Nokea
Which of the following statements is NOT true? The SARS coronavirus
- A. Caused an epidemic in 2003 that registered 10% mortality rate
- B. Caused an acute infection of the lungs classified as acute respiratory distress syndrome
- C. Is also the causal agent of MERS (Middle East Respiratory Syndrome)
- D. Is thought to have been transmitted from bats to civets and from civets to humans
Correct Answer: C
Rationale: The correct answer is C because the statement that SARS coronavirus is also the causal agent of MERS is false. MERS (Middle East Respiratory Syndrome) is caused by a different coronavirus called MERS-CoV. SARS-CoV caused the 2003 epidemic with a 10% mortality rate, which aligns with statement A. Statement B is correct as SARS-CoV does cause an acute infection of the lungs known as acute respiratory distress syndrome. Statement D is also true as SARS-CoV is believed to have been transmitted from bats to civets and then to humans. Therefore, the incorrect statement is C.
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What is hyperkalemia frequently associated with?
- A. Hypoglycemia
- B. Metabolic acidosis
- C. Respiratory alkalosis
- D. Decreased urine potassium levels
Correct Answer: B
Rationale: Metabolic acidosis increases hydrogen ion exchange for potassium in cells, releasing potassium into the bloodstream and causing hyperkalemia.
A patient with wheezing and coughing caused by an allergic reaction to penicillin is admitted to the emergency department (ED). Which of these medications do you anticipate administering first?
- A. methylprednisolone (Solu-Medrol) 100 mg IV
- B. cromolyn sodium (Intal) 20 mg per nebulizer
- C. albuterol (Proventil) 0.5 mL per nebulizer
- D. aminophylline 500 mg IV over 20 minutes
Correct Answer: C
Rationale: Albuterol is a bronchodilator that acts quickly to relieve wheezing and coughing caused by bronchospasm. It is the first-line treatment for acute allergic reactions affecting the airways. The other medications may be used as adjuncts but are not as immediately effective in relieving bronchospasm.
The nurse is caring for a patient who has had a total hip replacement and is using an abductor wedge. For which finding should the nurse assess?
- A. Muscle spasms
- B. Alteration in peripheral circulation
- C. Compression fracture
- D. Appropriateness of the size of the wedge
Correct Answer: B
Rationale: The correct answer is B: Alteration in peripheral circulation. The abductor wedge can affect blood flow to the legs, leading to potential complications like deep vein thrombosis. The nurse should assess for signs of impaired circulation such as color changes, temperature differences, and peripheral pulses. Muscle spasms (A) may occur due to the surgery but are not directly related to the wedge. Compression fracture (C) is not typically a concern with an abductor wedge. Assessing the appropriateness of the wedge size (D) is important but not as critical as monitoring for alterations in peripheral circulation.
How does interferon help the body’s natural defenses?
- A. Directly attacks and destroys virus-infected cells
- B. Augments the immune response by activating phagocytes
- C. Induces production of antiviral proteins in cells that prevent viral replication
- D. Is produced by viral infected cells and prevents the transmission of the virus to adjacent cells
Correct Answer: C
Rationale: Interferons induce the production of antiviral proteins in uninfected cells, preventing viral replication and spread.
Which of the following is the most important factor in the nursing management of a client with CFS?
- A. Teaching the client how to avoid aggravating the disease
- B. Informing the client about the drug therapy that will provide significant improvement
- C. Advising the client to alter the diet and environment
- D. Educating the client about the disease process and its limitations
Correct Answer: D
Rationale: Educating the client about the disease process and its limitations helps them manage symptoms and improve quality of life.