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Your long-term care patient has chronic pain and at this point in time, the patient needs increasing dosages to adequately control this pain. What is this patient most likely affected by?
- A. Drug addiction
- B. Drug interactions
- C. Drug side effects
- D. Drug tolerance
Correct Answer: D
Rationale: The correct answer is D: Drug tolerance. When a patient needs increasing dosages to achieve the same pain relief, it indicates the development of drug tolerance. This means the body has adapted to the drug, requiring higher doses to produce the same effect. Choice A, drug addiction, is incorrect because drug addiction involves a psychological and physical dependence on the drug, which is not described in the scenario. Choice B, drug interactions, is incorrect as it refers to the effects when multiple drugs interact with each other, not the situation described. Choice C, drug side effects, is also incorrect as it pertains to the unintended effects of a drug, not the need for higher doses to control pain.
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Which of the following is an important aspect of healthcare leadership?
- A. Authoritarian decision-making
- B. Collaborative teamwork
- C. Limiting staff input
- D. Focusing only on financial outcomes
Correct Answer: B
Rationale: Collaborative teamwork is indeed an important aspect of healthcare leadership. In the healthcare field, effective leadership often involves working collaboratively with a team of diverse professionals to provide the best possible care for patients. This approach encourages communication, shared decision-making, and leveraging the expertise of each team member to achieve optimal outcomes. Choices A, C, and D are not ideal aspects of healthcare leadership. Authoritarian decision-making can hinder team morale and creativity, limiting staff input diminishes the value of diverse perspectives, and focusing only on financial outcomes may compromise patient care and staff well-being.
Your pediatric patient weighs 15.8 kg. How many pounds does this child weigh?
- A. 36 pounds
- B. 33.6 pounds
- C. 35 pounds
- D. 34.8 pounds
Correct Answer: D
Rationale: To convert 15.8 kg to pounds, you multiply by the conversion factor of 2.20462. So, 15.8 kg * 2.20462 = 34.8 pounds. Therefore, the child weighs 34.8 pounds. Choice A is incorrect as it is higher than the correct answer. Choice B is incorrect as it is lower than the correct answer. Choice C is incorrect as it rounds down the conversion result, leading to an inaccurate weight measurement.
Select the stage of viral hepatitis that is accurately paired with its characteristic(s).
- A. The prodromal stage: Jaundice begins
- B. The icteric stage: Flu-like symptoms occur
- C. The pre-icteric stage: Elevated urine bilirubin levels
- D. The post-icteric stage: Jaundice and dark urine occur
Correct Answer: D
Rationale: The post-icteric stage of viral hepatitis is accurately described as the stage where jaundice and dark urine occur due to the accumulation of bilirubin. The resolution of jaundice and normalization of urine color are seen in this stage. Choices A, B, and C are incorrect. In the prodromal stage, symptoms like fatigue and malaise appear before jaundice. The icteric stage is characterized by jaundice, not flu-like symptoms. The pre-icteric stage does not typically involve elevated urine bilirubin levels, as this occurs after the icteric stage.
Which of the following strategies can help improve patient adherence to treatment plans?
- A. Providing clear and understandable instructions
- B. Using medical jargon
- C. Limiting patient education
- D. Ignoring patient feedback
Correct Answer: A
Rationale: Providing clear and understandable instructions can help improve patient adherence to treatment plans. Clear instructions help patients better understand their treatment plans, leading to increased compliance. Choices B, C, and D are incorrect. Using medical jargon can confuse patients and reduce adherence. Limiting patient education deprives patients of essential information needed for adherence. Ignoring patient feedback can lead to misunderstandings and hinder the patient's commitment to the treatment plan.
A nurse is caring for a client who requests information about the prevalence of Tay-Sachs disease. Which of the following resources should the nurse use to obtain this information?
- A. The client's health care provider
- B. A collaborative, user-edited website
- C. The facility's case manager
- D. An evidence-based nursing journal
Correct Answer: D
Rationale: An evidence-based nursing journal is the correct choice for the nurse to obtain information about the prevalence of Tay-Sachs disease. These journals contain peer-reviewed research and studies conducted by experts in the field, providing accurate and reliable information. Choice A, the client's health care provider, may have general information but may not provide detailed prevalence data. Choice B, a collaborative, user-edited website, is not a reliable source as the information may be inaccurate or outdated. Choice C, the facility's case manager, is unlikely to have specific prevalence data on Tay-Sachs disease.