Nokea
The most common cause of death in patients age 65 or older is:
- A. Chronic obstructive pulmonary disease
- B. Breast cancer
- C. Coronary artery disease
- D. Alzheimer’s disease
Correct Answer: C
Rationale: Coronary artery disease remains the leading cause of death in older adults due to its prevalence and associated complications such as heart attacks and heart failure.
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In a client receiving opiate therapy, which of the following should the nurse closely monitor for in order to minimize the risk for imbalanced nutrition?
- A. Diarrhea
- B. Anorexia and nausea
- C. GI tract infection
- D. Gastric ulcer
Correct Answer: B
Rationale: The correct answer is B because opiates commonly cause gastrointestinal side effects such as nausea and anorexia, which can lead to nutritional imbalances.
Describe assessment data for the suicidal client.
- A. Increased alertness
- B. Lower immune response
- C. Faster metabolism
- D. Enhanced digestion
Correct Answer: D
Rationale: The correct answer is D because it is the most appropriate response based on physiological and medical principles.
The patient asks you what the clip on his finger is for. The best response is
- A. This is a cardiac monitor that alerts us to any arrhythmia that you might experience during the night.
- B. This measures your temperature.
- C. This is pulse oximetry and is used to give us an idea of how much oxygen is in your blood.
- D. This tells us the number of red blood cells you have. These cells provide oxygen throughout your body.
Correct Answer: C
Rationale: Pulse oximetry measures oxygen saturation in the blood.
What term is used to describe a decreased effect of a substance following repeated exposure?
- A. Relapse
- B. Tolerance
- C. Abstinence
- D. Withdrawal.
Correct Answer: B
Rationale: Tolerance develops when repeated exposure to a substance diminishes its effects, requiring higher doses to achieve the same impact.
A 27-year-old client who is three hours postoperative complains of right leg pain after knee reduction surgery. The first action by the nurse should be to:
- A. assess vital signs.
- B. elevate the extremity.
- C. perform a lower extremity neurovascular check.
- D. remind the client of the PCA pump and re-instruct the client on its use.
Correct Answer: C
Rationale: Vital signs may be altered if there is acute pain or complications related to bleeding or swelling, but it should not be assessed before checking the affected extremity. The extremity can be elevated if ordered by the physician. Assessment of the postoperative area is important to determine the presence of bleeding, swelling, or decreased circulation. Reinforcement of teaching on the use of the patient-controlled anesthesia (PCA) pump is important, but it is not the first action.