Nokea
Which physiological response is often associated with surgery-related stress?
- A. Bronchial constriction.
- B. Decreased cortisol levels.
- C. Peripheral vasodilation.
- D. Sodium and water retention.
Correct Answer: D
Rationale: Stress activates the renin-angiotensin-aldosterone system, leading to sodium and water retention.
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16. Which statement accurately describes the common use of feverfew?
- A. Frequently used for insomnia and anxiety
- B. Most commonly used for prevention of migraine headaches
- C. Frequently used to prevent and treat upper respiratory infections
- D. Often used by perimenopausal women to relieve menopausal symptoms
Correct Answer: B
Rationale: Feverfew is most commonly used for the prevention of migraine headaches, making option B the correct answer.
Why is empathetic listening important during nurse-client communication?
- A. It helps in building trust and understanding.
- B. It ensures compliance with medical advice.
- C. It facilitates reaching the goals of a client.
- D. It avoids overwhelming a client with new information.
Correct Answer: A
Rationale: Empathetic listening allows the nurse to understand the client's concerns deeply, which strengthens the therapeutic relationship and improves care outcomes.
A client is admitted with a pulmonary embolism (PE). The client is young, healthy, and active, and has no known risk factors for PE. What action by the nurse is most appropriate?
- A. Encourage the client to walk for 5 minutes each hour.
- B. Refer the client for smoking cessation classes.
- C. Teach the client about factor V Leiden testing.
- D. Explain to the client that sometimes no cause for the disease is found.
Correct Answer: C
Rationale: The correct answer is C because teaching the client about factor V Leiden testing is important in this scenario. Factor V Leiden is a genetic mutation that increases the risk of blood clot formation, including pulmonary embolism. Since the client has no known risk factors for PE, testing for this specific genetic mutation can help identify an underlying cause. Encouraging walking (choice A) is generally beneficial but may not address the root cause. Referring for smoking cessation (choice B) is not relevant in this case. Explaining that sometimes no cause is found (choice D) is not proactive and may lead to missed opportunities for prevention.
The primary mode of treatment for ankylosing spondylitis is
- A. Relaxed posture for comfort.
- B. Physical therapy.
- C. Strict bedrest.
- D. Respiratory therapy.
Correct Answer: B
Rationale: Physical therapy helps maintain mobility in ankylosing spondylitis.
When should nurses view rehabilitation as a process?
- A. Occurs in the last stage of the patient’s hospitalization
- B. Encompasses all nursing practice goals and activities
- C. Occurs primarily in a specialized unit of the hospital
- D. May not be achieved for all patients
Correct Answer: B
Rationale: Rehabilitation is an integral part of nursing practice that spans all stages of care, focusing on restoring function and independence.