Nokea
What is most important to determine when completing Mr. Anderson’s nursing history?
- A. Known allergy to penicillin
- B. Work habits
- C. History of COPD
- D. Sleep and rest habits
Correct Answer: A
Rationale: Penicillin allergy is critical to know before administering antibiotics.
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An 80-year-old patient is placed in isolation when infected with methicillin-resistant Staphylococcus aureus. The patient was alert and oriented on admission, but is now having visual hallucinations and can follow only simple directions. The medical-surgical nurse recognizes that the changes in the patient's mental status are related to
- A. a fluid and electrolyte imbalance.
- B. a stimulating environment.
- C. sensory deprivation.
- D. sundowning.
Correct Answer: C
Rationale: Isolation can lead to sensory deprivation, affecting cognitive function.
Following a bone marrow transplant, the patient has an increased risk for
- A. Bleeding.
- B. Infection.
- C. Clot formation.
- D. Nausea and vomiting.
Correct Answer: B
Rationale: Immunosuppression increases the risk of infection post-transplant.
During an assessment, an older adult client's son reports that the client has been sick with a respiratory illness for the past 6 days. Which of the following assessment findings is a manifestation of pneumonia in the older adult client?
- A. Bradycardia
- B. Night sweats
- C. Confusion
- D. Narrowed pulse pressure
Correct Answer: C
Rationale: Step 1: Pneumonia in older adults often presents with atypical symptoms.
Step 2: Confusion is a common manifestation due to decreased oxygen levels.
Step 3: Respiratory illness can lead to hypoxia, causing confusion.
Step 4: Bradycardia, night sweats, and narrowed pulse pressure are not typical manifestations of pneumonia in older adults.
Which of the following is a definitive sign of pregnancy?
- A. Amenorrhea
- B. Positive hCG
- C. Morning sickness
- D. Fetal heart sounds
Correct Answer: D
Rationale: Fetal heart sounds are a definitive sign of pregnancy, confirming the presence of a viable fetus.
Which mind-body medicine technique allows an individual to voluntarily control physiologic functions such as body temperature, heart rate, blood pressure, and brain waves?
- A. Biofeedback
- B. Hypnosis
- C. Imagery
- D. Humor
Correct Answer: A
Rationale: Biofeedback enables individuals to gain conscious control over involuntary physiological processes.