NRSG 6300 Advance Pathophysiology 501-600
A clinician is determining brain death in a patient. Which of the following supports the conclusion of brain death? Absence of corneal reflexes Presence of gag reflex Presence of caloric response Presence of simple motor responses only
Absence of corneal reflexes
A clinician wants to review specific diagnostic criteria for behavioral disorders. Which reference material should she consult? Mini-Mental Status Examination (MMSE) Diagnostic and Statistical Manual of Mental Disorders Beck Depression Inventory CAGE Assessment
Diagnostic and Statistical Manual of Mental Disorders
A woman brings her friend to the emergency department. She worries her friend has overdosed on opioids. Which of the following signs and symptoms would indicate opioid overdose? Elevated heart rate (HR) and anxiety Diminished respirations Confusion and severe hypotension Delusions and hallucinations
Diminished respirations
A patient has developed otitis externa. Which of the following will the nurse expect for the patient? Profound hearing loss Vertigo Discharge from ear canal Tympanic membrane rupture
Discharge from ear canal
A patient is diagnosed with Meniere's disease. Which of the following medications may the nurse expect to be prescribed for the patient? Thyroid hormone replacement Beta-blockers Diuretics Proton pump inhibitors
Diuretics
Otitis media in a patient is being evaluated with a pneumatic otoscope. What is the purpose of this diagnostic tool? Evaluate low-frequency hearing loss. Evaluate tympanic membrane movement. Evaluate sensorineural hearing loss. Evaluate cerumen impaction.
Evaluate tympanic membrane movement.
A nurse suspects that a patient has developed systemic inflammatory response syndrome (SIRS). Which of the following would be in support of that assessment? Select all that apply. Bradycardia Fever Heart rate (HR) > 90 beats per minute with respiratory rate (RR) of 12 breaths per minute Leukocytosis RR of 24 breaths per minute
Fever Leukocytosis RR of 24 breaths per minute
In regard to the shock, which of the following is the correct understanding for the nurse to have in regard to renal function? The kidneys are very resilient and can withstand a state of shock for several days. Any damage to the kidneys during a state of shock is irreversible. Development of even brief episodes of shock is the number one reason for renal transplants. Fifteen minutes of shock can begin to cause dysfunction of renal tubules.
Fifteen minutes of shock can begin to cause dysfunction of renal tubules.
Which of the following are the recommended immunizations for older adults? Select all that apply. Flu (seasonal) vaccine Herpes simplex virus vaccine Human papillomavirus (HPV) vaccine Shingles vaccine Pneumonia vaccine
Flu (seasonal) vaccine Shingles vaccine Pneumonia vaccine
A nursing student is speaking about blood pressure in older adults. Which of the following is true? Elderly adults have lower blood pressure recommendations. Blood pressure must be taken only in the left arm of elderly adults. Antihypertensive medications are often ineffective in elderly adults. For adequate perfusion, systolic blood pressure may need to be above 120 mm Hg in elderly adults.
For adequate perfusion, systolic blood pressure may need to be above 120 mm Hg in elderly adults.
A patient has presented with signs and symptoms of systemic inflammatory response syndrome (SIRS). Which of the following are likely to decrease? Select all that apply. Heart rate Respiratory rate Gastrointestinal (GI) activity Urine output Cardiac output
Gastrointestinal (GI) activity Urine output
For which of the following disorders is the treatment goal to lower elevated intraocular pressure? Diabetic retinopathy Cataracts Glaucoma Retinal detachment
Glaucoma
A patient has glaucoma, which was detected in the early stages. The patient wants to know what the worst outcome will be if his disease is not treated. Which of the following is the correct response by the nurse? Glaucoma is due to an infection. As long at the infection is treated, your vision will remain what it is. Glaucoma is a unilateral disorder. So although one eye is affected, the other eye remains with normal vision. Glaucoma, if left untreated, can lead to irreversible blindness. Glaucoma, even if advanced, can be surgically corrected, if you choose to do so.
Glaucoma, if left untreated, can lead to irreversible blindness.
