Nokea
Which information would the nurse include when discussing pain due to chronic stable angina with the patient?
- A. Occurs with both activity and rest.
- B. Generally lasts 10-15 minutes or more.
- C. Does not subside when the precipitating factor is resolved.
- D. Occurs intermittently over a period of time in a similar pattern.
Correct Answer: D
Rationale: Chronic stable angina occurs intermittently in a predictable pattern, triggered by exertion and relieved by rest or nitroglycerin.
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Which strategy is most important for a nurse to include when planning care for a patient who has neutropenia?
- A. Restricting all visitors.
- B. Placing the patient in a private room.
- C. Advising the patient to use only an electric shaver.
- D. Wearing a gown and gloves when in direct contact with the patient.
Correct Answer: B
Rationale: Placing the patient in a private room is crucial for a neutropenic patient to minimize exposure to pathogens, reducing infection risk due to their compromised immune system.
The blood pressure (BP) of a 71-year-old patient admitted with pneumonia is 160/70 mm Hg. Which age-related change contributes to this finding?
- A. Stenosis of the heart valves.
- B. Decreased adrenergic sensitivity.
- C. Increased parasympathetic activity.
- D. Loss of elasticity in arterial vessels.
Correct Answer: D
Rationale: Loss of elasticity in arterial vessels due to aging causes increased systolic blood pressure, as seen in the 160/70 mm Hg reading.
The nurse is teaching a patient about the administration of liquid iron supplements. Which response by the patient indicates the need for additional teaching?
- A. I will take my iron supplement with a straw.
- B. I will take my iron supplement at bedtime.
- C. I will take my iron supplement along with meals.
- D. I will take my iron supplement along with orange juice.
Correct Answer: C
Rationale: Taking iron supplements with meals decreases absorption, indicating a need for further teaching; iron should be taken on an empty stomach or with vitamin C.
Which finding would the nurse expect to see in a patient with a hemoglobin level of 8 g/dL? Select all that apply.
- A. Palpitations.
- B. Conjunctival pallor.
- C. Sternal tenderness.
- D. Heart rate of 104 beats/min.
Correct Answer: B,D
Rationale: Conjunctival pallor and tachycardia (heart rate of 104 beats/min) are common in anemia, reflecting reduced hemoglobin and compensatory mechanisms.
Which treatment is likely to be planned for a patient who develops pernicious anemia after a gastrectomy?
- A. Triple-drug therapy.
- B. IV therapy.
- C. Quadruple-drug therapy.
- D. Cobalamin replacement therapy.
Correct Answer: D
Rationale: Cobalamin replacement therapy is the standard treatment for pernicious anemia caused by vitamin B12 deficiency due to lack of intrinsic factor post-gastrectomy.