Nokea
The nurse is assessing an older client who is at risk for falls. Which of the following should be prioritized in the care plan?
- A. Frequent repositioning of the client
- B. Improving the client's strength and balance
- C. Encouraging the client to use a walker at all times
- D. Promoting regular sleep patterns
Correct Answer: B
Rationale: Strengthening balance and improving mobility are essential in reducing the risk of falls in older adults.
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A 32-year-old woman presents with dull puffiness of the eyes, pronounced non-pitting periorbital edema. This finding is suggestive of:
- A. Nephrotic syndrome
- B. Myxedema
- C. Cushing syndrome
- D. Sinusitis
Correct Answer: B
Rationale: Myxedema, associated with hypothyroidism, causes puffiness and edema around the eyes.
Recommended combination therapy for uncomplicated anorectal and pharyngeal gonorrhea is?
- A. Ceftriaxone and benzathine penicillin
- B. Benzathine penicillin and doxycycline
- C. Doxycycline and ciprofloxacin
- D. Ceftriaxone and azithromycin
Correct Answer: D
Rationale: The recommended treatment for gonorrhea is ceftriaxone and azithromycin for uncomplicated infections.
A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery, a set of premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL system to document her maternal status:
- A. Gravida 4 para 1114
- B. Gravida 4, para 1314
- C. Gravida 3, para 1114
- D. Gravida 3, para 1112
Correct Answer: A
Rationale: TPAL system: Gravida (pregnancies), Para (full-term, preterm, abortions, living children).
Prostate pain is usually located in the:
- A. Supra pubic area
- B. Back
- C. Perineum
- D. In the glans penis
Correct Answer: C
Rationale: Prostate pain is typically felt in the perineum, lower abdomen, or groin.
Which of the following is NOT a safety issue commonly faced by older adults?
- A. Falls
- B. Medication safety
- C. Cognitive impairment
- D. Increased physical activity
Correct Answer: D
Rationale: Older adults face safety issues related to falls, medication safety, and cognitive impairment, but increased physical activity is generally a benefit.