Answers All correct 2023/2024 Latest Exam.
Addison's00Disease00-00✅✅-
00Is00an00endocrine00disorder00that00occurs00when00the00adrenal00glands00do00
not00produce00enough00of00the00hormone00cortisol00and00in00some00cases,00t
he00hormone00aldosterone.00
- The00disease00is00characterized00by00weight00loss,00muscle00weakness,0
0fatigue,00low00BP00and00hyperpigmentation00(darkening)00of00the00skin
00in00both00exposed00and00non-exposed00parts00of00the00body.
2. Common00symptoms00of00Addison's00Disease00-00✅✅-00Weight00loss
- Hyperpigmentation
- Weakness/fatigue
- Low00BP
- Loss00of00Body00hair
3. Cushing's00Disease00-00✅✅-
00S/S:00Hirsutism00(excessive00hair),00moon00face,00purple00striatum00(typicall
y00in00the00skin00of00the00abdomen,00thighs00or00breast),00thin00extremities,00b
uffalo00hump
4. Testing00for00TB00-00✅✅-
00A00Mantoux00skin00test00is00the00most00accurate00and00valuable00screening00
tool00available00for00TB.00A00positive00result00means00only00that00the00client00h
as00been00exposed00to00TB;00it00does00not00meant00that00the00client00has00acti
ve00TB.
, - A00sputum00culture00for00acid00fast00bacillus00(AFB)00is00used00to00confir
m00the00diagnosis00of00pulmonary00TB00after00a00screening00test00and00
chest00x-ray00come00back00positive.
5. Teaching00instructions00for00the00use00of00a00cane:00-
00✅✅(1)00The00cane00is00moved00forward00about001200inches
6. (2)00Then,00the00weak00leg00is00moved00even00with00the00cane.
7. (3)00Finally,00the00strong00leg00is00brought00forward00and00ahead00of00the00can
e00and00weak00leg.
- Canes00are00held00on00the00strong00side
- The00grip00of00the00cane00should00be00level00with00the00trochanter00of00
the00femur
8. Veracity00-00✅✅-
00Is00truthfulness.00This00is00the00value00that00requires00the00nurse00to00tell00th
e00truth00to00every00client00and00to00make00sure00that00the00client00fully00unde
rstands00the00message.
9. Autonomy00-00✅✅-
00Is00the00right00to00independence00and00personal00freedom,00which00leads00t
o00the00primacy00of00self-determination
10.Fidelity00-00✅✅-
00Is00the00duty00to00keep00promises.00It00refers00to00the00obligation00to00be00fai
thful00to00agreements,00commitments00and00responsibilities00that00are00mad
e.
,11.Nonmaleficence00-00✅✅-
00Is00the00obligation00and00duty00to00do00no00harm.
12.Meningococcal00vaccine00-00✅✅-
00Recommended00that00this00vaccine00be00given00to00children00who00are001100
through001200years00of00age00and00then00given00a00booster00dose00at00age0016.
13.When00should00the00single00dose00of00Herpes00zoster00vaccine00be00given?00-
00✅✅-
00To00adults006000years00or00older00whether00or00not00they00report00a00previou
s00episode00of00herpes00zoster.
14.Rotavirus00should00be00given00at00what00age?00-00✅✅-
00During00the00child's00first00year00of00life.
15.Alendronate00(Fosamax)00-00✅✅-
00This00medication00is00used00to00prevent00and00treat00postmenopausal00oste
oporosis00and00Paget's00Disease.00
- Alendronate00must00be00taken00first00thing00in00the00morning00on00an00
empty00stomach.
- The00pt00must00be00instructed00to00wait00at00least003000minutes00after00
taking00Alendronate00before00eating,00drinking,00or00taking00other00me
dications.
16.What00to00expect00with00a00pt00having00a00chest00tube?00-00✅✅-
00Continuous00gentle00bubbling00in00the00suction00control00chamber
- Crepitus00(with00a00pneumothorax,00this00will00persist00for00several00ho
urs00depending)
- Oscillations00or00also00called00tidaling00in00the00water00seal00chamber00
upon00respiration00are00also00expected.
, 17.Symptoms00of00hypocalcemia00-00✅✅-
00Numbness00and00tingling00in00the00hands,00soles00of00the00feet00and00aroun
d00the00lips.00
- A00nurse00would00assess00the00client00for00a00positive00reaction00by00eli
citing00the00Chvostek's00sign.
18.What00is00a00potential00complication00of00a00thyroidectomy?00-00✅✅-
00Hypocalcemia,00which00can00include00numbness00and00tingling00in00the00ha
nds,00soles00of00the00feet00and00around00the00lips.
19.What00assessment00tool00would00a00nurse00use00to00determine00hypocalcemi
a?00-00✅✅-00Chvostek's00sign
20.What00is00Chvostek's00sign?00And00how00is00it00done?00-
00✅✅Tap00on00the00pt's00face00at00a00point00just00anterior00to00the00ear00an
d00just00below00the00zygomatic00bone.00A00positive00response00would00be00tw
itching00of00the00ipsilateral00(same00side00only)00facial00muscles,00suggestive00
of00neuromuscular00excitability00caused00by00hypocalcemia.
21.Brudzinski's00sign00-00✅✅-
00Is00an00indication00of00meningeal00irritation,00which00may00be00positive00wit
h00pt's00with00meningitis.00
- To00perform00this,00the00client00needs00to00be00supine.00The00nurse00pla
ces00one00hand00behind00the00pt's00head00and00places00the00other00han
d00on00the00clients00chest.00The00nurse00then00raises00the00clients00hea
d00(with00the00hand00behind00the00head)00while00the00hand00on00the00c
hest00restrains00the00clients00and00prevents00the00client00from00rising.00