Nokea
Which of the following tests would a nurse use to test whether air conduction or bone conduction is greater in the client?
- A. Romberg test
- B. Rinne Test
- C. Weber test
- D. Otoscopic examination
Correct Answer: B
Rationale: The Rinne test compares air conduction to bone conduction to identify conductive or sensorineural hearing loss.
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In a client receiving opiate therapy, which of the following should the nurse closely monitor for in order to minimize the risk for imbalanced nutrition?
- A. Diarrhea
- B. Anorexia and nausea
- C. GI tract infection
- D. Gastric ulcer
Correct Answer: B
Rationale: The correct answer is B because opiates commonly cause gastrointestinal side effects such as nausea and anorexia, which can lead to nutritional imbalances.
The most common cause of death in patients age 65 or older is:
- A. Chronic obstructive pulmonary disease
- B. Breast cancer
- C. Coronary artery disease
- D. Alzheimer’s disease
Correct Answer: C
Rationale: Coronary artery disease remains the leading cause of death in older adults due to its prevalence and associated complications such as heart attacks and heart failure.
Karen is suspected of having a hormone imbalance. What would you expect to monitor
- A. Electrolyte levels.
- B. Thyroid studies, follicle-stimulating hormone (FSH), and luteinizing hormone (LH).
- C. Caloric intake.
- D. All of the above.
Correct Answer: D
Rationale: Hormonal imbalances affect multiple systems and require comprehensive monitoring.
What condition should the nurse anticipate that might occur during epidural and spinal anesthesia?
- A. Spinal headache
- B. Hypotension and bradycardia
- C. Loss of consciousness and seizures
- D. Downward extension of nerve block
Correct Answer: B
Rationale: Epidural and spinal anesthesia commonly cause hypotension and bradycardia due to sympathetic blockade.
19. Which herb may relieve anxiety but can cause hepatotoxicity?
- A. Kava
- B. Ginseng
- C. Milk thistle
- D. Ginkgo biloba
Correct Answer: A
Rationale: Kava (option A) is known for its anxiolytic properties but carries a risk of hepatotoxicity if misused.