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Which of the following is information the nurse would be correct in giving the patient about smoking and its effect on BP?
- A. It is associated with stages 1 and 2 hypertension.
- B. It does not affect BP regulation.
- C. It vasodilates the peripheral blood vessels.
- D. It causes sustained BP elevation.
Correct Answer: D
Rationale: Smoking is a known risk factor for hypertension. Chronic smoking leads to sustained elevation in blood pressure by causing vasoconstriction of the blood vessels, increasing heart rate, and promoting the formation of plaques in the arteries. This can contribute to the development of hypertension over time. Therefore, the nurse would be correct in informing the patient that smoking causes sustained elevation in blood pressure.
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A newborn is diagnosed with retinopathy of prematurity. What should the nurse know about this diagnosis?
- A. Blindness cannot be prevented.
- B. No treatment is currently available.
- C. Cryotherapy and laser therapy are effective treatments.
- D. Long-term administration of oxygen will be necessary.
Correct Answer: C
Rationale: Retinopathy of prematurity (ROP) is a disorder of the developing retinal blood vessels in premature infants. Cryotherapy and laser therapy are both effective treatments for ROP. These treatments can help prevent vision loss and improve the chances of maintaining good vision. Prompt detection and intervention are key in managing ROP to prevent long-term visual impairment. Therefore, the nurse should be aware that cryotherapy and laser therapy are effective interventions for ROP, contrary to the options suggesting blindness cannot be prevented or no treatment is available. Long-term administration of oxygen can contribute to the development of ROP, so careful monitoring and management of oxygen levels are necessary in premature infants to prevent this condition.
A 12-year-old male adolescent, recently diagnosed with Hodgkin lymphoma, shows left cervical and supraclavicular lymph node involvement and drenching night sweats. Based on Ann Arbor Classification, the patient is classified as
- A. stage IA
- B. stage IB
- C. stage IIA
- D. stage IIB
Correct Answer: D
Rationale: Involvement of two lymph node regions above the diaphragm with systemic symptoms corresponds to stage IIB.
At the time of birth, what is the grayish white, cheeselike substance that normally covers the newborn's skin called?
- A. Miliaria
- B. Meconium
- C. Amniotic fluid
- D. Vernix caseosa
Correct Answer: D
Rationale: Vernix caseosa is the grayish white, cheeselike substance that normally covers a newborn's skin at the time of birth. It is a natural substance produced by the baby's skin glands while in the womb. Vernix caseosa helps protect the baby's delicate skin from the amniotic fluid in the uterus and acts as a moisturizer as well. It also has antimicrobial properties, providing a barrier against infection. After birth, healthcare providers typically wipe off or gently wash the vernix from the baby's skin during the first bath.
You are meeting parents of a 5-year-old boy; the mother is wondering about the normal sexual behavior of her child. Of the following, the sexual behavior that is considered HIGHLY unusual in this age group is
- A. touching his genitals in public
- B. showing his genitals to others
- C. undressing in public
- D. imitating intercourse or other adult sexual behaviors
Correct Answer: D
Rationale: Imitating adult sexual behaviors is highly unusual and concerning in young children, suggesting possible exposure to inappropriate content or experiences.
Whoch of the ff. is a desired outcome for the nursing diagnosis of acute pain for a patient with acute thrombophlebitis?
- A. States anxiety is decreased
- B. States pain is satisfactorily relieved c.Is able to participate in desired activities
- C. Reports ability to ambulate without pain
Correct Answer: C
Rationale: A desired outcome for the nursing diagnosis of acute pain related to acute thrombophlebitis would be for the patient to be able to participate in desired activities. By achieving pain relief and being able to engage in activities they enjoy or find important, the patient's overall quality of life can be improved. This outcome focuses on enhancing the patient's ability to function and maintain independence despite the pain associated with the thrombophlebitis. It reflects a holistic approach to care that considers the patient's physical, emotional, and social well-being. Ultimately, the goal is to help the patient achieve a level of comfort and mobility that allows them to resume their desired activities.