,1. Multiple Choice: Which of the following is a primary
concern when providing nursing care for a patient with
congestive heart failure (CHF)?
A. Fluid overload
B. Inadequate nutrition
C. Lack of family support
D. Risk of infection
Correct Answer: A. Fluid overload
Rationale: Patients with CHF are at risk of fluid overload
due to the heart's decreased ability to pump blood
effectively, leading to accumulation of fluid in the body.
2. Fill-in-the-Blank: The most common cause of chronic
kidney disease is __________.
Correct Answer: diabetes
Rationale: Diabetes leads to high blood sugar levels,
which can damage the kidneys over time and result in
chronic kidney disease.
3. True/False: A patient with a Glasgow Coma Scale score
of 15 requires immediate intubation.
Correct Answer: False
Rationale: A Glasgow Coma Scale score of 15 indicates
full consciousness; intubation is not typically required
unless other factors necessitate it.
, D. Increased intestinal motility
Correct Answers: A. Muscle weakness, C. Cardiac
dysrhythmias
Rationale: Hypokalemia can lead to muscle weakness
and cardiac dysrhythmias due to the role of potassium in
muscle contraction and cardiac conduction.
5. Multiple Choice: In managing a patient with acute
pancreatitis, which dietary recommendation is most
appropriate?
A. High-fat diet
B. Alcohol moderation
C. Low-protein diet
D. NPO (nil per os) status initially
Correct Answer: D. NPO (nil per os) status initially
Rationale: Acute pancreatitis often requires the pancreas
to rest, making NPO status necessary to reduce pancreatic
stimulation.
6. Fill-in-the-Blank: The medication primarily used to
prevent deep vein thrombosis in immobilized patients is
__________.
Correct Answer: heparin
Rationale: Heparin is an anticoagulant that helps prevent
the formation of blood clots, such as deep vein thrombosis.
7. True/False: Rebound tenderness is a reliable indicator of
appendicitis in adults.
Correct Answer: True
Rationale: Rebound tenderness can indicate peritoneal
irritation, which is often caused by appendicitis.
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