Nokea
Why should the nurse assess current weight status and recent weight fluctuations in a client with anxiety?
- A. Weight fluctuations indicate impaired kidney function in clients with anxiety
- B. All clients with anxiety lose weight rapidly
- C. Antianxiety drugs increase appetite
- D. Some clients may react to stress by overeating
Correct Answer: D
Rationale: Clients may overeat or lose appetite due to stress, affecting their weight and overall health.
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A preoperative patient reveals that an uncle died during surgery because of a fever and cardiac arrest. Knowing the patient is at risk for malignant hyperthermia, the perioperative nurse alerts the surgical team. What is likely to happen next?
- A. The surgery will have to be cancelled.
- B. Specific precautions can be taken to safely anesthetize the patient.
- C. Dantrolene (Dantrium) must be given to prevent hyperthermia during surgery.
- D. The patient should be placed on a cooling blanket during the surgical procedure.
Correct Answer: B
Rationale: With awareness of malignant hyperthermia risk, specific precautions ensure safe anesthesia administration.
Place the following interventions in the correct order.
- A. Apply a loose, sterile, bulky dressing
- B. Give pain medication
- C. Remove the victim from the cold environment
- D. Immerse the feet in warm water 100°F to 105°F (40.6°C to 46.1°C)
Correct Answer: C
Rationale: The first priority is removing the victim from the cold environment to prevent further damage.
What does cromolyn sodium act to do?
- A. Combat respiratory infection
- B. Constrict smooth muscle in the bronchial tree
- C. Prevent the release of histamine
- D. Terminate an asthmatic attack
Correct Answer: C
Rationale: Cromolyn sodium inhibits mast cell degranulation, preventing histamine release.
List in order the steps that are required to perform this function.
- A. Obtain an order for a chest x-ray to document tube placement
- B. Secure the tube in place
- C. Auscultate the chest during assisted ventilation
- D. Confirm that the breath sounds are equal and bilateral
Correct Answer: B
Rationale: Securing the tube ensures it remains in place during further assessments.
During seizure activity which observation is the priority to enhance further direction of treatment?
- A. Observe the sequence or types of movement.
- B. Note the time from beginning to end.
- C. Identify the pattern of breathing.
- D. Determine if loss of bowel or bladder control occurs.
Correct Answer: B
Rationale: Timing seizures is crucial for determining appropriate interventions.