Med Surg Test 3 NCLEX select all that apply

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Which patient behaviors would the nurse promote for healthy eyes and ears (select all that apply)? a. Wearing protective sunglasses when bicycling b. Supplemental intake of B vitamins and magnesium c. Playing amplified music at 75% of maximum volume d. Patient notifying the health care provider of tinnitus while on antibiotics e. A woman avoiding pregnancy for 4 weeks after receiving measles, mumps, rubella (MMR) immunization

a. Wearing protective sunglasses when bicycling d. Patient notifying the health care provider of tinnitus while on antibiotics

Stimulation of the parasympathetic nervous system results in (select all that apply) a. constriction of the bronchi b. dilation of skin blood vessels c. increased secretion of insulin d. increased blood glucose levels e. relaxation of the urinary sphincters

a. constriction of the bronchi b. dilation of skin blood vessels c. increased secretion of insulin e. relaxation of the urinary sphincters

Common psychosocial reactions of the stroke patient to the stroke include (select all that apply) a. depression. b. disassociation. c. intellectualization. d. sleep disturbances. e. denial of severity of stroke.

a. depression. d. sleep disturbances. e. denial of severity of stroke.

Social effects of a chronic neurologic disease include (select all that apply) a. divorce. b. job loss. c. depression. d. role changes. e. loss of self-esteem.

a. divorce. b. job loss. c. depression. d. role changes. e. loss of self-esteem.

Age-related changed in the auditory system commonly include (select all that apply): a. drier cerumen b. tinnitus in both ears c. auditory nerve degeneration d. atrophy of the tympanic membrane e. greater ability to hear high pitched sounds

a. drier cerumen c. auditory nerve degeneration d. atrophy of the tympanic membrane

What should be included in the postoperative teaching of the patient who has undergone cataract surgery (select all that apply)? a. eye discomfort is often relieved with mild analgesics b. a decline in visual acuity is common for the first week c. stay on bed rest and limit activity for the first few days d. notify surgeon if an increase in redness or drainage occurs e. nighttime eye shielding and activity restrictions are essential to prevent eyestrain

a. eye discomfort is often relieved with mild analgesics d. notify surgeon if an increase in redness or drainage occurs

During assessment of the patient with trigeminal neuralgia, the nurse should (select all that apply) a. inspect all aspects of the mouth and teeth b. assess the gag reflex and respiratory rate and depth c. lightly palpate the affected side of the face for edema d. test for temperature and sensation perception on the face e. ask the patient to describe factors that initiate an episode

a. inspect all aspects of the mouth and teeth d. test for temperature and sensation perception on the face e. ask the patient to describe factors that initiate an episode

Before injecting fluorescein for angiography, it is important for the nurse to (select all that apply) a. obtain an emesis basin. b. ask if the patient is fatigued. c. administer a topical anesthetic. d. inform patient that skin may turn yellow. e. assess for allergies to iodine-based contrast media.

a. obtain an emesis basin. d. inform patient that skin may turn yellow.

Which statement accurately describes mild cognitive impairment (select all that apply) a. always progresses to AD b. caused by variety of factors and may progress to AD c. should be aggressively treated with acetylcholinesterase drugs d. caused by vascular infarcts that, if treated, will delay progression to AD e. patient is usually not aware that there is a problem with his or her memory

b. caused by variety of factors and may progress to AD

Instruct the patient who is newly fitted with bilateral hearing aids to (select all that apply) a. replace the batteries monthly. b. clean the ear molds weekly or as needed. c. clean ears with cotton-tipped applicators daily. d. disconnect or remove the batteries when not in use. e. initially restrict usage to quiet listening in the home.

b. clean the ear molds weekly or as needed. d. disconnect or remove the batteries when not in use. e. initially restrict usage to quiet listening in the home.

Age-related changes in the hair and nails include (select all that apply): a. oily scalp b. scaly scalp c. thinner nails d. thicker, brittle nails e. longitudinal nail ridging

b. scaly scalp d. thicker, brittle nails e. longitudinal nail ridging

In teaching a patient who is using topical corticosteroids to treat acute dermatitis, the nurse should tell the patient that (select all that apply) a. the cream form is the most efficient system of delivery b. short-term use of topical corticosteroids usually does not cause systemic side effects c. apply creams and ointments with a glove in a small amount to prevent further infection d. abruptly discontinuing the use of topical corticosteroids may cause a reappearance of the dermatitis e. systemic side effects may be experienced from topical corticosteroids if the person is malnourished

b. short-term use of topical corticosteroids usually does not cause systemic side effects d. abruptly discontinuing the use of topical corticosteroids may cause a reappearance of the dermatitis

Which strategies would best assist the nurse in communicating with a patient who has a hearing loss (select all that apply)? a. overenunciate speed b. speak normally and slowly c. exaggerate facial expressions d. raise the voice to a higher pitch e. write out names or difficult words

b. speak normally and slowly e. write out names or difficult words

Nursing management of a patient with a brain tumor includes (select all that apply) a. discussing with the patient methods to control inappropriate behavior b. using diversion techniques to keep the patient stimulated and motivated c. assisting and supporting the family in understanding any changes in behavior d. limiting self care activities until the patient has regained maximum physical functioning e. planning for seizure precautions and teaching the patient and the caregiver about antiseizure drugs

c. assisting and supporting the family in understanding any changes in behavior e. planning for seizure precautions and teaching the patient and the caregiver about antiseizure drugs


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