Nokea
The nurse is caring for a client with acute pancreatitis. After pain management, which intervention should be included in the plan of care?
- A. Cough and deep breathe every 2 hours.
- B. Place the client in contact isolation.
- C. Provide a diet high in protein.
- D. Institute seizure precautions.
Correct Answer: A
Rationale: Encouraging coughing and deep breathing helps prevent pulmonary complications.
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3. What describes the whole medical system of Ayurveda?
- A. Manipulation of energy channels with fine needles
- B. Uses the principle of 'like cures like' with small doses of prepared extracts
- C. Use of finger and hand pressure at energy meridians to improve energy flow
- D. Considers disease as an imbalance of life force and basic metabolic condition
Correct Answer: D
Rationale: Ayurveda considers disease as an imbalance of life force (prana) and metabolic conditions, making option D the correct choice.
To prevent airway obstruction in the postoperative patient who is unconscious or semiconscious, what will the nurse do?
- A. Encourage deep breathing
- B. Elevate the head of the bed
- C. Administer oxygen per mask
- D. Position the patient in a side-lying position
Correct Answer: D
Rationale: Side-lying position prevents tongue obstruction and facilitates drainage of secretions.
What is your evaluation of Mr. Smith’s skin rash and slight fever after taking INH for 3 months?
- A. Is developing hepatitis
- B. Has not been taking INH
- C. Is having a normal response to the medication
- D. Is demonstrating early signs of drug hypersensitivity
Correct Answer: D
Rationale: The correct answer is D because Mr. Smith's skin rash and slight fever after taking INH for 3 months indicate early signs of drug hypersensitivity. This is supported by the timing of symptoms appearing after prolonged use, which is typical for drug hypersensitivity reactions. Other choices are incorrect: A, developing hepatitis would show different symptoms; B, not taking INH would not explain the symptoms; C, a normal response would not involve rash and fever.
A client is being treated for inhalational anthrax following bioterrorism exposure. Which of the following medications should NOT be expected as a common treatment for anthrax?
- A. Ciprofloxacin
- B. Doxycycline
- C. Amoxicillin
- D. Penicillin G
Correct Answer: D
Rationale: The correct answer is D, Penicillin G. Anthrax is caused by Bacillus anthracis, which is susceptible to ciprofloxacin and doxycycline. Penicillin and amoxicillin are not recommended due to the potential for B. anthracis to produce beta-lactamase, which can make the bacteria resistant to penicillin-based medications. Penicillin G is not effective in treating anthrax and should not be expected as a common treatment option.
Which actions are done primarily by an informatics nurse (select all that apply)?
- A. Designs and builds computer systems
- B. Studies the validity of nursing information
- C. Trains health care providers to provide nursing care
- D. Communicates and accesses information for nursing staff
Correct Answer: A
Rationale: Informatics nurses focus on designing systems, validating information, and building tools to support nursing processes.