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Kennykeen15 Kennykeen15
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The nurse is educating a female patient with a family history of coronary artery disease (CAD) about risk factors and prevention of heart disease in women. Which information is most impor-tant for the nurse to include?
  a. Women should maintain a body mass in-dex (BMI) of less than 28.
  b. Women should utilize estrogen supple-mentation to decrease risk of heart dis-ease.
  c. Women should drink one alcoholic beve-rage daily.
  d. Women should incorporate stress reduc-tion techniques into their daily lifestyle.

Question 2

The nurse is caring for a patient recovering in the PACU. The patient awakens confused and disoriented. What action should the nurse take first?
  a. Take the patient's vital signs.
  b. Encourage the patient to return to sleep.
  c. Reorient and reassure the patient.
  d. Document that the patient is awake and disoriented.

Question 3

Which statements about passive immunity are true? (Select all that apply.)
  a. Passive immunity lasts for several years.
  b. Passive immunity stimulates the produc-tion of antibodies.
  c. Passive immunity prevents further tissue damage.
  d. Passive immunity provides temporary immunity from the disease.
  e. Passive immunity is given by vaccination.

Question 4

The nurse is educating a patient about his cluster headaches. The nurse includes information that cluster headaches may be accompanied by which signs or symptoms? (Select all that apply.)
  a. Reddened conjunctiva
  b. Nasal congestion
  c. Ptosis
  d. Lethargy
  e. Sensitivity to touch

Question 5

Which mechanisms are ways in which antibodies can protect the body by either destroying or inactivating a particular antigen? (Select all that apply.)
  a. Mechanically harming the antigen
  b. Activating the complement system
  c. Releasing chemicals that alter the envi-ronment of the antigen
  d. Directly attacking the nucleus of the anti-gen
  e. Forming organic chains that sweep out the antigen

Question 6

A patient is learning to use crutches on the stairs. Which action indicates that the patient needs further instruction?
  a. The patient places the good leg on the step to be climbed first.
  b. The patient places the affected leg on the step to be climbed first.
  c. The patient places the crutches on the floor and uses a swing-through method to get to the next step.
  d. The patient places the crutch on the af-fected side on the next step first.

Question 7

The postanesthesia care unit (PACU) nurse determines that the patient's Aldrete score is 9 . Which statement correctly describes the meaning of this score?
  a. The patient is at an increased risk for postoperative respiratory complications.
  b. The patient's condition warrants close monitoring.
  c. The patient is experiencing severe pain.
  d. The patient will soon be transferred to the postoperative unit.
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The answer to question 1  D
Increased stress is a risk factor for cardiovascular disease, especially in women. Women should incorporate stress reduction techniques into their daily lifestyle. Women should maintain a BMI of less than 25 . Women should discontinue use of estrogen contraception/supplementation as soon as possible. Women should not consume more than one alcoholic drink per day, and ab-staining from alcohol is beneficial.

The answer to question 2  C
The patient should be reoriented and assured when awaking from anesthesia.

The answer to question 3  C, D
Passive immunity prevents further damage when a disease is already present. Passive immunity provides the protection of antibodies made by someone else. Benefits of passive immunity are usually time limited as the antibodies provided only last for a specific period. Active artificial acquired immunity is achieved through immunizations.

The answer to question 4  A, B, C, E
Manifestations of cluster headaches may include severe unilateral orbital, supraorbital, or tem-poral pain along with one of the following: redness of the conjunctiva of the eye, tearing, nasal congestion, dripping nose, facial swelling, pupil constriction, ptosis (drooping) of the eyelid, and sensitivity to touch. Cluster headaches might cause restlessness (patients often pace), not lethar-gy.

The answer to question 5  A, B, C
Antibodies destroy an antigen by mechanically harming it, activating the complement system, and releasing chemicals that alter the environment of the antigen.

The answer to question 6  A
When climbing stairs with crutches, the patient should first stand at the foot of the stairs with weight on the good leg and crutches, put weight on the crutch handles, and then lift the good leg up onto the first step of the stairs. Weight should be placed on the good leg to lift the injured leg and crutches up to that step.

The answer to question 7  D
The Aldrete scoring system is a method of determining readiness for a surgery patient to be transferred from PACU to the postoperative unit. Scores are given for activity, respiration, cir-culation, consciousness, skin color, and oxygen saturation. A score of 9 or 10 indicates readiness for transfer.
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Kennykeen15 Author
5 years ago
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