Nokea
Treatment of the patient with appendicitis includes
- A. Transfusion to replace blood loss.
- B. Bowel preparation for cleansing.
- C. Surgical removal of appendix.
- D. Medications to lower pH within stomach.
Correct Answer: C
Rationale: Surgical removal of the appendix is the definitive treatment for appendicitis.
You may also like to solve these questions
List the order in which you will assess these patients.
- A. An ambulatory, dazed 25-year-old male with a bandaged head wound
- B. An irritable infant with a fever, petechiae, and nuchal rigidity
- C. A 35-year-old jogger with a twisted ankle, having pedal pulse and no deformity
- D. A 50-year-old female with moderate abdominal pain and occasional vomiting
Correct Answer: B
Rationale: The infant with fever, petechiae, and nuchal rigidity may indicate meningitis, a life-threatening condition requiring immediate attention.
What is the primary complication of untreated otitis media?
- A. Hearing loss
- B. Meningitis
- C. Cholesteatoma
- D. All of the above
Correct Answer: D
Rationale: Untreated otitis media can lead to serious complications, including hearing loss, meningitis, and cholesteatoma.
Amitriptyline (Elavil) is prescribed for a patient with chronic pain from fibromyalgia. When the nurse explains that this drug is an antidepressant, the patient states that she is in pain, not depressed. What is the nurse’s best response to the patient?
- A. Antidepressants will improve the patient’s attitude and prevent a negative emotional response to the pain.
- B. Chronic pain almost always leads to depression, and the use of this drug will prevent depression from occurring.
- C. Some antidepressant drugs relieve pain by releasing neurotransmitters that prevent pain impulses from reaching the brain.
- D. Certain antidepressant drugs are metabolized in the liver to substances that numb the ends of nerve fibers, preventing the onset of pain.
Correct Answer: C
Rationale: The correct answer is C. Amitriptyline relieves pain by modulating neurotransmitter release, not solely by treating depression.
Which complications are related to anorexia nervosa?
- A. Premature wrinkles
- B. Vitamin excess
- C. Stress fractures in spine or hip
- D. Fluid overload
Correct Answer: C
Rationale: Severe weight loss weakens bones, increasing the risk of stress fractures in weight-bearing areas like the spine and hips.
What statement indicates Mr. Singer understands his condition after viewing a filmstrip on rehabilitation?
- A. ‘I will be able to continue my swimming as usual.’
- B. ‘I will regain some degree of my sense of smell and taste.’
- C. ‘I will not be able to bowl any more.’
- D. ‘I will have to give up my tub bath.’
Correct Answer: B
Rationale: Partial recovery of senses is possible after laryngectomy.