At which decibel level may hearing loss occur due to damage of the cochlea? 10 to 20 db 20 to 40 db 40 to 60 db Greater than 85 dB
Greater than 85 dB
Which of the following are criteria for systemic inflammatory response syndrome (SIRS)? Please select all that apply. Heart rate (HR) > 90 beats per minute Hypoventilation Hyperthermia (body temperature above 38°C) Leukocytosis (white blood cells [WBC] count greater than 12,000 per cubic millimeter) Hypothermia (body temperature less than 36°C)
Heart rate (HR) > 90 beats per minute Hyperthermia (body temperature above 38°C) Leukocytosis (white blood cells [WBC] count greater than 12,000 per cubic millimeter) Hypothermia (body temperature less than 36°C)
A patient is diagnosed with septic shock. Which of the following is true of this condition? Select all that apply. High mortality rate Treatment with antibiotics Fever normally absent "Warm shock" present IV fluid administration will correct the disorder.
High mortality rate Treatment with antibiotics "Warm shock" present
A nurse reads on a patient's chart the presence of tinnitus. Which of the following is an appropriate follow-up question based on this information? Do you still have blurry vision? How is the ringing in your ears? Are you having an easier time swallowing food? Do you feel dizzy less frequently?
How is the ringing in your ears?
A child is brought to the emergency department suffering from suspected anaphylactic shock due to bee sting. What are the immediate treatments considered? Select all that apply. IV epinephrine Beta-blockers IV saline administration Glucocorticoids Antihistamines
IV epinephrine IV saline administration Glucocorticoids Antihistamines
A patient has been diagnosed with septic shock. Which of the following is instituted because it has been shown to reduce mortality in cases of septic shock? Provide sugar tablets IV insulin control of hyperglycemia Oral antidiabetic mediations IV administration of epinephrine
IV insulin control of hyperglycemia
A nurse educator is working with nursing students who will be caring for elderly patients. Which of the following are some geriatric syndromes that the nursing students should note? Select all that apply. Increased risk for urinary incontinence Increased fall risk Increased risk for pressure wounds Increased pulmonary vital capacity Increased cardiac function
Increased risk for urinary incontinence Increased fall risk Increased risk for pressure wounds
A nurse is assessing a patient for abdominal compartment syndrome. Which of the following should she expect relative to this condition? Select all that apply. Increasing abdominal girth Syncope Increased urine output Difficulty breathing Decreased heart rate
Increasing abdominal girth Syncope Difficulty breathing
A nurse is assessing a patient for abdominal compartment syndrome. Which of the following should she expect relative to this condition? Select all that apply. Increasing abdominal girth Syncope Increased urine output Difficulty breathing Decreased heart rate
Increasing abdominal girth Syncope Difficulty breathing
Which of the following increase one's sense of wellbeing? Select all that apply. Increasing serotonin Increasing dopamine Increasing noradrenaline Decreasing serotonin Decreasing noradrenaline
Increasing serotonin Increasing dopamine Increasing noradrenaline
An elderly patient has normal white blood cells (WBCs) and no fever. However, the clinician is still worried about infection based on other signs. Why? Infection response is blunted in the elderly and may appear differently than expected. WBCs should decrease during infections and the patient's are normal. The patient does not have an intact immune response based on WBC levels. The clinician is overly concerned. No fever indicates no infection.
Infection response is blunted in the elderly and may appear differently than expected.
