Nokea
Your patient is experiencing exacerbations of systemic lupus erythematosus. What would you expect the physician to prescribe?
- A. Antiemetics.
- B. Corticosteroids.
- C. Antineoplastics.
- D. Antibiotics.
Correct Answer: B
Rationale: Corticosteroids are used to manage SLE flare-ups.
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A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?
- A. Check the tubing connections for leaks.
- B. Check the suction control outlet on the wall.
- C. Clamp the chest tube.
- D. Continue to monitor the client's respiratory status.
Correct Answer: A
Rationale: The correct answer is A: Check the tubing connections for leaks.
1. Slow, steady bubbling in the suction control chamber indicates an air leak in the system.
2. Checking the tubing connections for leaks is the appropriate action to identify and fix the issue.
3. This helps maintain the integrity of the closed chest drainage system and prevent complications.
Other choices are incorrect:
B: Checking the suction control outlet on the wall is not necessary as the issue is likely within the tubing system.
C: Clamping the chest tube could lead to tension pneumothorax and is not recommended unless ordered by a physician.
D: Continuing to monitor the client's respiratory status does not address the underlying problem of the air leak.
According to the Corbin and Strauss chronic illness trajectory, which statement describes a patient with an unstable condition?
- A. Life-threatening situation
- B. Increasing disability and symptoms
- C. Gradual return to acceptable way of life
- D. Loss of control over symptoms and disease course
Correct Answer: D
Rationale: An unstable condition reflects loss of control over symptoms and disease progression, indicating difficulty managing health effectively.
Mary is diagnosed with a brain tumor and is unable to speak. Where is the tumor probably located?
- A. Occipital lobe.
- B. Cerebellum.
- C. Frontal lobe.
- D. Parietal lobe.
Correct Answer: C
Rationale: The frontal lobe controls speech and language functions.
Mrs. Dailey tells the nurse that she uses eyedrops which make her pupils get small. Which of the following drugs would produce this effect?
- A. Epinephrine (Adrenalin)
- B. Acetazolamide (Diamox)
- C. Atropine
- D. Pilocarpine
Correct Answer: D
Rationale: Pilocarpine is a miotic agent that constricts the pupil, commonly used in treating glaucoma by improving aqueous humor outflow.
While caring for a client with extensive partial and full-thickness burns of the head, neck, and chest, which risk should the nurse prioritize for assessment and intervention?
- A. Airway obstruction
- B. Infection
- C. Fluid imbalance
- D. Paralytic ileus
Correct Answer: A
Rationale: The correct answer is A: Airway obstruction. This should be prioritized because burns to the head, neck, and chest can lead to swelling and inflammation, potentially compromising the airway. Maintaining a clear airway is crucial for oxygenation and ventilation. If the airway becomes obstructed, it can quickly lead to respiratory distress or failure. Assessing for signs of airway compromise and intervening promptly is essential to prevent serious complications.
Choices B, C, and D are incorrect because while infection, fluid imbalance, and paralytic ileus are also important considerations in burn care, they are not as immediately life-threatening as airway obstruction in this case. Infection can be managed with appropriate wound care, fluid imbalance can be addressed with fluid resuscitation, and paralytic ileus can be treated with medications and bowel management strategies.