Nokea
Which of the following instructions should be included in the discharge teaching plan for a client after thyroidectomy for Grave’s disease?
- A. keep an accurate record of intake and output.
- B. use nasal desmopressin acetate (DDAVP).
- C. be sure to get regular follow-up care.
- D. Be sure to exercise to improve cardiovascular fitness.
Correct Answer: C
Rationale: Step 1: Patients with Grave's disease who undergo thyroidectomy require regular follow-up care for monitoring thyroid hormone levels and overall health.
Step 2: Regular follow-up care ensures early detection of any complications or recurrence of the disease.
Step 3: Monitoring helps in adjusting medication doses and managing any potential side effects.
Step 4: Choice A is important but not specific to thyroidectomy for Grave's disease. Choice B is not typically used post-thyroidectomy. Choice D may be beneficial but not a priority compared to regular follow-up care.
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Which of the following guidelines should a nursing instructor provide to nursing students who are now responsible for assessing their clients?
- A. Assessment data should be collected continuously.
- B. Assess your client after receiving the nursing report and again before giving a report to the next shift.
- C. Assess your client at least hourly if vital signs are unstable, and every two hours if stable.
- D. Assessment data should be collected prior to the physician rounding on the unit.
Correct Answer: A
Rationale: The correct answer is A because assessment data should be collected continuously to ensure timely detection of any changes in the client's condition. This allows for prompt interventions and prevents complications. Choice B is incorrect as assessment should be ongoing and not limited to specific times. Choice C is incorrect as the frequency of assessment should be based on client needs, not a fixed schedule. Choice D is incorrect as assessments should not be limited to certain times but should be ongoing to provide comprehensive care.
Which drug class is used to reduce symptoms of muscle weakness from myasthenia gravis?
- A. Anticholinesterase drugs
- B. Adrenergic drugs
- C. Anticholinergic drugs
- D. Beta-blocker drugs
Correct Answer: A
Rationale: The correct answer is A: Anticholinesterase drugs. These drugs increase acetylcholine levels at neuromuscular junctions, helping improve muscle strength in myasthenia gravis. Adrenergic drugs (B) and beta-blocker drugs (D) are not typically used to treat muscle weakness in myasthenia gravis. Anticholinergic drugs (C) can worsen symptoms by blocking acetylcholine receptors, making them an inappropriate choice for this condition.
A client with advanced breast cancer is prescribed tamoxifen (Nolvadex). When teaching the client about this drug, the nurse should emphasize the importance of reporting which adverse reaction immediately?
- A. Vision changes
- B. Headache
- C. Hearing loss
- D. Anorexia
Correct Answer: A
Rationale: The correct answer is A: Vision changes. Tamoxifen can cause serious ocular side effects like retinopathy and corneal changes. These adverse reactions can lead to vision impairment or loss, which is crucial to report immediately to prevent permanent damage. Headache (B), hearing loss (C), and anorexia (D) are not typically associated with tamoxifen use and do not pose immediate threats to the client's health compared to vision changes. It is important for the nurse to prioritize educating the client on recognizing and reporting vision changes promptly to ensure timely intervention and prevent irreversible consequences.
Mr. Reyea complains of hearing ringing noises. The nurse recognizes that this assessment suggests injury of the
- A. Frontal lobe
- B. Six cranial nerve (abducent)
- C. Occipital lobe
- D. Eight Cranial Nerve (Vestibulocochlear)
Correct Answer: D
Rationale: The correct answer is D: Eight Cranial Nerve (Vestibulocochlear). This nerve is responsible for hearing and balance. Ringing noises indicate a disturbance in hearing function. The other choices are incorrect because: A: Frontal lobe is associated with executive functions, not hearing. B: Six cranial nerve (abducent) controls eye movement. C: Occipital lobe is related to vision, not hearing. Therefore, the correct choice is D as it directly relates to the symptom described.
Which of the ff values pertaining to different clients shows the normal range of plasma pH?
- A. 7.35-7.45
- B. 8-Jul
- C. 6.35-6.45
- D. 8.35-8.45
Correct Answer: A
Rationale: The correct answer is A: 7.35-7.45. Plasma pH typically falls within this range for normal clients. A pH of 7.35-7.45 indicates a slightly alkaline to neutral environment, which is essential for various physiological processes to function optimally. Choices B, C, and D have pH values outside the normal range, indicating either acidic (B and C) or highly alkaline (D) conditions, which would be abnormal and potentially harmful to the body's functioning. Therefore, the normal range for plasma pH is crucial to maintain homeostasis and support overall health.