foundation of nursing questions and answers

Correct Answer: A

Rationale: The correct answer is A: The patient's hearing is likely normal. This interpretation is based on the normal Rinne test result, where air-conducted sound is expected to be louder than bone-conducted sound. This finding indicates that the patient has intact air conduction and no significant conductive hearing loss. Option B is incorrect because tinnitus is not directly related to the Rinne test results. Option C is incorrect as otosclerosis would typically present with abnormal Rinne test results showing bone-conducted sound to be louder. Option D is incorrect as sensorineural hearing loss would not typically affect the Rinne test results in this way.

Correct Answer: C

Rationale: The correct answer is C because it provides specific, objective information about the patient's left knee incision, including its size and absence of concerning signs. This entry is relevant, concise, and focuses on a specific aspect of the patient's condition, aiding in continuity of care and treatment planning. Choice A is vague and lacks detail, making it insufficient for accurate patient care documentation. Choice B focuses on the patient's subjective feelings and does not provide objective assessment data. Choice D is judgmental and includes unnecessary information about the patient's behavior and family presence, which is not directly related to the patient's condition.

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Prone position post retinal detachment repair helps the gas bubble or silicone oil stay against the retina to support healing. 2. This position prevents the bubble/oil from moving and causing further detachment. 3. Repositioning can jeopardize the surgical repair and lead to complications. 4. Calling the physician (A) is unnecessary as the order is clear. 5. Instructing the patient to prevent bleeding (C) is not related to the positioning after retinal detachment repair. 6. Repositioning after the first dressing change (D) contradicts the initial order and risks complications.

Correct Answer: D

Rationale: The correct answer is D: Hypogammaglobulinemia. This chronic health problem predisposes individuals to latex allergies due to reduced levels of immunoglobulins, increasing susceptibility to allergic reactions. Latex contains proteins that can trigger immune responses in individuals with compromised immune systems. Choice A: Herpes simplex is a viral infection and does not directly relate to latex allergies. Choice B: HIV weakens the immune system but is not specifically associated with latex allergies. Choice C: Spina bifida is a congenital condition affecting the spinal cord and does not directly impact the likelihood of latex allergies.

Correct Answer: D

Rationale: The correct answer is D: Acyclovir (Zovirax). Acyclovir is an antiviral medication specifically used to treat herpes infections, including genital herpes. It works by inhibiting the replication of the herpes virus, thereby suppressing symptoms and shortening the course of the infection. Clotrimazole (A) is an antifungal medication used to treat yeast infections, not effective against viral infections like herpes. Metronidazole (B) is an antibiotic used to treat bacterial infections, not effective against viruses. Podophyllin (C) is a topical treatment for genital warts caused by the human papillomavirus (HPV), not effective for herpes. Therefore, the correct choice is Acyclovir (D) for treating genital herpes exacerbation.