Nokea
What is the primary symptom of hordeolum?
- A. Redness and swelling
- B. Itching
- C. Blurred vision
- D. Dry eyes
Correct Answer: A
Rationale: Hordeolum, or stye, presents with localized redness and swelling of the eyelid.
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Josie is the mother of a healthy 19-year-old woman having surgery tomorrow. After the surgeon discusses the surgery, risks, and benefits with the patient and her mother, the mother wants to sign the consent form. The most appropriate response to this would be:
- A. Of course, she can sign the consent form; after all, the patient is her daughter.
- B. No, she cannot sign the form.
- C. While you appreciate her concern for her daughter, the patient is a consenting adult and legally needs to sign her own consent form.
- D. Encourage both the patient and her mother to sign the form.
Correct Answer: C
Rationale: A 19-year-old is considered a consenting adult and must sign their own consent form unless they are deemed legally incompetent. The mother's role is supportive but does not override the patient's legal rights.
What does progression of patients through various phases of care in a postanesthesia care unit (PACU) primarily depend on?
- A. Condition of patient
- B. Type of anesthesia used
- C. Preference of surgeon
- D. Type of surgical procedure
Correct Answer: A
Rationale: Patient condition dictates the progression through PACU phases, ensuring appropriate care levels.
Limited health literacy may be associated with which conditions that lead to health disparities?
- A. Age
- B. Place
- C. Gender
- D. Race/ethnicity
Correct Answer: A
Rationale: Health literacy issues often correlate with age, place, race/ethnicity, language barriers, and income/education. Gender is less directly tied but still relevant in some contexts.
When examining a patient who is paralyzed below the T4 level, the medical-surgical nurse expects to find
- A. flaccidity of the upper extremities.
- B. hyperreflexia and spasticity of the upper extremities.
- C. independent use of upper extremities and efficient cough.
- D. impaired diaphragmatic function requiring ventilator support.
Correct Answer: C
Rationale: Patients paralyzed below T4 typically retain independent use of upper extremities.
Build-up of bile salts may cause the systemic symptom of
- A. Hypotension.
- B. Pruritis (itching).
- C. Ecchymosis (bruising).
- D. Urticaria (hives).
Correct Answer: B
Rationale: Bile salt accumulation can lead to itching.