QUESTIONS WITH ACCURATE SOLUTIONS
1. If a patient receiving morphine develops a rash that extends beyond the
injection site, what should be the nurse's immediate action?
Document the rash and continue monitoring.
Administer an antihistamine immediately.
Increase the morphine dosage to manage pain.
Perform a priority assessment for potential phlebitis or allergic
reaction.
2. Describe the difference between community-acquired pneumonia (CAP)
and hospital-acquired pneumonia (HAP).
CAP is acquired from the general community, while HAP is
acquired during hospital stays or healthcare interventions.
CAP is caused by viral infections, while HAP is caused by bacterial
infections.
CAP is less severe than HAP.
CAP occurs in elderly patients, while HAP occurs in young adults.
3. In which stage of the general adaptation syndrome has the body reached
the limits of its ability to adapt to stress, which may result in the
development of stress-related diseases?
, resistance
alarm
collapse
F
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, exhaustion
4. What is the recommended injection site for the hepatitis B vaccine in
infants?
ventrogluteal site
deltoid muscle
anterolateral thigh
dorsogluteal site
5. Describe the key features that characterize post-traumatic stress disorder
(PTSD).
PTSD is diagnosed immediately after trauma exposure without any
waiting period.
PTSD involves only physical symptoms and no emotional responses.
PTSD is characterized by reliving the event, avoidance of
reminders, and persistent hyperarousal.
PTSD is solely related to anxiety without any reliving of events.
6. The purpose of inflammation is to:
Bind available iron
Mobilize immune components & repair tissue
Initiate fever
Forcibly eject the microbe from the body
7. The mother of a newborn asks the nurse when the infant will receive the
first hepatitis B vaccine. What is the nurse's best response?