The nurse knows that the most likely cause of the HSV-1 infection in a client with HIV infection is:
- A. Immunosuppression.
- B. Emotional stress.
- C. Unprotected sexual activities.
- D. Contact with saliva.
Correct Answer: A
Rationale: HSV-1 thrives in immunocompromised individuals due to weakened immune defenses.
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A healthcare professional is auscultating the lungs of a client who has pleurisy. Which of the following adventitious breath sounds should the professional expect to hear?
- A. Loud, scratchy sounds
- B. Squeaky, musical sounds
- C. Popping sounds
- D. Snoring sounds
Correct Answer: A
Rationale: The correct answer is A: Loud, scratchy sounds. Pleurisy is inflammation of the pleura, causing friction between layers of the lung lining, resulting in loud, scratchy sounds known as pleural friction rubs. Squeaky, musical sounds (B) are indicative of wheezing in conditions like asthma. Popping sounds (C) can be heard in conditions like atelectasis or pneumonia. Snoring sounds (D) are typically associated with upper airway obstruction, not pleurisy. Therefore, in the context of pleurisy, the healthcare professional should expect to hear loud, scratchy sounds during auscultation.
What is the most common cause of orbital cellulitis?
- A. Sinus infection
- B. Trauma
- C. Foreign body
- D. All of the above
Correct Answer: A
Rationale: Sinus infections are the most frequent source of orbital cellulitis due to proximity and anatomical connections.
Which process is defined as the movement of fluid and some dissolved substances through a semipermeable membrane according to pressure differences?
- A. Osmosis
- B. Diffusion
- C. Active Transport
- D. Filtration
Correct Answer: D
Rationale: Filtration involves the movement of fluid and solutes across a semipermeable membrane due to hydrostatic or osmotic pressure differences.
A preoperative patient reveals that an uncle died during surgery because of a fever and cardiac arrest. Knowing the patient is at risk for malignant hyperthermia, the perioperative nurse alerts the surgical team. What is likely to happen next?
- A. The surgery will have to be cancelled.
- B. Specific precautions can be taken to safely anesthetize the patient.
- C. Dantrolene (Dantrium) must be given to prevent hyperthermia during surgery.
- D. The patient should be placed on a cooling blanket during the surgical procedure.
Correct Answer: B
Rationale: With awareness of malignant hyperthermia risk, specific precautions ensure safe anesthesia administration.
On the first postoperative day following a bowel resection, the patient complains of abdominal and incisional pain rated 9 on a scale of 0 to 10. Postoperative orders include morphine, 4 mg IV q2 hr, for pain and may repeat morphine, 4 mg IV, for breakthrough pain. The nurse determines that it has been only 2 hours since the last dose of morphine and wants to wait a little longer. What effect does the nurse’s action have on the patient?
- A. Protects the patient from addiction and toxic effects of the drug
- B. Prevents hastening or causing a patient’s death from respiratory dysfunction
- C. Contributes to unnecessary suffering and physical and psychosocial dysfunction
- D. Indicates that the nurse understands the adage of “start low and go slow” in administering analgesics
Correct Answer: C
Rationale: The correct answer is C. Delaying pain relief contributes to unnecessary suffering and can negatively impact recovery.