The World Health Organization (WHO) recommends the use of three-step analgesic ladder when deciding on pain management. In order of first choice to second choice to third choice, the following drug categories are used:
- A. NSAIDs,nonopioids and opioids
- B. Nonopioids opioid antagonists and opioids
- C. Nonopioids opioids and adjuvant agents
- D. NSAIDs opioids and adjuvant agent
Correct Answer: C
Rationale: The WHO analgesic ladder starts with nonopioid analgesics (e.g., acetaminophen), progresses to weak opioids if needed, and finally includes strong opioids along with adjuvant therapies for severe pain.
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Patients with pernicious anemia are treated with
- A. Oral iron.
- B. Oral folic acid.
- C. Parenteral vitamin B12.
- D. Oral prednisone.
Correct Answer: C
Rationale: Vitamin B12 deficiency in pernicious anemia requires parenteral administration.
What term best describes an item that is a microorganism or prion that is generally harmless to humans?
- A. Nonpathogenic
- B. Pathogenic
- C. Infection
- D. Helminth
Correct Answer: A
Rationale: The correct answer is A because nonpathogenic microorganisms do not typically cause harm to humans.
After listening to her, which statement would be included as part of a motivational interview?
- A. Why not?
- B. If you go to therapy, I’ll give you a back rub when you get back.
- C. I know you are tired but look how much easier walking was today than it was last week.
- D. Well, with that attitude, you will have trouble. The doctor ordered therapy because he thought it would help.
Correct Answer: C
Rationale: The correct answer is 'I know you are tired but look how much easier walking was today than it was last week.' This approach acknowledges the patient's feelings while highlighting progress, fostering motivation.
When transporting an inpatient to the surgical department, which area is a nurse from another area of the hospital able to access?
- A. Clean core
- B. Holding area
- C. Corridors of surgical suite
- D. Unprepared operating room
Correct Answer: B
Rationale: The holding area is accessible for nurses transporting patients, ensuring proper preparation before entering restricted zones.
What best evaluates Mrs. West’s situation with wound separation and purulent drainage?
- A. This response is consistent with the inflammatory process
- B. Some drainage is to be expected from a surgical incision
- C. This response indicates a break in sterile technique has occurred
- D. This wound is healing by first intention
Correct Answer: A
Rationale: Inflammatory signs suggest infection, requiring further evaluation and treatment.