Nursing Process Practice Questions Quizlet

Questions 71

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Nursing Process Practice Questions Quizlet Questions

Question 1 of 5

Which of the ff is a sign or symptom of asthma?

Correct Answer: C

Rationale: The correct answer is C: Paroxysms or shortness of breath. Asthma is characterized by episodes of wheezing, coughing, chest tightness, and shortness of breath, known as paroxysms. This symptom is caused by inflammation and constriction of the airways in response to triggers such as allergens or irritants. A: Production of abnormally thick, sticky mucus in lungs is more indicative of conditions like cystic fibrosis, not asthma. B: Faulty transport of sodium in lung cells is associated with conditions like cystic fibrosis, not asthma. D: Altered electrolyte balance in the sweat glands is a symptom of cystic fibrosis, not asthma. In summary, paroxysms or shortness of breath is a key sign of asthma due to airway inflammation and constriction, distinguishing it from the other choices that are more indicative of cystic fibrosis.

Question 2 of 5

The NAP states that was busy and had not had a chance to tell the nurse yet. The patient begins to complain of feeling dizzy and light-headed. The blood pressure is rechecked and it has dropped even lower. In which phase of the nursing process did the nurse first make an error? NursingStoreRN

Correct Answer: A

Rationale: The correct answer is A: Assessment. In this scenario, the nurse failed to complete a thorough assessment by not informing the nurse about the patient's condition. Assessment is the first step in the nursing process where data is collected and analyzed to identify the patient's problems. By not communicating the patient's symptoms to the nurse, the nurse missed crucial information that could have led to timely intervention. Explanation of other choices: B: Diagnosis - The nurse did not have the opportunity to make a diagnosis because the assessment phase was incomplete. C: Implementation - The nurse did not reach the implementation phase yet as the assessment phase was not properly conducted. D: Evaluation - The nurse cannot evaluate the effectiveness of interventions as the assessment and subsequent phases were not properly carried out.

Question 3 of 5

Why must clients who will undergo diagnostic skin test avoid taking antihistamine or cold preparations for at least 48-72 hrs before testing?

Correct Answer: C

Rationale: The correct answer is C because antihistamines can suppress the immune response that the skin test is designed to detect, leading to false negative results. By inhibiting the body's allergic response, antihistamines can mask the presence of an allergy, giving the false impression that the individual is not allergic to a particular substance. This can lead to misdiagnosis and improper treatment. Choices A, B, and D are incorrect because antihistamines do not affect bleeding, aggravate allergic reactions, or cause wheezing in the context of a skin test.

Question 4 of 5

Which of the following medications should then nurse explain may cause headache as a side effect?

Correct Answer: B

Rationale: The correct answer is B: Clonidine (Catapres). Clonidine is known to cause headache as a side effect due to its mechanism of action affecting blood pressure regulation in the brain. Furosemide (A) is a diuretic that typically causes electrolyte imbalances, not headaches. Atenolol (C) is a beta-blocker used for hypertension, which can cause fatigue but not typically headaches. Adalat (D) is a calcium channel blocker that usually causes peripheral edema, not headaches.

Question 5 of 5

A client with HIV has been prescribed anti viral medications. What instructions related to administration of medications should the nurse give such a client?

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Timing: Antiviral medications should be taken as prescribed to maintain consistent drug levels in the body. 2. Around meals: Taking medications with or without food can affect absorption, so timing around meals helps with consistency. 3. Compliance: Following the timing instructions increases medication effectiveness and reduces the risk of drug resistance. Other Choices: B) Avoiding harsh sunlight: Not directly related to medication administration; may be a precaution for other reasons. C) Having medications with fruit juice: This is not a standard instruction for antiviral medications; may not be suitable for all medications. D) Increasing dose for worsening symptoms: This is dangerous and should only be done under healthcare provider supervision; self-adjusting medication doses can be harmful.

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