Nokea
What should the nurse do if Mrs. West reports restless sleep and frequent bathroom visits postoperatively?
- A. Write a nursing order to give Mrs. West a backrub
- B. Call the physician to obtain an order to increase the dosage of her hypnotic
- C. Write a nursing order to keep intake and output with times and amounts
- D. Call the physician to obtain an order for intake and output
Correct Answer: D
Rationale: Monitoring intake and output is essential to assess postoperative fluid balance.
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Alex Rowe develops hives after having eaten strawberries. He states he has strawberries before, and has never had a problem with them before. This is an example of:
- A. an idiosyncratic response to food.
- B. an autoimmune disorder.
- C. a Type I hypersensitivity response.
- D. an example of immunosuppression.
Correct Answer: C
Rationale: Idiosyncratic response means it occurs because of an unknown reason. This response to something the body has been exposed to before is not unknown. Autoimmune disorders are ones in which the body attacks self-cells. This example is an outside antigen. Type I hypersensitivities are those that occur when the body, previously sensitized to a substance, is then exposed a second time and reacts. Immunossuppression occurs when the immune system is not working. Mr. Rowe's immune system responded to the antigen, so it is not suppressed.
Which medication is a nonamphetamine wake-promotion drug?
- A. Modafinil (Provigil)
- B. Protriptyline (Vavactil)
- C. Desipramine (Norpramin)
- D. Methylphenidate (Concerta)
Correct Answer: A
Rationale: The correct answer is A. Modafinil is a wake-promoting agent used for conditions like narcolepsy. Protriptyline (B) and Desipramine (C) are tricyclic antidepressants, while Methylphenidate (D) is a stimulant.
Mary has been dieting and exercising daily. Her weight is well below the recommended minimum for her height. Assessment for Mary would include looking for
- A. Ecchymosis and extraocular movements.
- B. Temporal wasting and irregular heart rhythm.
- C. Peripheral edema and rales.
- D. Periorbital edema and chorea.
Correct Answer: B
Rationale: Extreme weight loss can lead to temporal wasting and cardiac irregularities.
7. According to Traditional Chinese Medicine, when does disease occur?
- A. Yin and yang become imbalanced, altering the flow of Qi.
- B. Acupoints in Qi channels become obstructed, preventing the release of Qi.
- C. The body’s natural healing abilities are impaired by obstruction of fluid channels.
- D. The individual is out of harmony with nature and requires spiritualism and mysticism to reestablish balance.
Correct Answer: A
Rationale: In Traditional Chinese Medicine, disease occurs when Yin and Yang become imbalanced, disrupting the flow of Qi, as described in option A.
Which of the following tests would a nurse use to test whether air conduction or bone conduction is greater in the client?
- A. Romberg test
- B. Rinne Test
- C. Weber test
- D. Otoscopic examination
Correct Answer: B
Rationale: The Rinne test compares air conduction to bone conduction to identify conductive or sensorineural hearing loss.