Nokea
What stage of shock is the client experiencing if they exhibit confusion, lethargy, and decreased urine production?
- A. Initial stage
- B. Compensatory stage
- C. Decompensation stage
- D. Irreversible stage
Correct Answer: C
Rationale: These symptoms indicate decompensation, where the body can no longer compensate for inadequate perfusion.
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What term is used to describe a decreased effect of a substance following repeated exposure?
- A. Relapse
- B. Tolerance
- C. Abstinence
- D. Withdrawal.
Correct Answer: B
Rationale: Tolerance develops when repeated exposure to a substance diminishes its effects, requiring higher doses to achieve the same impact.
Which of the following cancer patients could less ergenically be placed together as roommates?
- A. A patient with a neutrophil count of 1000/mm³.
- B. A patient who underwent debulking of a tumor to relieve pressure.
- C. A patient receiving high-dose chemotherapy after a bone marrow harvest.
- D. A patient who is post-op laminectomy for spinal cord compression.
Correct Answer: B
Rationale: Patients undergoing debulking surgery are generally less immunocompromised compared to those receiving high-dose chemotherapy or with severely low neutrophil counts.
Which value shows the normal range of plasma pH?
- A. 7.35 to 7.45
- B. 6.35 to 6.45
- C. 7 to 8
- D. 8.35 to 8.45
Correct Answer: A
Rationale: The normal range of plasma pH is 7.35 to 7.45, which indicates a slightly alkaline environment essential for proper cellular function.
Which finding on assessment supports the nursing diagnosis Decreased Cardiac Output related to decreased plasma volume?
- A. Flattened neck veins when client is in supine position
- B. Full and bounding pedal and post-tibial pulses
- C. Pitting edema located in feet ankles and calves
- D. Shallow respirations with crackles on auscultation
Correct Answer: A
Rationale: Flattened neck veins in the supine position indicate reduced venous return due to decreased plasma volume, which supports the diagnosis of Decreased Cardiac Output.
In discharge teaching for cataract surgery, the client and family should be told to immediately report which symptom to the physician?
- A. Scratchy sensation in the operative eye
- B. Loss of depth perception with the patch in place
- C. Inadequate vision 6-8 hours after the patch is removed
- D. Intense pain not relieved by prescribed medications
Correct Answer: D
Rationale: Intense pain unrelieved by medication may indicate complications such as infection or increased intraocular pressure.