MSIIIF
At what age should a male be taught testicular self-examination (TSE)?
15
Which patient is most at risk for the infection of epididymitis?
17-year-old athlete who trains for several hours a day
The nurse is aware that the drug t-PA (Activase), a tissue plasminogen activator, must be given in hours of the onset of symptoms to have maximum benefit.
3 hours
1. Which condition would prevent the use of a vaginal hysterectomy?
Large uterine fibroids
What is the third step in the sequence of a plasmapheresis procedure?
Replacement of plasma with lactated Ringer
What is the purpose of a "drug holiday" in the treatment of Parkinson disease?
Restart drugs at a lower dosage with favorable results.
What is the most interior part of the eye?
Retina
A patient is in which stage of Alzheimer's disease when she demonstrates "sundowning"?
Second stage
For most people who are HIV-positive, marker antibodies are usually present 10 to 12 weeks after exposure. What is the development of these antibodies called?
Seroconversion
The 62-year-old home health patient who is recovering from eye surgery complains of a feeling of "grittiness" in the eye and is having blurred vision. The eyes are reddened and have stringy mucus. What do these complaints indicate?
Sjögren syndrome
Why is the patient with suspected Guillain-Barre Syndrome (GBS) hospitalized immediately?
The disease can rapidly progress into respiratory failure.
What should a patient who has had a cataract repair avoid?
The lifting of heavy objects
The patient tells the nurse that he is legally blind. How would this information impact the nurse's plan of care for this patient?
The nurse would need to determine how this patient's visual impairment affects normal functioning.
Which statement made by a patient who has been taught the technique of testicular self-examination indicates the need for further teaching?
"I will examine my scrotum after every ejaculation."
A patient who works in a plant nursery and has suffered an allergic reaction to a bee sting is stabilized and prepared for discharge from the clinic. During discussion of prevention and management of further allergic reactions, the nurse identifies a need for additional teaching based on which comment?
"I will need to take maintenance doses of corticosteroids to prevent reactions to further stings?"
The nurse gives discharge instructions to a person who has had a modified radical mastectomy of the right side to perform the "elbow pull-in." What is the first step of the exercise?
Extend arms sideways to shoulder level.
The nurse explains that the two divisions of the autonomic nervous system work to maintain homeostasis. Which is the first autonomic event?
Extremely stressful or frightening event
The newly admitted patient to the emergency room after a motorcycle accident has serosanguineous drainage coming from the nose. What is the most appropriate nursing response to this assessment?
Gently wipe nose with absorbent gauze.
Four hours after a stapedectomy, the patient complains that hearing has not improved at all.What knowledge would the nurse use to shape a response?
Hearing will not return until edema subsides.
What is the first sign of Bell's palsy?
Inability to wrinkle forehead and pucker lips on affected side.
One of the housekeepers splashes a chemical in the eyes. What should be the first priority?
Irrigate with normal saline solution for 20 minutes.
The depressed patient with AIDS says, "I don't understand why I am going to be getting doses of testosterone. What good will that do me now?" What should the nurse keep in mind about testosterone when responding?
It can increase lean body mass.
What is the basic problem that prompts most of the early signs of Alzheimer's disease?
Memory loss that disrupts daily life
What do the activated monocytes and macrophages produce in the presence of an inflammatory process?
Neopterin
What should the nurse do because of the increasing strength of the dose in the injections for immunotherapy?
Observe the patient for at least 20 minutes after administration.
Which symptom would be classified as a mild transfusion reaction?
Orthopnea
What is a common mistake that hinders communication when communicating with the hearing impaired?
Overaccentuating words
What should the nurse do when the child arrives on the floor with the diagnosis of bacterial meningitis?
Place the child in respiratory isolation.
Why are snacks high in potassium, such as bananas and apricot nectar, recommended?
Potassium will support weight gain.
Why are the drugs neostigmine (Prostigmin) and pyridostigmine (Mestinon) helpful to the person with myasthenia gravis?
Promotes nerve impulse transmission.
An anxious patient enters the emergency room with angioedema of the lips and tongue, dyspnea, urticaria, and wheezing after having eaten a peanut butter sandwich. What should be the nurse's first intervention?
Provide oxygen per nonrebreathing mask.
Following a myelogram the nurse should include in the postprocedure care assessment for:
sensation in lower extremities.
What is the process when the lens of the eye changes its curvature to focus on the retina?
Accommodation
Immediately after the nurse administers an intradermal injection of a suspected antigen during allergy testing, the patient complains of itching at the site, weakness, and dizziness. Which action by the nurse is most appropriate initially?
Administer subcutaneous epinephrine.
What should the nurse emphasize when counseling an anxious HIV-positive mother about the care of her HIV-positive infant?
