Nokea
When caring for a patient who is pancytopenic, which action by unlicensed assistive personnel (UAP) indicates a need for the nurse to intervene?
- A. The UAP assists the patient to use dental floss after eating.
- B. The UAP adds baking soda to the patient's saline oral rinses.
- C. The UAP puts fluoride toothpaste on the patient's toothbrush.
- D. The UAP has the patient rinse after meals with a saline solution.
Correct Answer: A
Rationale: Pancytopenia low everything means flossing risks bleeding and infection in a mouth with no platelets or immunity; baking soda , fluoride , and saline are safe. Nurses in oncology stop this UAP need soft-brush guidance, not floss, to protect fragile mucosa.
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What does the abbreviation DALY stand for?
- A. Definition of anticipated life years
- B. Diabetes-affected life years
- C. Disability-adjusted life years
- D. Disease-affected life years
Correct Answer: C
Rationale: DALY disability-adjusted life years tallies lost health, not diabetes alone or vague terms. Nurses use this, a chronic burden metric.
Which of the following management activities is not part of the nursing care of a patient with COPD?
- A. Achieving airway clearance and improving breathing patterns
- B. Ensuring the patient stays in bed and does not exert themselves causing increased dyspnoea
- C. Improving activity tolerance and assisting with lifestyle modification
- D. Monitoring and managing potential complications
Correct Answer: B
Rationale: COPD nursing pushes clearance, tolerance, and complication watch active goals. Bedrest flops deconditions, worsens breathlessness, a chronic care no-no nurses dodge.
Which drug should not be given with midazolam?
- A. zidovudine
- B. lamivudine
- C. nevirapine
- D. indinavir
Correct Answer: D
Rationale: Indinavir boosts midazolam P450 clash sedates too deep, unlike zidovudine, lamivudine, nevirapine, or ritonavir's fit. Nurses dodge this chronic sleep trap.
A client suffering from a narcotic overdose is seen in the Emergency Department. The client is confused, with warm, flushed skin, headache, and weakness. Vital signs of noted are temperature 102.6 F, heart rate 128 beats/minute, respirations 24 breaths/minute, and blood pressure 130/86 mm Hg. A blood gas analysis sample was drawn on room air, and the results are as follows: pH 7.33 PaCO2 53 mm Hg, PaO2 72 mm Hg, HCO3 24 mEq/L. This client is at risk for which of the following?
- A. Metabolic alkalosis
- B. Respiratory alkalosis
- C. Respiratory acidosis
- D. Metabolic acidosis
Correct Answer: C
Rationale: Narcotics depress breathing pH 7.33 (low), PaCO2 53 mm Hg (high) signal respiratory acidosis, as CO2 piles up from hypoventilation, a classic overdose trap. PaO2 72 mm Hg shows mild hypoxia; HCO3 24 mEq/L hasn't compensated yet. Alkalosis needs low CO2 or high HCO3; metabolic acidosis drops HCO3. Nurses spot this, anticipating oxygen or reversal, a breath-stifled risk in this opioid haze.
According to the McGinnis model of 2002, what percentage of health differences between people is related to their behaviour?
- A. 10%
- B. 20%
- C. 30%
- D. 40%
Correct Answer: D
Rationale: McGinnis pegs behaviour smoking, eating at 40% of health gaps, big over genes or care. Nurses lean on this, a chronic choice chunk.