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Q&A Random - 8

Q&A Random - 8

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Published by: Filipino Nurses Central on Mar 31, 2010
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05/17/2012

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PRACTICE TEST QUESTIONSDownloaded from FILIPINO NURSES CENTRAL{www.nursescentral.ning.com}Q&A Random -8
Question Number 1 of 40
A client complained of nausea, a metallic taste in her mouth,and fine hand tremors 2 hours after her first dose of lithiumcarbonate (Lithane). What is the nurse’s best explanation of these findings?
A)These side effects are common and should subside in a fewdaysB)The client is probably having an allergic reaction and shoulddiscontinue the drugC)Taking the lithium on an empty stomach should decrease thesesymptomsD)Decreasing dietary intake of sodium and fluids should minimizethe side effectsThe correct answer is A: These side effects are common and shouldsubside in a few days Nausea, metallic taste and fine hand tremorsare common side effects that usually subside within days.Question Number 2 of 40
A client with asthma has low pitched wheezes present on thefinal half of exhalation. One hour later the client has highpitched wheezes extending throughout exhalation. This changein assessment indicates to the nurse that the client
A) Has increased airway obstructionB) Has improved airway obstructionC) Needs to be suctionedD) Exhibits hyperventilationThe correct answer is A: Has increased airway obstructionThe higher pitched a sound is, the more narrow the airway. Therefore,the obstruction has increased or worsened. With no evidence of secretions no support exists to indicate the need for suctioningQuestion Number 3 of 40
 
Which behavioral characteristic describes the domestic abuser?
A) AlcoholicB) Over confidentC) High tolerance for frustrationsD) Low self-esteemYour response was
"A" 
.The correct answer is D: Low self-esteemBatterers are usually physically or psychologically abused as childrenor have had experiences of parental violence. Batterers are alsomanipulative, have a low self-esteem, and have a great need toexercise control or power-over partner.Question Number 4 of 40
Following a diagnosis of acute glomerulonephritis (AGN) intheir 6 year-old child, the parents remark: “We just don’t knowhow he caught the disease!” The nurse's response is based onan understanding that
A) AGN is a streptococcal infection that involves the kidney tubulesB) The disease is easily transmissible in schools and campsC)The illness is usually associated with chronic respiratoryinfectionsD)It is not "caught" but is a response to a previous B-hemolyticstrep infectionThe correct answer is D: It is not "caught" but is a response to aprevious B-hemolytic strep infectionQuestion No. 5AGN is generally accepted as an immune-complex disease in relationto an antecedent streptococcal infection of 4 to 6t weeks prior, and isconsidered as a noninfectious renal disease.Which statement by the client with chronic obstructive lung diseaseindicates an understanding of the major reason for the use of occasional pursed-lip breathingA) "This action of my lips helps to keep my airway open."B) "I can expel more when I pucker up my lips to breathe out."
 
 C) "My mouth doesn't get as dry when I breathe with pursed lips."D)"By prolonging breathing out with pursed lips the little areas inmy lungs don't collapse."
.The correct answer is D: "By prolonging breathing out with pursed lipsmy little areas in my lungs don''t collapse."Clients with chronic obstructive pulmonary disease have difficultyexhaling fully as a result of the weak alveolar walls from the diseaseprocess . Alveolar collapse can be avoided with the use of pursed-lipbreathing. This is the major reason to use it. The other options aresecondary effects of purse-lip breathing.Question Number 6 of 40Following mitral valve replacement surgery a client develops PVC’s.The health care provider orders a bolus of Lidocaine followed by acontinuous Lidocaine infusion at a rate of 2 mgm/minute. The IVsolution contains 2 grams of Lidocaine in 500 cc’s of D5W. The infusionpump delivers 60 microdrops/cc. What rate would deliver 4 mgm of Lidocaine/minute?A) 60 microdrops/minuteB) 20 microdrops/minuteC) 30 microdrops/minuteD) 40 microdrops/minuteThe correct answer is A: 60 microdrops/minute2 gm=2000 mgm2000 mgm/500 cc = 4 mgm/x cc2000x = 2000x= 2000/2000 = 1 cc of IV solution/minuteCC x 60 microdrops = 60 microdrops/minuteQuestion Number 7 of 40The nurse is caring for a post-surgical client at risk for developing deepvein thrombosis. Which intervention is an effective preventivemeasure?The correct response is
"C" 
.A) Place pillows under the kneesB) Use elastic stockings continuously

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