In an elderly adult, which unusual signs or symptom of infection may be present? Extremely high leukocytosis Extremely high fever Behavioral changes such as confusion Undulating fever
Behavioral changes such as confusion
A nurse is speaking to a patient who suffers from cataracts. The patient wants to know what can be done to best improve his vision. What is the appropriate response by the nurse about the best treatment for cataracts? Corrective lenses Eyedrops Cataract surgery Vitamin and mineral supplements
Cataract surgery
A patient complains of slight hearing loss and blames it on old age. Upon examining his ears, the nurse notes the most common cause of slight hearing loss. Which of the following did she note? Inflamed ear canal Ruptured tympanic membrane Cerumen buildup Otitis externa
Cerumen buildup
A clinician needs to determine whether pulmonary edema in a patient is due to adult respiratory distress syndrome (ARDS) or heart failure. Which of the following is unlikely to be present in ARDS? Select all that apply. Hypoxemia Jugular vein distention Hypotension Ankle edema Crackles
Jugular vein distention Hypotension Ankle edema
A patient reports that she was feeling fine the day before. However, this morning, she had sudden nausea and vertigo and felt worse with any change in head positioning. The clinician prescribes antibiotics. Which has likely developed? Meniere's disease Otitis externa Vestibular schwannoma Labyrinthitis
Labyrinthitis
One of the postmortem changes noted is red-purple discoloration on dependent portions of the body. What term would the clinician use to describe this development? Rigor mortis Livor mortis Algor mortis Purge fluid
Livor mortis
A patient's chart indicates presbycusis. Which of the following actions should the nurse consider upon meeting the patient? Turn on brighter lights. Look directly at the patient while speaking. Use hand gestures to communicate, not verbal instructions. Use material with increased print size.
Look directly at the patient while speaking.
Which of the following is true in regard to multiple organ dysfunction syndrome (MODS)? MODS is easily reversed. Most patients postsurgery progress to transient MODS. MODS is the leading cause of death in the intensive care unit (ICU). The etiology and progression of MODS is clearly understood.
MODS is the leading cause of death in the intensive care unit (ICU).
A patient presents with anaphylactic shock. Which of the following has likely occurred? Massive bronchoconstriction Internal bleeding Disruption of the sympathetic nervous system Falling heart rate and blood pressure
Massive bronchoconstriction
Which of the following is true for compensatory antiinflammatory response syndrome (CARS)? Normally occurs before systemic inflammatory response syndrome (SIRS) May increase the risk for sepsis Typical event that occurs with autoimmune disorders Normal response to any infection
May increase the risk for sepsis
A patient has developed adult respiratory distress syndrome. Which of the following has been shown to improve survival? Mechanical ventilation Steroids Surgical resection of lungs Opioids
Mechanical ventilation
A clinician, while working with an elderly individual, is consulting the Beers criteria. What is the clinician concerned about? Mental status of the patient State of dementia of the patient Fitness level of the patient Medications with possible side effects in the elderly
Medications with possible side effects in the elderly
A patient in a state of hypovolemic shock is most likely to present with which acid-base imbalance? Respiratory acidosis Respiratory alkalosis Metabolic acidosis Metabolic alkalosis
Metabolic acidosis
A patient has problems following instructions and compliance. Which class of medications may not be the best option because of fatal dietary interactions? Selective serotonin reuptake inhibitors (SSRIs) Monoamine oxidase inhibitors (MAOIs) Tricyclic antidepressants (TCAs) Benzodiazepines
Monoamine oxidase inhibitors (MAOIs)
A nurse is speaking to a mother whose child has had chronic ear infections. Which of the following are most likely to help the child? Myringotomy tube placement Cerumen removal Blood test for inflammatory markers Hearing aid
Myringotomy tube placement
A patient suffering from post-traumatic stress disorder is most likely to seek help for which of the following events? Short-term bouts of depression Panic attacks Hyperactivity Delusions and hallucinations
Panic attacks
A nurse is reviewing a patient's arterial blood gas values. Which of the following would be most indicative of adult respiratory distress syndrome? Partial pressure of oxygen is 90 mm Hg and partial pressure of carbon dioxide is 35 mm Hg Partial pressure of oxygen is 80 mm Hg and partial pressure of carbon dioxide is 30 mm Hg Partial pressure of oxygen is 60 mm Hg and partial pressure of carbon dioxide is 50 mm Hg Partial pressure of oxygen is 90 mm Hg and partial pressure of carbon dioxide is 40 mm Hg
Partial pressure of oxygen is 60 mm Hg and partial pressure of carbon dioxide is 50 mm Hg
