Nokea
Which nursing intervention minimizes disturbed sleep patterns in a dying client?
- A. Play the client’s favorite music.
- B. Mask the continuous hum of equipment.
- C. Provide a glass of warm milk before bed.
- D. Shut doors and windows to prevent noise from coming in.
Correct Answer: B
Rationale: Masking disruptive noises creates a more restful environment, promoting better sleep.
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Which vitamin does a client lack if there is a problem with the absorption of calcium?
- A. Vitamin A
- B. Vitamin B
- C. Vitamin C
- D. Vitamin D
Correct Answer: D
Rationale: Vitamin D is essential for calcium absorption in the intestines. A deficiency impairs this process.
Patients with rheumatoid arthritis typically have pain
- A. With activity.
- B. Only upon awakening.
- C. Late in the evening.
- D. All day without remission.
Correct Answer: A
Rationale: RA pain worsens with activity due to joint inflammation.
Scheduling the administration of analgesics every __ hours often affords a uniform level of pain relief.
- A. Every 2 hours
- B. Every 3-4 hours
- C. Every 6 hours
- D. Every 7 hours
Correct Answer: B
Rationale: The rationale for this is that administering analgesics on a regular schedule (e.g., every 3-4 hours) helps maintain a steady level of medication in the bloodstream, providing consistent pain relief.
You have just received the morning report from the night shift nurses. List the order of priority for assessing and caring for these patients.
- A. A patient who developed tumor lysis syndrome around 5:00 am.
- B. A patient with frequent reports of break-through pain over the past 24 hours.
- C. A patient scheduled for exploratory laparotomy this morning.
- D. A patient with anticipatory nausea and vomiting for the past 24 hours.
Correct Answer: A
Rationale: Tumor lysis syndrome is a life-threatening condition requiring immediate intervention, making it the top priority.
Bob, who has Huntington's disease, tells you that he sees the same symptoms of the disease in his 13-year-old son. You respond by saying
- A. Your son probably has the early symptoms of the disease.
- B. Symptoms usually appear between the ages of 30 and 50; however, you may want to ask your physician about genetic testing that can detect if your son has the gene that is associated with Huntington's disease.
- C. Symptoms usually appear before the age of 30; you may want to ask your physician about genetic testing.
- D. Huntington's disease is genetically transmitted.
Correct Answer: B
Rationale: Huntington's disease typically manifests in adulthood, but genetic testing can confirm early cases.