Nokea
The plan of care for the diabetic patient includes all of the following interventions. Which intervention could you delegate to the nursing assistant?
- A. Check to make sure that the patient's bath water is not too hot.
- B. Discuss community resources for diabetic outpatient care.
- C. Instruct the patient to perform daily foot inspections.
- D. Check the patient's technique for drawing insulin into a syringe.
Correct Answer: A
Rationale: Checking the temperature of the patient's bath water is a simple task that can be delegated to the nursing assistant to ensure safety and prevent burns.
You may also like to solve these questions
Which tracheal rings are generally related to isthmus?
- A. 1st and 2nd
- B. 1st, 2nd and 3rd
- C. 2nd and 3rd
- D. 2nd, 3rd and 4th
Correct Answer: C
Rationale: Rationale:
The isthmus of the thyroid gland is located between the 2nd and 3rd tracheal rings. These rings provide support to the trachea and help maintain its shape. Therefore, the correct answer is C.
Summary of other choices:
A: 1st and 2nd - Incorrect, as the isthmus is not related to the 1st tracheal ring.
B: 1st, 2nd and 3rd - Incorrect, as the isthmus is only between the 2nd and 3rd tracheal rings.
D: 2nd, 3rd and 4th - Incorrect, as the isthmus does not extend to the 4th tracheal ring.
Mr. Weber, an insulin-dependent diabetic, states that in the afternoon he has occasional severe reactions during which he becomes unconscious. In planning his care, which of the following nursing actions is most appropriate?
- A. Placing a tube of commercially prepared glucose paste at his bedside
- B. Administering regular insulin
- C. Checking his level of consciousness every hour
- D. Keeping a supply of orange juice in the refrigerator
Correct Answer: A
Rationale: For a patient with severe hypoglycemic reactions, it's essential to have a quick source of glucose on hand, like glucose paste, to treat unconsciousness from low blood sugar.
Which of the following has no muscarinic blocking activity:
- A. Amitriptyline
- B. Meperidine
- C. Ipratropium
- D. Edrophonium
Correct Answer: D
Rationale: The correct answer is D, Edrophonium. Edrophonium is a short-acting cholinesterase inhibitor used in the diagnosis of myasthenia gravis. It does not possess muscarinic blocking activity, as its mechanism of action involves inhibition of acetylcholinesterase leading to increased acetylcholine levels at the neuromuscular junction. The other choices, Amitriptyline (A) is a tricyclic antidepressant with anticholinergic properties, Meperidine (B) has weak antimuscarinic effects, and Ipratropium (C) is an anticholinergic medication used in respiratory conditions. These choices exhibit muscarinic blocking activity, unlike Edrophonium.
Steroid hormones:
- A. require a second messenger.
- B. are secreted by the adrenal cortex.
- C. are secreted by the posterior pituitary.
- D. are secreted by the pancreas.
Correct Answer: B
Rationale: The correct answer is B: Steroid hormones are secreted by the adrenal cortex. The adrenal cortex is responsible for producing steroid hormones such as cortisol, aldosterone, and sex hormones. This is supported by the understanding of endocrine gland functions. Choices A, C, and D are incorrect because steroid hormones do not require a second messenger, are not secreted by the posterior pituitary, and are not secreted by the pancreas. Understanding the specific glands and their hormone production is crucial in selecting the correct answer.
Nicotinic receptors are blocked by which of the following:
- A. Propranolol
- B. Trimetaphan
- C. Prazosin
- D. Pilocarpine
Correct Answer: B
Rationale: The correct answer is B: Trimetaphan. Nicotinic receptors are blocked by non-depolarizing neuromuscular blockers like Trimetaphan. Propranolol (A) is a beta-blocker, Prazosin (C) is an alpha-1 blocker, and Pilocarpine (D) is a muscarinic agonist, none of which block nicotinic receptors. Therefore, Trimetaphan (B) is the only choice that directly blocks nicotinic receptors.