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CURRENT Medical Diagnosis and Treatment 2019 Test Bank

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CURRENT Medical Diagnosis and Treatment 2019 Test Bank Persons at greatest risk for adverse reactions to NSAIDs include those who are prescribed warfarin (Coumadin) since the NSAID can increase the effects of the Coumadin and promote bleeding. MULTIPLE RESPONSE 1. Prior to hospitalization, a client had been ingesting high doses of oxycodone. The nurse suspects the client is experiencing symptoms of withdrawal when which of the following are assessed? (Select all that apply.) 1. Muscle twitching and spasms 2. Restlessness 3. Increased heart rate 4. Drop in blood pressure 5. Increase in blood pressure 6. Irritability ANS: 1, 2, 3, 5, 6 Withdrawal symptoms include myoclonus or muscle twitching and spasms, restlessness, irritability, increased heart rate, and increased blood pressure. A decrease in blood pressure is not a symptom of narcotic medication withdrawal. PTS:1DIF:Analyze REF: Potential and Actual Side Effects of Opioid Analgesics 2. The nurse would be concerned that a client is at risk for developing chronic pain when which of the following health problems are diagnosed? (Select all that apply.) 1. Osteoarthritis 2. Osteoporosis 3. Heart disease 4. Diabetes mellitus 5. Chronic pulmonary disease 6. Anemia ANS: 1, 2, 5 Common health problems associated with chronic pain include osteoarthritis, osteoporosis, and chronic pulmonary disease. Heart disease, diabetes mellitus, and anemia are not associated with chronic pain. PTS:1DIF:AnalyzeREF:Chronic Pain 3. An 84-year-old client is experiencing severe arthritis pain. The nurse realizes that which of the following pain management approaches would be the most beneficial for this client? (Select all that apply.) 1. Avoid NSAIDs. 2. Utilize morphine or morphine-like medication. 3. Provide medication through the oral route. 4. Utilize diazepam. 5. Suggest Darvocet. 6. Provide medication through the intramuscular route. ANS: 1, 2, 3 When providing pain medication to a geriatric client, pain management approaches include the utilization of morphine or morphine-like medication to control pain and provide medication using the oral route. NSAIDs should also be avoided because of the risk of gastrointestinal bleeding. Diazepam should be avoided because of a long half-life. Darvocet should be avoided because of toxic effects with renal insufficiency. Medication should not be provided using the intramuscular route because of muscle wasting and loss of fatty tissue in the elderly client. PTS: 1 DIF: Apply REF: Geriatric Considerations 4.A client with severe pain from spinal stenosis is prescribed Methadone. The nurse realizes that the advantages of this medication are what? (Select all that apply.) 1. Decrease in the need for antidepressant adjuvant medication 2. Less frequent dosing schedule 3. Long half-life 4. Inexpensive 5. Can be used for intermittent pain 6. Does not cause respiratory depression ANS: 1, 2, 4 The advantages of methadone include that it decreases the need for antidepressant adjuvant medication because it increases the release of serotonin and norepinephrine, dosing is every 12 hours, and it is inexpensive. Disadvantages of this medication include: it has a long half-life; it cannot be used for intermittent pain management; and it does cause respiratory depression. PTS:1DIF:AnalyzeREF:Intractable Pain 5.The nurse is using the PAINAID Scale to assess a clients level of pain. Which of the following are assessed with this pain scale? (Select all that apply.) 1. Breathing rate 2. Assign a number to the degree of pain 3. Negative vocalizations 4. Assign a facial expression to the degree of pain 5. Facial expression 6. Body language ANS: 1, 3, 5, 6 The PAINAID scale assesses breathing, negative vocalizations, facial expression, body language, and comfort. The Numerical Rating Scale assigns a number to the degree of pain. The Wong- Baker FACES Scale assigns a facial expression to the degree of pain. 6.A client diagnosed with severe arthritis tells the nurse that she always has some degree of pain. Which of the following could explain this clients poor pain management? (Select all that apply.) 1. Client does not appear to be in pain. 2. Client does not report pain. 3. Client cannot afford pain medication. 4. Client is fearful of becoming addicted to pain medication. 5. Client believes pain medication means the condition is worse

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CURRENT MEDICAL DIAGNOSIS AND
TREATMENT 2019 TEST BANK

,CURRENT Medical Diagnosis and Treatment 2019 Test Bank



Chapter 1. Disease Prevention & Health Promotion



1. Which of the following behaviors indicates the highest potential for spreading infections
among clients? The nurse:

1) disinfects dirty hands with antibacterial soap.

2) allows alcohol-based rub to dry for 10 seconds.

3) washes hands only after leaving each room.

4) uses cold water for medical asepsis.

2. What is the most frequent cause of the spread of infection among institutionalized patients?

1) Airborne microbes from other patients

2) Contact with contaminated equipment

3) Hands of healthcare workers

4) Exposure from family members

3. Which of the following nursing activities is of highest priority for maintaining medical asepsis?

1) Washing hands

2) Donning gloves

3) Applying sterile drapes

4) Wearing a gown

4. A patient infected with a virus but who does not have any outward sign of the disease is
considered a:

1) pathogen.

2) fomite.

3) vector.

4) carrier.

5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse
institute when caring for this patient?

1) Droplet transmission

,2) Airborne transmission

3) Direct contact

4) Indirect contact



6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous antibiotics
to treat a systemic infection. Which type of infection has the patient developed?

1) Endogenous nosocomial

2) Exogenous nosocomial

3) Latent

4) Primary

7. A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2 days. His
condition has stabilized, and his temperature has returned to normal. Which stage of infection is the
patient most likely experiencing?

1) Incubation

2) Prodromal

3) Decline

4) Convalescence

8. The nurse assists a surgeon with central venous catheter insertion. Which action is necessary
to help maintain sterile technique?

1) Closing the patients door to limit room traffic while preparing the sterile field

2) Using clean procedure gloves to handle sterile equipment

3) Placing the nonsterile syringes containing flush solution on the sterile field

4) Remaining 6 inches away from the sterile field during the procedure

9. A patient develops localized heat and erythema over an area on the lower leg. These findings
are indicative of which secondary defense against infection?

1) Phagocytosis

2) Complement cascade

3) Inflammation

4) Immunity

10. The patient suddenly develops hives, shortness of breath, and wheezing after receiving an
antibiotic. Which antibody is primarily responsible for this patients response?

, 1) IgA

2) IgE

3) IgG

4) IgM

11. What type of immunity is provided by intravenous (IV) administration of immunoglobulin G?

1) Cell-mediated

2) Passive

3) Humoral

4) Active



12. A patient asks the nurse why there is no vaccine available for the common cold. Which
response by the nurse is correct?

1) The virus mutates too rapidly to develop a vaccine.

2) Vaccines are developed only for very serious illnesses.

3) Researchers are focusing efforts on an HIV vaccine.

4)

1 The virus for the common cold has not been identified.

. A patient who has a temperature of 101F (38.3C) most likely requires:

1) acetaminophen (Tylenol).

2) increased fluids.

3) bedrest.

4) tepid bath.

14. Why is a lotion without petroleum preferred over a petroleum-based product as a skin
protectant? It:

1) Prevents microorganisms from adhering to the skin.

2) Facilitates the absorption of latex proteins through the skin.

3) Decreases the risk of latex allergies.

4) Prevents the skin from drying and chaffing.

15. For which range of time must a nurse wash her hands before working in the operating
room?

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