Answer the following questions and state the rationale for the correct answer

Answer the following questions and state the rationale for the correct answer.

1. A nurse is assessing a patient with suspected amyotrophic lateral sclerosis (Lou Gehrig disease). Which assessment findings will be consistent with this disease?
2. Muscle rigidity, difficulty initiating movement, drooling.
3. Progressive muscle weakness and eventually paralysis
4. Progressive loss of memory, judgment, and self-care ability
5. Writhing movements and progressive dementia

 

1. After a patient who has septic shock receives 2 L of normal saline intravenously, the blood pressure is 82/40 mm Hg. What medication should the nurse anticipate?
2. Sodium nitroprusside
3. Furosemide
4. Nitroglycerin
5. Norepinephrine

 

1. A client is prescribed naproxen for joint pain. What statement by the client indicates a need for further teaching?
2. “I’ll take this drug only as prescribed by my primary health care provider.”
3. I’ll report any signs of bleeding or bruising to my primary health care provider.”
4. “I’ll be sure to take this drug after I have eaten.”
5. “I’ll be sure to take this drug three times a day only on an empty stomach.”

 

1. A nurse is caring for a patient in septic shock due to urinary sepsis. Which pathophysiologic mechanism results in septic shock?
2. Microorganisms invade organs such as the kidneys and heart.
3. White blood cells are released to fight invading bacteria.
4. Bacterial toxins lead to vasodilation.
5. Bacterial toxins leading to an increased afterload.

 

1. Hearing loss associated with aminoglycosides is known as
2. conductive.
3. sensorineural
4. presbycusis.
5. otosclerosis.

 

1. A patient is admitted for septic shock, the patient’s IV and urinary catheter start to ooze blood. Which laboratory value would the nurse expect to note?
2. Decreased platelet counts
3. Decreased INR
4. Increased Hgb
5. Increased fibrinogen

 

1. It is true that a conductive hearing loss
2. usually results from chronic exposure to loud noise.
3. is because of dysfunction of outer and middle ear structures.
4. is as a result of damage to hair cells in the inner ear.
5. cannot be corrected.

 

1. A patient who is an opioid addict has undergone detoxification with buprenorphine [Subutex] and has been given a prescription for buprenorphine with naloxone [Suboxone]. The patient asks the nurse why the drug was changed. Which response by the nurse is correct?
2. “Suboxone has a longer half-life.”
3. “Suboxone has a lower risk of abuse.”
4. “Subutex causes more respiratory depression.”
5. “Subutex has more buprenorphine.”

 

1. Which intervention is the priority for a client in myasthenic crisis?
2. Performing plasmapheresis
3. Administering neotigmine bromide
4. Administering carvadopa-levadopa
5. Maintaining adequate respiratory function

 

1. A patient in the emergency department complains of sudden onset severe pain in his eye and is feeling acutely nauseous. Which diagnosis should the nurse suspect?
2. Angle-closure glaucoma
3. Retinal detachment
4. Cataracts
5. Open-angle glaucoma

 

1. Patient teaching is considered successful regarding myasthenia gravis when the patient identifies its cause as being:
2. viral infection of skeletal muscle.
3. demyelination of skeletal motor neurons.
4. autoimmune injury at the neuromuscular junction.
5. atrophy of motor neurons in the spinal cord.

 

1. A 78-kg patient in septic shock has a pulse rate of 120 beats/min with low central venous pressure and pulmonary artery wedge pressure. After initial fluid volume resuscitation, the patient’s urine output has been 30 mL/hr for the past 3 hours. Which order by the health care provider should the nurse question?
2. Administer furosemide (Lasix) 40 mg IV.
3. Increase normal saline infusion to 250 mL/hr.
4. Give hydrocortisone (Solu-Cortef) 100 mg IV.
5. Use norepinephrine to keep systolic BP above 90 mm Hg.

 

1. A patient has been admitted with a neurologic disorder. With which disorder should the nurse be the most vigilant for the development of neurogenic shock?
2. Brain tumor
3. Ischemic stroke
4. Guillain-Barré syndrome
5. Spinal cord injury

 

1. A patient is receiving norepinephrine as a first line treatment for shock in order to increase vascular resistance. Which type of shock is the patient being treated for?
2. Anaphylactic
3. Cardiogenic
4. Septic
5. Neurogenic

 

1. Which of the following are true about nitrates?
2. They can be safely taken with phosphodiesterase inhibitors.
3. They can be used to treat angina.
4. They will likely cause the patient’s blood pressure to increase.
5. They increase afterload
6. They will likely cause the patient’s blood pressure to decrease.
7. They can be used to treat malignant hypertension.

 

1. Which of the following opthalmic conditions is correctly correlated with its likely symptom(s). (Select all that apply.)
2. Angle closure glaucoma-visible opacity
3. Glaucoma-loss of peripheral vision
4. Macular degeneration-central vision gain
5. Open angle glaucoma-sudden eye pain and projectile vomiting
6. Cataract-blurred vision