Nokea
Which medication is a nonamphetamine wake-promotion drug?
- A. Modafinil (Provigil)
- B. Protriptyline (Vavactil)
- C. Desipramine (Norpramin)
- D. Methylphenidate (Concerta)
Correct Answer: A
Rationale: The correct answer is A. Modafinil is a wake-promoting agent used for conditions like narcolepsy. Protriptyline (B) and Desipramine (C) are tricyclic antidepressants, while Methylphenidate (D) is a stimulant.
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Mary has been dieting and exercising daily. Her weight is well below the recommended minimum for her height. Assessment for Mary would include looking for
- A. Ecchymosis and extraocular movements.
- B. Temporal wasting and irregular heart rhythm.
- C. Peripheral edema and rales.
- D. Periorbital edema and chorea.
Correct Answer: B
Rationale: Extreme weight loss can lead to temporal wasting and cardiac irregularities.
What should be included in Mr. Dean’s teaching plan for respiratory isolation?
- A. Using disposable tissues for his respiratory secretions
- B. Reporting any allergies to the staff
- C. Asking family and friends not to visit
- D. Getting the patient out of bed frequently
Correct Answer: A
Rationale: Disposable tissues prevent the spread of pathogens.
A client with respiratory failure is receiving mechanical ventilation and continues to produce ABG results indicating respiratory acidosis. Which action should you expect to correct this problem?
- A. Increase the ventilator rate from 6 to 10 per minute
- B. Decrease the ventilator rate from 10 to 6 per minute
- C. Increase the oxygen concentration from 30% to 40%
- D. Decrease the oxygen concentration from 40% to 30%
Correct Answer: A
Rationale: Increasing the ventilator rate enhances CO2 removal, correcting respiratory acidosis by improving ventilation.
What is included in the routine assessment of the patient's cardiovascular function on admission to the PACU?
- A. Monitoring arterial blood gases
- B. Electrocardiographic (ECG) monitoring
- C. Determining fluid and electrolyte status
- D. Direct arterial blood pressure monitoring
Correct Answer: B
Rationale: ECG monitoring assesses cardiovascular function, detecting arrhythmias or ischemia.
Which of the following statements about sexual function in older people is true?
- A. Impotence is an inevitable consequence of aging
- B. Slower arousal and reaction times are normal signs of aging
- C. Moderate alcohol consumption can improve sexual dysfunction
- D. Hormonal replacements are necessary for sexual satisfaction
Correct Answer: B
Rationale: Aging affects sexual function through physiological changes, including slower arousal and response times. However, these changes do not prevent sexual activity entirely.