Which of the following is true for kidney function in an 85-year-old individual? Demonstrates increased plasma clearance Demonstrates increased urine concentration ability Excretes drugs at higher rates, so dosage needs to be increased Performs at approximately 50% of a 30-year-old's kidney function
Performs at approximately 50% of a 30-year-old's kidney function
A patient has neurofibromatosis. Which of the following patient complaints would cause the nurse to suspect vestibular schwannomas? Persistent loss of balance Itching of external ear canal Decreased heart rate (HR) and blood pressure (BP) Sweating and heart palpitations
Persistent loss of balance
Which of the following patients does a nurse determine as most at risk for neurogenic shock? Person stabbed in the leg Person with spinal cord injury at T2 Person with systemic Escherichia coli infection Person with severe allergies
Person with spinal cord injury at T2
The cough reflex declines with age. The nurse should be aware that a patient's risk is increased for which of the following? Common cold Pneumonia Hypocapnia Allergies
Pneumonia
A person is unable to hear sounds below 90 decibels. What is the proper classification of the person's hearing? Normal Mild hearing loss Moderate hearing loss Profound hearing loss
Profound hearing loss
A patient with cardiac tamponade is heading into cardiac shock. Which sign or symptom is the nurse likely to detect? Pulsus paradoxus Warm skin and fever Petechiae Hypertension with abnormal respirations
Pulsus paradoxus
Which of the following foods or food items may a patient with tinnitus want to avoid? Select all that apply. Red wine Caffeine Monosodium glutamate (MSG) Red meat Dairy products
Red wine Caffeine Monosodium glutamate (MSG)
A nurse is caring for several patients. Of the following, which patient should the nurse be most concerned about developing sepsis? Postmyocardial infarction patient Patient with anterior cruciate ligament (ACL) tear surgery follow-up Renal transplant patient on immunosuppressants Patient with systemic lupus erythematosus
Renal transplant patient on immunosuppressants
Which of the following are likely to be increased in the very beginning stages of shock? Select all that apply. Renin-angiotensin-aldosterone system (RAAS) Sympathetic nervous system (SNS) Urine output Serum lactate levels Gastrointestinal (GI) perfusion
Renin-angiotensin-aldosterone system (RAAS) Sympathetic nervous system (SNS)
A patient with an inner ear problem is to have his balance and proprioception assessed. Which of the following assessments may be most informative? Romberg test Vestibular caloric reflex test Pneumatic otoscope test Kerning test
Romberg test
A nurse comments that a patient is displaying an overwhelming immune response to trauma. Which acronym would apply to the nurse's statement? SIRS CARS MODS APACHE
SIRS
A patient has systemic lupus erythematosus. Which of the following eye disorders does the patient most likely have an increased risk of developing? Keratitis Scleritis Conjunctivitis Cataracts
Scleritis
A young man, age 25 years old, is suffering from depression. Which of the following are possible medication options? Select all that apply. Selective serotonin reuptake inhibitors (SSRIs) Lithium Tricyclic antidepressants (TCAs) Monoamine oxidase inhibitors (MAOIs) Benzodiazepine
Selective serotonin reuptake inhibitors (SSRIs) Tricyclic antidepressants (TCAs) Monoamine oxidase inhibitors (MAOIs)
A patient in shock is not responding to fluid replacement or vasopressor administration. Which type of shock might the patient be experiencing? Cardiogenic Septic Anaphylactic Hypovolemic
Septic
Which of the following is true about dementia? Same as delirium No treatment options exist Several causes Always follows the same progression and prognosis
Several causes
A patient is to be assessed for glaucoma. Which diagnostic test or tool will be used? Slit lamp Tonometer Fundoscopic examination Wood's lamp
Tonometer
A young child, with recurrent ear infections, is to have "tubes placed" in his ears. Where will these tubes be inserted? Ear auricle Tympanic membrane Ossicles Organ of Corti
Tympanic membrane
A young child has chronic otitis media. Which of the following may be considered for treatment? Tympanostomy Chronic, daily antibiotic usage Implantation of Meniett device Earwax removal
Tympanostomy
In older adults, high-frequency sounds are the first type of sounds that are difficult for the individual to hear. To assess hearing loss of this type, which of the following can be used? Yelling from across the room Speaking vowel sounds loudly Whispering Use of a ticking watch
Use of a ticking watch
Which of the following statements by a patient would be most indicative of a patient suffering with obsessive-compulsive disorder? "I hear voices." "I feel sad and hopeless most of the time." "Sometimes I have so much energy, I cannot decide what I want to do first. There is so much I want to do." "I like to check that the oven is off before I leave my home. I feel best when I check 10 times before leaving."
