Answers All correct 2023/2024 Latest Exam.
Addison's58Disease58-58✅✅-
58Is58an58endocrine58disorder58that58occurs58when58the58adrenal58glands58do58
not58produce58enough58of58the58hormone58cortisol58and58in58some58cases,58t
he58hormone58aldosterone.58
- The58disease58is58characterized58by58weight58loss,58muscle58weakness,5
8fatigue,58low58BP58and58hyperpigmentation58(darkening)58of58the58skin
58in58both58exposed58and58non-exposed58parts58of58the58body.
2. Common58symptoms58of58Addison's58Disease58-58✅✅-58Weight58loss
- Hyperpigmentation
- Weakness/fatigue
- Low58BP
- Loss58of58Body58hair
3. Cushing's58Disease58-58✅✅-
58S/S:58Hirsutism58(excessive58hair),58moon58face,58purple58striatum58(typicall
y58in58the58skin58of58the58abdomen,58thighs58or58breast),58thin58extremities,58b
uffalo58hump
4. Testing58for58TB58-58✅✅-
58A58Mantoux58skin58test58is58the58most58accurate58and58valuable58screening58
tool58available58for58TB.58A58positive58result58means58only58that58the58client58h
as58been58exposed58to58TB;58it58does58not58meant58that58the58client58has58acti
ve58TB.
, - A58sputum58culture58for58acid58fast58bacillus58(AFB)58is58used58to58confir
m58the58diagnosis58of58pulmonary58TB58after58a58screening58test58and58
chest58x-ray58come58back58positive.
5. Teaching58instructions58for58the58use58of58a58cane:58-
58✅✅(1)58The58cane58is58moved58forward58about581258inches
6. (2)58Then,58the58weak58leg58is58moved58even58with58the58cane.
7. (3)58Finally,58the58strong58leg58is58brought58forward58and58ahead58of58the58can
e58and58weak58leg.
- Canes58are58held58on58the58strong58side
- The58grip58of58the58cane58should58be58level58with58the58trochanter58of58
the58femur
8. Veracity58-58✅✅-
58Is58truthfulness.58This58is58the58value58that58requires58the58nurse58to58tell58th
e58truth58to58every58client58and58to58make58sure58that58the58client58fully58unde
rstands58the58message.
9. Autonomy58-58✅✅-
58Is58the58right58to58independence58and58personal58freedom,58which58leads58t
o58the58primacy58of58self-determination
10.Fidelity58-58✅✅-
58Is58the58duty58to58keep58promises.58It58refers58to58the58obligation58to58be58fai
thful58to58agreements,58commitments58and58responsibilities58that58are58mad
e.
,11.Nonmaleficence58-58✅✅-
58Is58the58obligation58and58duty58to58do58no58harm.
12.Meningococcal58vaccine58-58✅✅-
58Recommended58that58this58vaccine58be58given58to58children58who58are581158
through581258years58of58age58and58then58given58a58booster58dose58at58age5816.
13.When58should58the58single58dose58of58Herpes58zoster58vaccine58be58given?58-
58✅✅-
58To58adults586058years58or58older58whether58or58not58they58report58a58previou
s58episode58of58herpes58zoster.
14.Rotavirus58should58be58given58at58what58age?58-58✅✅-
58During58the58child's58first58year58of58life.
15.Alendronate58(Fosamax)58-58✅✅-
58This58medication58is58used58to58prevent58and58treat58postmenopausal58oste
oporosis58and58Paget's58Disease.58
- Alendronate58must58be58taken58first58thing58in58the58morning58on58an58
empty58stomach.
- The58pt58must58be58instructed58to58wait58at58least583058minutes58after58
taking58Alendronate58before58eating,58drinking,58or58taking58other58me
dications.
16.What58to58expect58with58a58pt58having58a58chest58tube?58-58✅✅-
58Continuous58gentle58bubbling58in58the58suction58control58chamber
- Crepitus58(with58a58pneumothorax,58this58will58persist58for58several58ho
urs58depending)
- Oscillations58or58also58called58tidaling58in58the58water58seal58chamber58
upon58respiration58are58also58expected.
, 17.Symptoms58of58hypocalcemia58-58✅✅-
58Numbness58and58tingling58in58the58hands,58soles58of58the58feet58and58aroun
d58the58lips.58
- A58nurse58would58assess58the58client58for58a58positive58reaction58by58eli
citing58the58Chvostek's58sign.
18.What58is58a58potential58complication58of58a58thyroidectomy?58-58✅✅-
58Hypocalcemia,58which58can58include58numbness58and58tingling58in58the58ha
nds,58soles58of58the58feet58and58around58the58lips.
19.What58assessment58tool58would58a58nurse58use58to58determine58hypocalcemi
a?58-58✅✅-58Chvostek's58sign
20.What58is58Chvostek's58sign?58And58how58is58it58done?58-
58✅✅Tap58on58the58pt's58face58at58a58point58just58anterior58to58the58ear58an
d58just58below58the58zygomatic58bone.58A58positive58response58would58be58tw
itching58of58the58ipsilateral58(same58side58only)58facial58muscles,58suggestive58
of58neuromuscular58excitability58caused58by58hypocalcemia.
21.Brudzinski's58sign58-58✅✅-
58Is58an58indication58of58meningeal58irritation,58which58may58be58positive58wit
h58pt's58with58meningitis.58
- To58perform58this,58the58client58needs58to58be58supine.58The58nurse58pla
ces58one58hand58behind58the58pt's58head58and58places58the58other58han
d58on58the58clients58chest.58The58nurse58then58raises58the58clients58hea
d58(with58the58hand58behind58the58head)58while58the58hand58on58the58c
hest58restrains58the58clients58and58prevents58the58client58from58rising.58