A 25-year-old client was admitted B
yesterday after a motor vehicle Rationale:Clients with basilar skull fractures are at high risk for infection
collision. Neurodiagnostic studies of the brain, as indicated by an increased oral temperature, because the
have shown a basal skull fracture in fracture leaves the meninges open to bacterial invasion. Clients may
the middle fossa. Assessment on experience options C and D, but these findings do not pose as great a
admission revealed both halo and life-threatening risk as infection. Jugular distention is not a typical
Battle signs. Which new symptom complication of basal skull fractures.
indicates that the client is likely to
be experiencing a common life-
threatening complication associated
with a basal skull fracture?
A.
Bilateral jugular venous distention
B.
Oral temperature of 102°F
C.
Intermittent focal motor seizures
D.
Intractable pain in the cervical
region
,A 43-year-old homeless, B
malnourished client with a history of Rationale:The client with chronic alcoholism is likely to have
alcoholism is transferred to the ICU. hypomagnesemia. Option B is the recommended drug for torsades de
The nurse palpates a heart rate of pointes, which is a form of polymorphic ventricular tachycardia (VT)
160 beats/min, and the client's blood usually associated with a prolonged QT interval that occurs with
pressure is 90/54 mm Hg. Based on hypomagnesemia. Options A and D increase the QT interval, which can
these findings, which IV medication cause the torsades to worsen. Option C is the antiarrhythmic of choice
should the nurse administer? in most cases of drug-induced monomorphic VT, not torsades.
A.
Amiodarone (Cordarone)
B.
Magnesium sulfate
C.
Lidocaine (Xylocaine)
D.
Procainamide (Pronestyl)
,A 55-year-old male client has been C
admitted to the hospital with a Rationale:Smoking, considered to be a modifiable risk factor, is the most
medical diagnosis of chronic significant risk factor for the development of COPD. The exact
obstructive pulmonary disease mechanism of genetic and hereditary implications for the development
(COPD). Which risk factor is the of COPD is still under investigation, although exposure to similar
most significant in the development predisposing factors (e.g., smoking or inhaling secondhand smoke) may
of this client's COPD? increase the likelihood of COPD incidence among family members.
A. Options B and D do not exceed the risks associated with cigarette
The client's father was diagnosed smoking in the development of COPD.
with COPD in his 50s.
B.
A close family member contracted
tuberculosis last year.
C.
The client smokes one to two packs
of cigarettes per day.
D.
The client has been 40 pounds
overweight for 15 years.
, A 58-year-old client who has no B
health problems asks the nurse Rationale:It is usually recommended that persons older than 65 years
about receiving the pneumococcal and those with a history of chronic illness should receive the vaccine
vaccine. Which statement given by once in their lifetime. Some recommend receiving the vaccine at 50
the nurse would offer the client years of age. The influenza vaccine is given once a year. Although the
accurate information about this vaccine might be given to a person traveling overseas, that is not the
vaccine? main rationale for administering the vaccine. The vaccine is usually given
A. once in a lifetime, but with immunosuppressed clients or clients with a
The vaccine is given annually before history of pneumonia, revaccination is sometimes required.
the flu season to those older than
50 years.
B.
The immunization is administered
once to older adults or those at risk
for illness.
C.
The vaccine is for all ages and is
given primarily to those persons
traveling overseas to areas of
infection.
D.
The vaccine will prevent the
occurrence of pneumococcal
pneumonia for up to 5 years.
yesterday after a motor vehicle Rationale:Clients with basilar skull fractures are at high risk for infection
collision. Neurodiagnostic studies of the brain, as indicated by an increased oral temperature, because the
have shown a basal skull fracture in fracture leaves the meninges open to bacterial invasion. Clients may
the middle fossa. Assessment on experience options C and D, but these findings do not pose as great a
admission revealed both halo and life-threatening risk as infection. Jugular distention is not a typical
Battle signs. Which new symptom complication of basal skull fractures.
indicates that the client is likely to
be experiencing a common life-
threatening complication associated
with a basal skull fracture?
A.
Bilateral jugular venous distention
B.
Oral temperature of 102°F
C.
Intermittent focal motor seizures
D.
Intractable pain in the cervical
region
,A 43-year-old homeless, B
malnourished client with a history of Rationale:The client with chronic alcoholism is likely to have
alcoholism is transferred to the ICU. hypomagnesemia. Option B is the recommended drug for torsades de
The nurse palpates a heart rate of pointes, which is a form of polymorphic ventricular tachycardia (VT)
160 beats/min, and the client's blood usually associated with a prolonged QT interval that occurs with
pressure is 90/54 mm Hg. Based on hypomagnesemia. Options A and D increase the QT interval, which can
these findings, which IV medication cause the torsades to worsen. Option C is the antiarrhythmic of choice
should the nurse administer? in most cases of drug-induced monomorphic VT, not torsades.
A.
Amiodarone (Cordarone)
B.
Magnesium sulfate
C.
Lidocaine (Xylocaine)
D.
Procainamide (Pronestyl)
,A 55-year-old male client has been C
admitted to the hospital with a Rationale:Smoking, considered to be a modifiable risk factor, is the most
medical diagnosis of chronic significant risk factor for the development of COPD. The exact
obstructive pulmonary disease mechanism of genetic and hereditary implications for the development
(COPD). Which risk factor is the of COPD is still under investigation, although exposure to similar
most significant in the development predisposing factors (e.g., smoking or inhaling secondhand smoke) may
of this client's COPD? increase the likelihood of COPD incidence among family members.
A. Options B and D do not exceed the risks associated with cigarette
The client's father was diagnosed smoking in the development of COPD.
with COPD in his 50s.
B.
A close family member contracted
tuberculosis last year.
C.
The client smokes one to two packs
of cigarettes per day.
D.
The client has been 40 pounds
overweight for 15 years.
, A 58-year-old client who has no B
health problems asks the nurse Rationale:It is usually recommended that persons older than 65 years
about receiving the pneumococcal and those with a history of chronic illness should receive the vaccine
vaccine. Which statement given by once in their lifetime. Some recommend receiving the vaccine at 50
the nurse would offer the client years of age. The influenza vaccine is given once a year. Although the
accurate information about this vaccine might be given to a person traveling overseas, that is not the
vaccine? main rationale for administering the vaccine. The vaccine is usually given
A. once in a lifetime, but with immunosuppressed clients or clients with a
The vaccine is given annually before history of pneumonia, revaccination is sometimes required.
the flu season to those older than
50 years.
B.
The immunization is administered
once to older adults or those at risk
for illness.
C.
The vaccine is for all ages and is
given primarily to those persons
traveling overseas to areas of
infection.
D.
The vaccine will prevent the
occurrence of pneumococcal
pneumonia for up to 5 years.