"I like to check that the oven is off before I leave my home. I feel best when I check 10 times before leaving."
Which of the following statements by a patient may alert the clinician to a possible retinal detachment? "I see a shadow across my eyes, which is increasing." "Bright lights hurt my eyes." "I feel like I have something in my eye." "My vision gets blurrier at night."
"I see a shadow across my eyes, which is increasing."
A patient with severe alcoholism decides to stop drinking all alcohol. Which of the following may be expected? Delirium tremens begins three to five days after last alcoholic drink Seizures for the first 72 hours Seizures two to three months after last alcoholic drink Delirium tremens within the first 12 hours
Delirium tremens begins three to five days after last alcoholic drink
Which of the following is related to the telomerase theory of aging? Reduced caloric intake results in longer lifespan. Immunosenescence develops. A repetitive sequence of DNA is shortened with cell division. Reactive oxygen species accumulate.
A repetitive sequence of DNA is shortened with cell division.
An elderly patient is losing weight and states that he does not like eating. Which of the following may affect the patient's eating behavior with aging? Decreasing sense of taste Appetite denial: the patient is hungry but will not eat. Increased energy expenditure suppresses appetite. Increased food absorption indicates that the patient may need to eat less.
Decreasing sense of taste
A clinician is interviewing a patient with age-related macular degeneration. Which of the following patient comments are typical for this condition? "My eyes feel glued shut in the morning." "Some days my vision is better than others." "I feel like something is in my eye." "No matter how much I try to focus, I feel my vision is cloudy."
"Some days my vision is better than others."
A patient was given a prescription for a selective serotonin reuptake inhibitor (SSRI). The patient has been taking the medication for three days and has called the clinic to state that it is not working. What is an appropriate response? "We can switch to another medication." "It can take three to six weeks for a therapeutic dose of this mediation to be reached." "Try taking the medication two times per day." "Stop taking the medication if you feel it is not helping."
"It can take three to six weeks for a therapeutic dose of this mediation to be reached."
Which of the following results for a Snellen eye chart visual acuity examination would indicate the best vision? 20/20 20/40 20/80 20/200
20/20
A nurse is helping to assess a patient's vision using a Snellen eye chart. Which of the following is appropriate? Ask the patient to stand 20 feet away from the chart. Test the patient's vision with both eyes open for the duration of the assessment. Report the results as +1, +2, or +3, with normal vision being the standard. Move the chart from patient's right side to the patient's left side to see if both eyes track in the same direction.
Ask the patient to stand 20 feet away from the chart.
