Nokea
Which finding is not typically associated with inflammation in a client?
- A. Pain
- B. Heat
- C. Polyuria
- D. Erythema
Correct Answer: C
Rationale: Polyuria is excessive urination and is not a typical assessment finding in inflammation. Inflammation commonly presents with pain (A), heat (B), and erythema (D) which are classic signs of an inflammatory response. Pain results from the release of inflammatory mediators, heat is due to increased blood flow, and erythema is caused by vasodilation and increased blood flow to the area. Polyuria is more likely associated with conditions such as diabetes or renal issues, rather than inflammation.
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What is true about antiretroviral drugs used to treat human immunodeficiency virus (HIV)?
- A. A few missed doses per month are acceptable
- B. Only specific licensed drugs are effective
- C. These drugs inhibit viral replication
- D. These drugs eradicate the virus
Correct Answer: C
Rationale: The correct answer is that antiretroviral drugs inhibit viral replication. These medications work by interfering with the ability of the HIV virus to multiply in the body, helping to control the infection. Choice A is incorrect because consistency in taking antiretroviral drugs is crucial to their effectiveness. Missing doses can lead to treatment failure and the development of drug-resistant strains of HIV. Choice B is incorrect as there are multiple licensed drugs that are effective in treating HIV. Choice D is also incorrect as antiretroviral drugs do not kill the virus but rather suppress its replication.
A client is in skeletal traction. With the nurse's assessment, it is noted that the
pairs appear red, swollen and there is purulent drainage. What action does the
nurse take first?
- A. Collect a culture of the purulent fluid
- B. Cleanse the skin around the pins
- C. Administer an antibiotic
- D. Instruct the client to complete exercise of the affected extremity
Correct Answer: A
Rationale:
The nurse assesses a deep wound. The area is covered by black and necrotic
tissue. What term would the nurse use when documenting this wound?
- A. Tunnelling
- B. Eschar
- C. Blanching
- D. Cellulitis
Correct Answer: B
Rationale:
The nurse will be using the Braden Scale with each admit to the long-term care
center. Which of these will NOT be utilized in a Braden Scale Assessment?
- A. Mental state
- B. Friction and shear
- C. Nutrition
- D. Sensory perception
Correct Answer: A
Rationale:
The nurse is performing a psychosocial assessment on a client with a severe
rheumatoid arthritis. What would be the most appropriate statement by the
nurse?
- A. "Tell me about what medication you are taking"?
- B. "What physical limitations are you experiencing?"?
- C. "How does this impact your role in your family?"?
- D. "What therapies are you using to reduce swelling?"?
Correct Answer: C
Rationale: