The nurse explains that the negative feedback system controls hormone release by communication between:
a. the pituitary and the target organ.
b. the thymus and the blood stream.
c. lymphatic system and the target organ.
d. central nervous system and the blood stream.
Question 2The nurse reminds the patient that the National Heart, Lung, and Blood Institute recommends a lipid study every _________ years.
a. 2
b. 3
c. 4
d. 5
Question 3How do leukotriene modifiers reduce the symptoms of asthma?
a. By drying up mucus
b. By causing bronchodilation and anti-inflammation effects
c. By suppressing cough
d. By liquefying mucus
Question 4An intravenous pyelogram confirms the presence of a 4-mm renal calculus in the proximal left ureter of a newly admitted patient. Physician orders include meperidine (Demerol) 100 mg IM q4h PRN, strain all urine, and encourage fluids to 4000 mL/day.
What should be the nurse's highest priority when planning care for this patient?
a.
Pain related to irritation of a stone
b.
Anxiety related to unclear outcome of condition
c.
Ineffective health maintenance related to lack of knowledge about prevention of stones
d.
Risk for injury related to disorientation
Question 5The nurse caring for a patient recovering from a myocardial infarction (MI) teaches which method to avoid the Valsalva maneuver during a bowel movement?
a. Mouth breathing
b. Pursing the lips and whistling
c. Taking a deep breath and holding it
d. Breathing rapidly through the nose
Question 6The nurse caring for a patient who has a closed chest drainage system notes that there is fluctuation (tidaling) in the water seal chamber. What is the most appropriate nursing action based on this assessment?
a. Document the tidaling
b. Elevate the head of the bed and notify charge nurse of malfunction of drainage system
c. Add more sterile water to the water seal chamber
d. Turn patient to the affected side
Question 7The patient has become very dyspneic, respirations are 32, and the pulse is 100. The patient is coughing up frothy red sputum. What should be the initial nursing intervention?
a. Lay the patient flat to reduce hypotension and the symptoms of cardiogenic shock.
b. Place patient in side-lying position to reduce the symptoms of atrial fibrillation.
c. Place patient upright with legs in dependent position to reduce the symptoms of pulmonary edema. d.
Lay the patient flat and elevate the feet to increase venous return in cardiogenic shock.
Question 8The young man who had a bronchoscopy 1 hour ago asks when he can eat. Which response would be most helpful?
a. In 24 hours, but must take cold liquids for the rest of the day
b. If there is no blood in his sputum
c. In 8 hours after a period of nothing by mouth
d. When the gag reflex returns
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