A nurse working in a middle school sees on a child's information a prescription for Adderall (detroamphetamine). Which of the following does the nurse suspect? Depression Attention-deficit/hyperactivity Bipolar disorder Anxiety
Attention-deficit/hyperactivity
A patient has conjunctivitis with a mucopurulent discharge. Which is the likely cause of this conjunctivitis? Corneal abrasion Allergies Bacteria Virus
Bacteria
A patient has been prescribed Xanax, a benzodiazepine medication. Which of the following is the likely reason for this prescription? Mood stabilizer Decrease hallucinations Decrease anxiety Antipsychotic
Decrease anxiety
A nurse is working with community members about the signs and symptoms of opioid intoxication. Which of the following appear with opioid intoxication? Select all that apply. Decreased respiratory rate Pupil constriction Hyperventilation Possible pulmonary edema Pupil dilation
Decreased respiratory rate Pupil constriction Possible pulmonary edema
A young infant displays signs of hearing impairment. Which factor may be assessed that is associated with hearing loss? TP53 Connexin-26 TNF-alpha CA-125
Connexin-26
A patient has a mental health disorder and is also suffering from substance abuse. How is this described? Complex diagnosis Dual diagnosis Additive diagnosis Cyclical diagnosis
Dual diagnosis
Which of the following does the nurse know are signs and symptoms of otitis media in infants and toddlers? Select all that apply. Ear tugging Poor feeding Sleeping throughout the night Irritability Excessive drooling
Ear tugging Poor feeding Irritability
A patient has presented at the clinic with progressive hearing loss. The nurse notes cerumen impaction. How may she refer to this condition in terms with which the patient may be familiar? Eardrum rupture Earwax buildup Ear infection Blocked tube
Earwax buildup
A nurse is reviewing epidemiology information. Which of the following is true about elderly Americans? The majority of elderly Americans are infirmed or disabled. The majority of elderly Americans live in nursing homes. The population of elderly individuals is increasing in the United States only. Elderly Americans are grouped in three different categories: young-old, middle-old, and old-old.
Elderly Americans are grouped in three different categories: young-old, middle-old, and old-old.
A nurse is providing a public seminar about diabetes mellitus in older adults. Which of the following is correct to share? Elderly adults tend to have type 1 diabetes mellitus. Diabetes mellitus is uncommon in the elderly. Elderly adults may have hyperglycemia, along with elevated insulin levels. Diabetes mellitus in elderly adults cannot be managed effectively.
Elderly adults may have hyperglycemia, along with elevated insulin levels.
A nurse needs to perform a painful procedure on an elderly man. Which of the following will be important to note? Elderly individuals have lower pain thresholds. Elderly individuals have higher pain thresholds. Elderly individuals do not feel pain. Elderly individuals tend to be overly expressive and dramatic about their pain.
Elderly individuals have higher pain thresholds.
A clinician suspects disseminated intravascular coagulation (DIC) in a patient. Which of the following would support this conclusion? Elevated D-dimer Reduced prothrombin time (PT) Thrombocytosis Less blood loss from wound than expected
Elevated D-dimer
A nursing educator is instructing students about shock. Which of the following indicates correct understanding? Shock is the inability of the heart and lungs to satisfy energetic and metabolic requirements of the body. Two primary types of shock exist. Shock is managed the same way, independent of etiology. Shock is always corrected with fluid administration and vasoconstrictors.
Shock is the inability of the heart and lungs to satisfy energetic and metabolic requirements of the body.
A nurse notes on a patient's chart the word "amblyopia." What does the nurse expect to see upon meeting the patient? Crossed eyes Inability to make out letters on a book page Squinting or closing one eye to see Protruding eyeball
Squinting or closing one eye to see
A nursing student is presenting on the characteristics of delirium versus dementia. Which of the following is associated with delirium? Select all that apply. Sudden onset Altered level of consciousness Progressive Impaired attention Alert
Sudden onset Altered level of consciousness Impaired attention
A patient is diagnosed with labyrinthitis. Which of the following likely brought the patient to seek medical care? Effusions from the ear Progressive hearing loss Sudden vertigo External ear inflammation
Sudden vertigo
Atropine, an anticholinergic agent, is given to a patient in neurogenic shock. What is the purpose of this treatment? Suppress heart rate (HR) and blood pressure (BP) Increase gastrointestinal (GI) activity Increase bronchoconstriction Suppress parasympathetic nervous system activity
Suppress parasympathetic nervous system activity
In order for a patient to avoid "discontinuation syndrome" with a selective serotonin reuptake inhibitor (SSRI) mediation, which of the following should be followed? Stop the medication immediately. Taper the medication dosage slowly. Cycle on and off the mediation for several weeks. Use a gamma-aminobutyric acid (GABA) inhibitor.
