taught upon discharge?
- A. Use heavy drapes rather than translucent curtains or shades
- B. Jog after sundown and before sunup
- C. Avoid the use of eyeglasses or contact lenses that are coated to shield ultraviolet radiation
- D. Take brief walks outside around midnight without sunglasses
Correct Answer: C
Rationale: Maximizing exposure to natural light helps alleviate symptoms of seasonal affective disorder.
Which of the following nursing actions is helpful for older clients who are experiencing lens changes associated with aging?
- A. Offering teaching aids with large-sized letters
- B. Suggesting reduced visual activity such as reading or watching television
- C. Suggesting the use of eye drops for comfort
- D. Suggesting the use of glasses or contact lenses
Correct Answer: A
Rationale: Large-sized letters help compensate for decreased visual acuity due to aging-related lens changes.
For a client who has sustained recent blindness, which task(s) would be appropriate to delegate to the nursing assistant? (Choose all that apply.)
- A. Listen to the client express grief or loss.
- B. Assist client to ambulate in hall.
- C. Orient client to surroundings.
- D. Encourage independence.
Correct Answer: B
Rationale: Assisting with mobility is within the scope of practice for nursing assistants and ensures safety for the client.
What is contraindicated for a client being treated for Ménière’s disease?
- A. Alcohol
- B. Smoking
- C. A high-protein diet
- D. Cough syrups and other CNS depressants
Correct Answer: D
Rationale: CNS depressants can worsen dizziness and imbalance associated with Ménière’s disease.