Nursing Elites

1. Which assessment finding is expected with myxedema?

• A. Increased pulse rate
• B. Decreased temperature
• C. Fine tremors
• D. Weight loss

Correct answer: B

Rationale: Myxedema is characterized by a decreased metabolic rate, leading to manifestations such as decreased temperature. Therefore, the correct assessment finding expected with myxedema is a decreased temperature. Choices A, C, and D are incorrect because myxedema typically presents with a decreased pulse rate, not an increased pulse rate, absence of fine tremors (which are more common in hyperthyroidism), and weight gain rather than weight loss.

2. How should a healthcare provider care for a patient with a nasogastric (NG) tube?

• A. Check tube placement and assess for signs of aspiration
• B. Flush the tube with water regularly to maintain patency
• C. Monitor for bowel sounds and administer medications
• D. Administer medications through the tube

Correct answer: A

Rationale: When caring for a patient with a nasogastric (NG) tube, it is crucial to check the tube placement and assess for signs of aspiration. This ensures that the tube is correctly positioned and that the patient is not at risk of complications such as aspiration pneumonia. Choice B is incorrect as flushing the tube with water regularly is not a standard practice and may not be appropriate for all patients. Choice C is incorrect as monitoring for bowel sounds is not directly related to NG tube care, and administering medications is not the primary focus of caring for the tube itself. Choice D is incorrect because administering medications through the NG tube is a specific action that may be taken based on a healthcare provider's order, not a general care guideline for the NG tube.

3. A nurse is caring for a client who is in Buck's traction. Which of the following actions should the nurse take?

• A. Remove the weights
• B. Ensure the weights hang freely
• C. Increase the traction force
• D. Loosen the ropes

Correct answer: B

Rationale: The correct action the nurse should take when caring for a client in Buck's traction is to ensure the weights hang freely. This is essential to maintain proper alignment and ensure the effectiveness of Buck's traction. Removing the weights (Choice A) would be incorrect and could compromise the treatment. Increasing the traction force (Choice C) can lead to excessive pressure and potential harm to the client. Loosening the ropes (Choice D) would also be inappropriate as it can disrupt the traction's effectiveness and alignment.

4. A client diagnosed with gout is receiving dietary instruction from a nurse. What dietary advice should be provided?

• A. Limit intake of fresh fruits and uncooked vegetables
• B. Limit intake of red meat and shellfish
• C. Limit intake of dairy products
• D. Increase intake of leafy greens

Correct answer: B

Rationale: The correct answer is to limit the intake of red meat and shellfish. These foods are high in purines, which can increase uric acid levels and trigger gout flare-ups. Fresh fruits, uncooked vegetables, dairy products, and leafy greens are generally not associated with exacerbating gout symptoms and do not need to be significantly restricted in the diet of someone with gout.

5. What is the most important intervention for a patient experiencing respiratory distress?

• A. Administer oxygen
• B. Monitor airway patency
• C. Provide bronchodilators
• D. Call for assistance

Correct answer: A

Rationale: Administering oxygen is crucial in managing a patient experiencing respiratory distress. Oxygen therapy helps to improve oxygen levels in the blood, supporting vital organ functions. While monitoring airway patency is important, administering oxygen takes precedence in ensuring the patient receives an adequate oxygen supply. Providing bronchodilators may be beneficial in certain respiratory conditions, but the immediate priority in distress is to address oxygenation. Calling for assistance is essential, but the immediate intervention to support the patient's respiratory function is administering oxygen.

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