Taper the medication dosage slowly
Which of the following are true for the fever response in an elderly individual? The fever response is similar to that of a child's. The fever response may be overly sensitive, with large increases in temperature in response to minor infections. Fevers develop more rapidly in elderly individuals. The fever response in elderly individuals may be blunted.
The fever response in elderly individuals may be blunted.
An elderly patient got up in the night to urinate and became dizzy when she got out of bed. She almost fell over. Which of the following may be appropriate? The nurse should suggest that the patient sleep sitting upright, not lying down. The nurse should suggest the patient drink less water so that she does not have to get up in the night. The nurse may suggest that the patient sit upright for a few moments before standing to use the bathroom. The nurse may suggest that the patient's blood pressure is low and that she should stop her hypertensive medications.
The nurse may suggest that the patient sit upright for a few moments before standing to use the bathroom.
Which of the following characteristics will be present if the patient is experiencing "warm shock"? The patient will complain of feeling too hot and begin to remove clothing. The patient appears pink and the skin feels warm to the touch. The patient's only sign is an elevated temperature. The patient has decreased blood pressure.
The patient appears pink and the skin feels warm to the touch.
A nurse notes "anomia" on a patient's chart. What is this term indicating? The patient has memory loss related to the names of things and people. The patient has loss of initiative. The patient cannot perform familiar tasks. The patient cannot remember the function of common items.
The patient has memory loss related to the names of things and people.
A patient is thought to have abdominal compartment syndrome (ACS). Which of the following may the nurse detect that would contribute to this diagnosis? The patient's abdomen is flattened. The patient has trouble breathing. The patient denies nausea. The patient has normal heart rate (HR) and blood pressure (BP).
The patient has trouble breathing.
A patient has been evaluated and is believed to be in a period of compensatory anti-inflammatory response syndrome (CARS). Which of the following is the correct interpretation? The patient is displaying elevated immune response to injury. The patient has developed sepsis. The patient is at increased risk for infection. The patient is heading into adult respiratory distress syndrome.
The patient is at increased risk for infection.
A nurse is explaining polypharmacy to a patient. Which explanation is correct? The patient decides to use more than one pharmacy for prescriptions. The patient works with two or more pharmacists to get prescriptions filled. The patient is prescribed five or more medications. The patient is prescribed two to three medications.
The patient is prescribed five or more medications.
A nurse reads on a patient's medication list that lithium has been prescribed. Which of the following does the nurse expect for this patient? The patient has anxiety. The patient has depression. The patient needs mood stabilization. The patient experiences hallucinations.
The patient needs mood stabilization
An elderly patient states that she feels as though her skins damages much more easily. Which of the following responses is appropriate? Your skin is damaged due to overtanning when you were younger. The skin becomes more fragile as we age because skin replacement and turnover is slower. The idea that your skin is more likely to damage is all in your mind. Your skin remains the same throughout your life. If you would use the right creams, your skin health would be much improved.
The skin becomes more fragile as we age because skin replacement and turnover is slower.
A clinician is concerned that a patient may have schizophrenia. What are some of the specific delusions associated with schizophrenia that the clinician will want to inquire about? Select all that apply. Thought broadcasting Thoughts of specialness Thoughts of grandeur Thought withdrawal Thought insertion
Thought broadcasting Thought withdrawal Thought insertion
Intrinsic factor may decrease with aging. Which supplement may an elderly patient then require? Iron Calcium Vitamin B12 Vitamin K
Vitamin B12
A nurse sees a patient presenting with eye pain and swelling. The area at the end of the eyelash appears to be infected with redness and tenderness. In addition to antibiotics, what treatment may be suggested? Icing the area Warm compresses with diluted boric acid Wearing sunglasses at all times Wearing a patch over the eye
Warm compresses with diluted boric acid
A nursing student is reviewing the terminology associated with aging. Which of the following is correct information? Maximum lifespan and life expectancy are both decreasing. Maximum lifespan and life expectancy are both increasing. Maximum lifespan is increasing in women but not men. Women have a longer life expectancy than men.
Women have a longer life expectancy than men.
