Nokea
Which of the following is a risk factor for developing heart failure?
- A. Regular exercise
- B. Low blood cholesterol levels
- C. Smoking
- D. Adequate sleep
Correct Answer: C
Rationale: The correct answer is C: Smoking. Smoking is a risk factor for developing heart failure because it damages the blood vessels, increases blood pressure, and reduces oxygen delivery to the heart. Regular exercise (A) is actually beneficial for heart health. Low blood cholesterol levels (B) are generally considered a positive factor for heart health. Adequate sleep (D) is important for overall well-being but is not a direct risk factor for heart failure. In conclusion, smoking (C) stands out as the correct answer due to its harmful effects on the cardiovascular system.
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Sputum specimens are examined to detect which of the following?
- A. Foreign bodies
- B. Cancer cells
- C. Pulmonary emboli
- D. Inflammation
Correct Answer: B
Rationale: The correct answer is B. Sputum specimens are often examined for cancer cells in cases of suspected lung cancer. While foreign bodies (A) can sometimes be identified, they are less common in routine sputum analysis. Pulmonary emboli (C) cannot be detected via sputum examination; imaging studies are required. Inflammation (D) may be inferred from white blood cell counts, but detecting cancer cells is more specific and clinically significant.
How many layers of pleura have
- A. 2
- B. visceral
- C. Parietal
- D. all of the above
Correct Answer: A
Rationale: Step 1: Pleura is a thin membrane that surrounds the lungs and lines the chest cavity.
Step 2: There are two layers of pleura - visceral (inner layer covering the lungs) and parietal (outer layer lining the chest cavity).
Step 3: The correct answer is A (2), because there are only two layers of pleura.
Summary: Choice B and C are incorrect because they each represent only one layer of pleura, whereas the correct answer A encompasses both layers. Choice D is incorrect because it includes all options, which is not accurate in this case.
A male client comes to the emergency department complaining of sudden onset of diarrhea, anorexia, malaise, cough, headache, and recurrent chills. Based on the client's history and physical findings, the physician suspects Legionnaires' disease. While awaiting diagnostic test results, the client is admitted to the facility and started on antibiotic therapy. What is the drug of choice for treating Legionnaires' disease?
- A. erythromycin (Erythrocin)
- B. rifampin (Rifadin)
- C. amantadine (Symmetrel)
- D. amphotericin B (Fungizone)
Correct Answer: A
Rationale: The correct answer is A: erythromycin (Erythrocin). Legionnaires' disease is caused by the bacterium Legionella pneumophila, and erythromycin is the drug of choice for treating this infection. Erythromycin is a macrolide antibiotic that effectively targets Legionella bacteria by inhibiting their protein synthesis. It is bacteriostatic at low concentrations and bactericidal at higher concentrations. Rifampin (B) is not the preferred choice for Legionnaires' disease. Amantadine (C) is used for treating influenza A virus, not Legionella bacteria. Amphotericin B (D) is an antifungal agent and is not effective against Legionella pneumophila. Utilizing erythromycin as the treatment of choice ensures successful eradication of the Legionella bacteria and helps the client recover from the infection.
The nurse is teaching a client with obstructive sleep apnea (OSA) about the prescribed CPAP. What information does the nurse NOT include?
- A. Insurance will cover the cost if you wear it at least 4 hours a day.
- B. Once the delivery mask is adjusted, do not loosen the straps.
- C. The CPAP provides pressure that holds your upper airways open.
- D. You need to clean the mask at least once a week to prevent infection.
Correct Answer: A
Rationale: The correct answer is A because insurance coverage for CPAP machines is generally not based on the number of hours it is worn per day but rather on medical necessity. The nurse would not include this information as it could lead to misunderstanding and incorrect assumptions. Choice B is incorrect because adjusting the mask may be necessary for comfort. Choice C is correct as CPAP does provide pressure to keep airways open. Choice D is also correct as cleaning the mask regularly is essential to prevent infections.
The partial pressure of carbon dioxide in venous blood is approximately
- A. 40 mm Hg
- B. 45 mm Hg
- C. 50 mm Hg
- D. 70 mm Hg
Correct Answer: B
Rationale: The correct answer is B (45 mm Hg) because the partial pressure of carbon dioxide in venous blood is typically around 40-45 mm Hg. This value represents the amount of CO2 dissolved in the blood plasma. Option A (40 mm Hg) is slightly on the lower side and may not fully reflect the average value. Option C (50 mm Hg) is higher than the usual range for venous blood CO2 levels. Option D (70 mm Hg) is significantly higher than the normal range and is more characteristic of arterial blood CO2 levels. Therefore, option B is the most accurate representation of the partial pressure of CO2 in venous blood.