Tiêu đề RECALLS 12 - NP5 - SC ✅

4 | Page 39. Nurse Terrence knows that the prevalent observable changes that occurs with osteoporosis is seen in which of the following bones? A. Facial bones B. Long bones C. Vertebral column D. Joints of the hands and feet 40. The correct rationale behind the administration of levodopa (L-dopa) to Elnix is that this drug will ___________________________. A. Activates enzymes to degrade dopamine B. Blocks the release of dopamine C. Provides the precursor of dopamine D. Inhibits the synthesis of dopamine 41. A client is being switched from levodopa to carbidopa- levodopa (Sinemet). The nurse should monitor for which of the following possible complications during medication changes and dosage adjustment? A. Confusion B. Symptoms of diabetes C. Vital sign fluctuation D. Jaundice 42. A client with Parkinson’s disease complains of “choking” when he swallows. Which intervention will approve the client’s ability to swallow. A. Withholding liquids until after meals B. Providing semi-liquid foods when possible C. Providing a fully liquid diet D. Offering small, more frequent meals 43. Nora has been admitted with relapsing-remitting multiple sclerosis (MS). Which of the following should be the focus of the nursing assessment and history? A. Level of consciousness B. Evoked potentials of the optic pathways C. Bladder function D. Rate of ascending paralysis 44. What would Nurse Lilian suggest as an appropriate intervention for Nora in order to avoid episodes of urinary incontinence? A. Limit fluid intake to 1000 mL/day B. Administer prophylactic antibiotics as ordered C. Insert an indwelling urinary catheter D. Establish a regular voiding schedule 45. A client with Alzheimer’s disease. What color should you repaint the hallway to provide safety? A. Black and white B. Cream and White C. Blue and Green D. Red and Yellow Situation: Darlene, a psychiatric nurse, deals with different cases of psychiatric disorders in the psychiatric ward.  46.  Marilyn, a 40-year-old client, comes to the clinic with superficial cuts on the left wrist. The patient paces around the room sobbing but cringes when approached and responds to questions with only shrugs or monosyllables. What is Darlene’s best initial statement? A. “Everything is going to be alright. You are here at the clinic, and the staff will keep you safe.” B. “I see you are feeling upset. I am going to stay and talk with you to help you feel better”. C. “You need to try to stop crying so we can talk about your problems”. D. “Let’s set some guideline and goals for you visit here”. 47. Marilyn suddenly exclaimed, "I'm in a terrible situation. I don't know what to do." Nurse Darlene can initially assume that the patient is: A. suicidal. B. anxious and fearful. C. misperceiving reality. D. potentially homicidal. 48. While Marilyn was anxious, Nurse Darlene held her hand for one minute. Which type of touch is this? A. Love/ Intimacy B. Friendship/Warmth C. Social/Polite D. Functional/Professional 49. When Marilyn recovered, she realized that Nurse Darlene was the daughter of her enemy a few years ago. This prompted Marilyn to tell Nurse Darlene to back off, and to stop invading her personal space. In terms of proxemics, all are correct statements, EXCEPT? A. Public space is 12 ft and beyond B. Social space is 4 to 12ft C. Personal space is 6 to 8ft D. Intimate space is 1.5 ft and less 50. Upon discharge, Marilyn began to take a CNS depressant to cope with problems. All of the following are considered as CNS depressants, EXCEPT? A. Heroin B. Codeine C. Barbiturates D. LSD Situation: Tricia, a 34-year-old female client, assisted by her boyfriend Gerry is admitted in the emergency room. She was hyperventilating, her palms placed over her chest while experiencing hand tremors. Furthermore, she is having diaphoresis. When asked what happened to her, she was unable to explain herself clearly. 51. Nurse Chesca wishes to teach Nina alternative coping strategies. Nurse Chesca will initially perform which action? A. Verify the patient's learning style. B. Create outcomes and a teaching plan. C. Lower the patient’s current, anxiety level. D. Assess how the patient uses defense mechanisms. 52. As Tricia’s anxiety went down, she verbalized, "I feel undone." An appropriate response for the nurse would be: A. "Why do you suppose you are feeling anxious?" B. "What would you like me to do to help you?" C. "I'm not sure I understand. Give me an example." D. "You must get your feelings under control before we can continue." 53. The next day, Nurse Chesca saw Tricia with a high level of motor activity. She runs from chair to chair and cries, "They’re coming! "They’re coming!”. Tricia does not follow instructions or respond to verbal interventions from start. The initial nursing intervention of highest priority for Nurse Chesca would be to __________________.  A. provide for patient safety. B. increase environmental stimuli. C. respect the patient's personal space. D. encourage the clarification of feelings. 54. Tricia experiences episode of severe anxiety. Which of the following is most appropriate to administer as a PRN anxiolytic medication? A. Buspirone (BuSpar) B. Lorazepam (Ativan) C. Amitriptyline (Elavil) D. Desipramine (Norpramin) 55. When Tricia was discharged, she has been unable to leave her home that week because of severe anxiety, and she says, "I know it does not make sense, but I just can't bring myself to leave my apartment alone." Which nursing intervention is appropriate for Nurse Chesca to initiate? A. Teach the person to use positive self-talk. B. Assist the person to apply for disability benefits. C. Ask the person to explain why the fear is so disabling. D. Advise the person to accept the situation and use a companion. Situation: A finance director, Mr. Enrile, 55 was brought to the hospital for diagnostic workup after he had experienced seizure in his office. Nurse Henry was assigned to him. 56. Just as Nurse Henry was entering the room, the patient who was sitting on his chair begins to have seizure. Which of the following must the nurse do FIRST? A. Ease the patient to the floor B. Lift the patient and put him on the bed C. Insert a padded tongue depressor between his jaws.