Nokea
While assessing a client with pulmonary tuberculosis, which of the following findings should the nurse expect?
- A. Lethargy
- B. High-grade fever
- C. Weight gain
- D. Dry cough
Correct Answer: A
Rationale: The correct answer is A: Lethargy. In pulmonary tuberculosis, lethargy is common due to systemic symptoms like fatigue and weakness. High-grade fever is also common but not specific to pulmonary tuberculosis. Weight loss, not weight gain, is a classic symptom due to decreased appetite. Dry cough is a common symptom, but not as specific as lethargy in pulmonary tuberculosis.
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Patients with rheumatoid arthritis typically have pain
- A. With activity.
- B. Only upon awakening.
- C. Late in the evening.
- D. All day without remission.
Correct Answer: A
Rationale: RA pain worsens with activity due to joint inflammation.
2. What therapies are included in the mind-body medicine National Center for Complementary and Alternative Medicine (NCCAM) category (select all that apply)?
- A. Use of hands to realign energy flow
- B. Communication with the Creator or the Sacred
- C. Learned control of physiologic responses of the body
- D. Self-directed practice of focusing, centering, and relaxing
Correct Answer: C
Rationale: The correct answers are C. Mind-body medicine focuses on techniques like learned control of physiological responses (e.g., biofeedback) and self-directed practices such as meditation or relaxation, which align with options C and D.
Which traits are clients with anorexia nervosa noted to have?
- A. Low self-esteem
- B. High self-esteem
- C. Perfectionism
- D. Intense desire to displease others
Correct Answer: C
Rationale: Perfectionism is a common trait among individuals with anorexia nervosa, driving their pursuit of unrealistic body ideals.
Which is an essential component of quality care for dying clients?
- A. Assist the client with personal hygiene.
- B. Inform all members of healthcare regarding the client’s prognosis.
- C. Provide sensitivity and compassion for the client and their family members.
- D. Promote the care of dying clients at home or in hospice settings.
Correct Answer: C
Rationale: Sensitivity and compassion address emotional and psychological needs, enhancing end-of-life care.
Which signs and symptoms of lithium toxicity should a nurse monitor for?
- A. Constipation
- B. Vomiting
- C. Amnesia
- D. Muscular rigidity
Correct Answer: B
Rationale: Vomiting is a common early sign of lithium toxicity, indicating the need for immediate medical attention.