Nokea
When assessing a patient for anaphylaxis, you would be alert for
- A. Chest pain and indigestion.
- B. Hives and dyspnea.
- C. Hypertension and blurred vision.
- D. Headache and photophobia.
Correct Answer: B
Rationale: Anaphylaxis often presents with hives and difficulty breathing.
You may also like to solve these questions
When admitting a woman experiencing a spontaneous abortion at the ambulatory care center, the nurse notes that the admission form identifies the patient’s religion as Islam. What should the nurse understand about this patient?
- A. She should not receive any pork-derived products.
- B. She probably will not have purchased health insurance.
- C. Artificial contraception and abortion are prohibited.
- D. She will not be able to receive blood or blood products if an emergency develops.
Correct Answer: A
Rationale: Islamic dietary laws prohibit consumption of pork-derived products. While other options relate to Islamic beliefs, they are either incorrect assumptions or unrelated to immediate nursing care.
Priority Decision: A terminally ill patient is unresponsive and has cold, clammy skin with mottling on the extremities. The patient’s husband and two grown children are arguing at the bedside about where the patient’s funeral should be held. What should the nurse do first?
- A. Ask the family members to leave the room if they are going to argue.
- B. Take the family members aside and explain that the patient may be able to hear them.
- C. Tell the family members that this decision is premature because the patient has not yet died.
- D. Remind the family that this should be the patient’s decision and to ask her if she regains consciousness.
Correct Answer: B
Rationale: The patient may still be able to hear even if unresponsive, so the nurse should gently remind the family of this to maintain respect for the patient's dignity and provide emotional support.
Liz is an elderly woman brought in by concerned family members. After physical examination, she was diagnosed with dehydration. What assessment findings would you expect to see?
- A. Bradycardia,slowed respirations low body temperature and weight gain.
- B. Rales peripheral edema palpitations and diaphoresis.
- C. Tachypnea tachycardia hypotension poor skin turgor and decreased urinary output.
- D. Malaise lymphadenopathy fever shortness of breath and nausea.
Correct Answer: C
Rationale: The correct answer is Tachypnea, tachycardia, hypotension, poor skin turgor, and decreased urinary output (C). Dehydration leads to reduced blood volume, causing compensatory mechanisms like tachycardia and tachypnea. Poor skin turgor and decreased urinary output are classic signs of fluid loss.
What does cromolyn sodium act to do?
- A. Combat respiratory infection
- B. Constrict smooth muscle in the bronchial tree
- C. Prevent the release of histamine
- D. Terminate an asthmatic attack
Correct Answer: C
Rationale: Cromolyn sodium inhibits mast cell degranulation, preventing histamine release.
Mr. and Mrs. Smith took part in a community health screening. What does a positive reaction to the standard intermediate strength PPD mean?
- A. Have active tuberculosis
- B. Are “carriers” of tuberculosis
- C. Have already transmitted tuberculosis to their children
- D. Have been exposed to active tuberculosis
Correct Answer: D
Rationale: A positive PPD test indicates past exposure to Mycobacterium tuberculosis but does not confirm active disease.