Nokea
What are manifestations of obsessive-compulsive disorder?
- A. High blood pressure
- B. Increased heart rate
- C. Decreased oxygen supply
- D. Muscle relaxation
Correct Answer: A
Rationale: The correct answer is A because it is the most appropriate response based on physiological and medical principles.
You may also like to solve these questions
Brendan has chronic obstructive pulmonary disease, causing a constant state of respiratory acidosis. He has a history of chronic trimethoprim and NSAID use, leading to hyperkalemia. Which of the following are associated with hyperkalemia?
- A. Irritability,circumoral paresthesia muscle spasms tetany abdominal pain laryngospasm and prolonged QT intervals.
- B. Muscle cramps malaise diminished deep tendon reflexes anorexia constipation palpitations and rhabdomyolysis.
- C. Cardiac arrhythmia nausea vomiting constipation dehydration kidney stones muscle weakness and sinus arrest.
- D. Weakness dizziness abdominal distention nausea vomiting diarrhea palpitations and cardiac arrhythmias.
Correct Answer: C
Rationale: The correct answer is Cardiac arrhythmia, nausea, vomiting, constipation, dehydration, kidney stones, muscle weakness, and sinus arrest (C). Hyperkalemia affects cardiac function, leading to arrhythmias and potentially life-threatening conditions like sinus arrest. Gastrointestinal symptoms such as nausea, vomiting, and constipation are also common.
A client is caring for a postoperative client on the surgical unit. The client's blood pressure was 142/76 mm Hg 30 minutes ago and is now 88/50 mm Hg. What action by the nurse is best?
- A. Call the Rapid Response Team.
- B. Document and continue to monitor.
- C. Notify the primary care provider.
- D. Repeat blood pressure measurement in 15 minutes.
Correct Answer: A
Rationale: The correct answer is A: Call the Rapid Response Team. A significant drop in blood pressure from 142/76 mm Hg to 88/50 mm Hg indicates a potential life-threatening condition like hypovolemic shock. Calling the Rapid Response Team allows for immediate assessment and intervention to stabilize the client. Other choices are incorrect because documenting and monitoring without intervention can lead to deterioration, notifying the primary care provider may cause delays in critical care, and repeating the blood pressure measurement in 15 minutes may worsen the client's condition if urgent intervention is needed.
The nurse knows that a patient taught sleep hygiene practices needs further instruction when he says
- A. Once I go to bed, I should get up if I am not asleep after 20 minutes.
- B. It’s okay to have my usual two glasses of wine in the evening before bed.
- C. A couple of crackers with cheese and a glass of milk may help to relax before bed.
- D. I should go to the gym earlier in the day so that I’m done at least 6 hours before bedtime.
Correct Answer: B
Rationale: The correct answer is B. Alcohol disrupts sleep architecture, making it counterproductive for sleep hygiene. Getting up after 20 minutes (A) is a recommended practice, and exercising early (D) promotes better sleep.
A client with diabetes is experiencing symptoms of hypoglycemia. What should the nurse administer first?
- A. 10 units of regular insulin subcutaneously
- B. 50 mL of 50% dextrose solution intravenously
- C. 1 mg of glucagon intramuscularly
- D. 15-20 grams of fast-acting carbohydrate orally
Correct Answer: D
Rationale: The correct answer is D: 15-20 grams of fast-acting carbohydrate orally. In hypoglycemia, the immediate goal is to raise blood glucose levels quickly. Fast-acting carbohydrates like glucose tablets or juice are the most effective and fastest way to raise blood sugar levels. Administering insulin (choice A) would further lower blood sugar levels. Intravenous dextrose (choice B) is appropriate for severe cases but may not be necessary as the first step. Glucagon (choice C) is typically used if the client is unconscious or unable to consume oral carbohydrates.
Which patient is at greatest risk for pancreatic cancer?
- A. An elderly black male with a history of smoking and alcohol use.
- B. A young,white obese female with no known health issues.
- C. A young black male with juvenile onset diabetes.
- D. An elderly white female with a history of pancreatitis.
Correct Answer: A
Rationale: Smoking and alcohol use are major risk factors for pancreatic cancer, making the elderly black male with these habits at highest risk.