Although infants of HIV-infected mothers may test positive for HIV antibodies, not all infants are infected with the virus.
When the newly blind male home health patient asks the nurse how he might get assistance, who might the nurse suggest he contact?
American Foundation for the Blind for a list of agencies
What is the etiology of autoimmune diseases based on?
B and T cells producing autoantibodies
How does normal aging change the immune system?
B cells show deficiencies in activity.
What does the cataract treatment of phacoemulsification involve?
Breaking the cataract with ultrasound
The nurse outlines for a patient who has asthma attacks from pollen that the process from exposure to symptoms follows a systematic sequence. What is the last physiologic responses of an allergic asthma attack?
Bronchospasm
Select all the conditions that may cause conductive hearing loss. (Select all that apply.)
Buildup of cerumen, Foreign bodies, Otosclerosis of external auditory canal, Otitis media with effusion
What does the nurse know about the stroke patient who has expressive aphasia?
Can understand the spoken word, but cannot speak.
Vaginal fistulas are caused by an ulcerating process resulting from: (Select all that apply.)
Cancer, Radiation, Weakening of tissue from pregnancies, Surgical interventions.
What does a tympanoplasty correct?
Conductive hearing loss
What is the sixth step in the process of the menstrual cycle to produce menses?
Corpus luteum releases estrogen and progesterone.
Which complaint made by a 64-year-old patient during a health interview would alert the nurse to the possibility of cataracts?
Difficulty driving at night
On the fourth postoperative day after a modified radical mastectomy, the nurse finds the patient with her back to the nurse. She is crying and tells the nurse she feels ugly and is worried that her husband will not be in love with her anymore. The nurse bases subsequent nursing interventions on what diagnosis?
Disturbed body image related to removal of her breast
On the second postoperative day, a patient who has had an abdominal hysterectomy complains of gas and abdominal distention. Which intervention would be most appropriate to stimulate a bowel movement?
Encouraging ambulation at least four times per day
What is the first nursing intervention step for the immediate care of a patient with a penetrating wound of the eye?
Lay the patient down flat.
What is the substance released by the T cells that stimulates the lymphocytes to attack an inflammation?
Lymphokine
The nurse takes into consideration that when the antigen and antibody react, the complement system is activated which:
attracts phagocytes.
The nurse counsels the 16-year-old boy that playing his music at high volume can result in impairment in hearing related to:
damage of the fine hair cells in the organ of Corti.
An 83-year-old patient has had a stroke. He is right handed and has a history of hypertension and "little" strokes. He presents with right hemiplegia. To afford him the best visual field, the nurse should approach him:
from the left side.
A patient is admitted with a secondary immunodeficiency from chemotherapy. The nursing plan of care should include provisions for:
infection control.
The nurse clarifies that the difference between a photorefractive keratectomy (PRK) and a laser in-situ keratomileusis (LASIK) is that a LASIK:
removes some internal layers of the cornea.
The young husband of a patient who has been scheduled for a hysterectomy because of the discovery of ovarian cancer in both ovaries says to the nurse, "Please go talk to my wife. She is real upset and says she won't be a 'woman' anymore." What is the nurse's most therapeutic response?
"No matter what I may say to her, it is you that needs to listen to her concerns and assure her."
After what period would the home health nurse make a mental health appointment for a patient with an HIV infection after assessing a diminished ability to attend to daily functioning?
2 weeks
If a nurse is sensitive to latex gloves, what potential food sensitivities might the nurse develop? (Select all that apply.)
Avocados, Bananas, Tomatoes, Potatoes
What would the nurse recommend for a 94-year-old home health patient with deteriorated cell-mediated immunity?
Avoiding the influenza vaccine
A patient, age 41, has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis. She asks the nurse if she will have "hot flashes." What knowledge will guide the nurse's response?
The uterus, ovaries, and fallopian tubes were removed, and she will have surgically induced menopause and may have hot flashes.
Why would the nurse encourage the patient who is recovering from a modified radical mastectomy to exercise the affected arm?
To reduce lymphedema.
How would the nurse instruct a patient with Parkinson disease to improve activity level?
To walk with hands clasped behind back to help balance.
A 20-year-old patient presents in the emergency room with a temperature of 103°F, blood pressure of 92/58, headache, and desquamation of both palms. What should the nurse make sure to ask about during the interview?
Use of tampons
Which of the following is an example of immunocompetence?
When the symptoms of a common cold disappear in 1 day
Which foods should the person who suffers from migraine headaches avoid? (Select all that apply.)
Yogurt, Caffeine, Milk
Why do false-negative results in mammography occur in specific age-groups?
Younger women have greater density of breast tissue.