Nokea
What is a common cause of sensorineural hearing loss?
- A. Otitis media
- B. Temporal bone fractures
- C. Otitis externa
- D. Vascular conditions
Correct Answer: D
Rationale: Vascular conditions impair blood supply to the cochlea, causing sensorineural hearing loss.
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A client with Parkinson's disease is prescribed carbidopa-levodopa (Sinemet). What should the nurse include in the teaching about this medication?
- A. Take the medication without a high-protein meal.
- B. Expect the medication to take several weeks to reach full effectiveness.
- C. The medication may cause urine to turn light.
- D. You may experience a rapid heartbeat as a common side effect.
Correct Answer: B
Rationale: The correct answer is B: Expect the medication to take several weeks to reach full effectiveness. This is because carbidopa-levodopa (Sinemet) is a medication used to treat Parkinson's disease by increasing dopamine levels in the brain. It takes time for the medication to build up in the system and reach its full therapeutic effect.
Choice A is incorrect because it is recommended to take carbidopa-levodopa with a high-protein meal to help reduce potential gastrointestinal side effects. Choice C is incorrect as the medication does not typically cause urine discoloration. Choice D is incorrect as a rapid heartbeat is not a common side effect of carbidopa-levodopa.
In summary, choice B is correct because it aligns with the pharmacokinetics of the medication, while the other choices are not consistent with the usual effects and recommendations for carbidopa-levodopa.
Place the events below in the order they occur in the patient with obstructive sleep apnea (beginning with 1).
- A. Sleep just before going to work
- B. Narrowing of air passages with muscle relaxation during sleep
- C. Apnea lasting 10 to 90 seconds
- D. Brief arousal and airway opened
Correct Answer: C
Rationale: The correct order is E (narrowing), A (apnea), C (arousal). Muscle relaxation leads to airway narrowing, followed by apnea and then arousal.
A client who is intubated and has an intra-aortic balloon pump is restless and agitated. What action should the nurse perform first for comfort?
- A. Allow family members to remain at the bedside.
- B. Ask the family if the client would like a fan in the room.
- C. Keep the television tuned to the client's favorite channel.
- D. Speak loudly to the client in case of hearing problems.
Correct Answer: A
Rationale: The correct answer is A: Allow family members to remain at the bedside. This is the priority action as it provides emotional support and comfort to the client. Having familiar faces around can help calm the client and reduce agitation. It also promotes a sense of security and connection.
Choices B, C, and D are incorrect because they do not address the client's immediate need for comfort and emotional support. Asking about a fan, tuning the TV, or speaking loudly do not directly address the client's restlessness and agitation. Prioritizing the presence of family members is essential in this situation.
A nurse is caring for a client with a new diagnosis of type 1 diabetes. What is the most important aspect of teaching the nurse should focus on?
- A. The importance of regular exercise
- B. Proper administration of insulin
- C. Maintaining a low-carbohydrate diet
- D. Recognizing signs of hyperglycemia
Correct Answer: B
Rationale: The correct answer is B, proper administration of insulin, because it is crucial for managing type 1 diabetes. Insulin is essential for regulating blood sugar levels in type 1 diabetes patients. Without proper insulin administration, the client's condition can deteriorate rapidly. Regular exercise (A) and a low-carbohydrate diet (C) are important aspects of diabetes management, but they are not as critical as ensuring proper insulin administration. Recognizing signs of hyperglycemia (D) is important, but knowing how to administer insulin correctly takes precedence in effectively managing type 1 diabetes.
When should nurses view rehabilitation as a process?
- A. Occurs in the last stage of the patient’s hospitalization
- B. Encompasses all nursing practice goals and activities
- C. Occurs primarily in a specialized unit of the hospital
- D. May not be achieved for all patients
Correct Answer: B
Rationale: Rehabilitation is an integral part of nursing practice that spans all stages of care, focusing on restoring function and independence.