MIXED MCQ Questions and Answers with complete solution

MIXED MCQ Questions and Answers with complete solution You are caring for bill, a 50 year old man who has been hospitalised with a possible diagnosis of pancreatitis 1. Which of the following symptoms would you antic ...

MIXED MCQ Questions and Answers with complete solution You are caring for bill, a 50 year old man who has been hospitalised with a possible diagnosis of pancreatitis 1. Which of the following symptoms would you anticipate observing in bill a) Elevated white blood cell count, ankle oedema and right groin pain b) Left upper quadrant abdominal pain, nausea, and vomiting c) Hypoglycaemia, hypertension, and hypochondrial pain d) Epigastric pain, pyrexia, and elevated white blood cell count ✔✔ b) Left upper quadrant abdominal pain, nausea, and vomiting Pain control is an important nursing goal. Which of the following medications would be the drug of choice a) Pethidine b) Cimetidine c) Morphine d) Codeine ✔✔ c) Morphine You monitor bills vital signs frequently, observing for the signs of shock. Shock is extremely difficult to manage in pancreatitis primarily because of the a) Frequency and severity of gastrointestinal haemorrhage b) Vasodilating effects of kinin peptides c) Tendency towards congestive heart failure d) Frequent incidence of acute tubular necrosis ✔✔ a) Frequency and severity of gastrointestinal haemorrhageWhile helping bill change position in bed, you note bill has muscle twitching in his bands and forearms. These symptoms are significant because clients who suffer from pancreatitis are at risk of a) Hypermagnisemia b) Hypoglycaemia c) Hypocalcaemia d) Hyponatremia ✔✔ c) Hypocalcaemia Bill does not drink alcohol because of his religious beliefs. When the physician persists in asking him about his alcohol intake, bill becomes annoyed. You explain the reasoning behind the questioning by telling bill that a) There is a strong link between alcohol use and pancreatitis b) Alcohol intake can interfere with some of the tests used to diagnose pancreatitis d) The physician must obtain the pertinent facts, and religious beliefs cannot be considered ✔✔ c) Alcoholism is a major health problem and all hospitalised clients are asked about their alcohol intake 11. The primary reason that a herpes simplex infection is a serious concern to a client with HIV infection is that herpes simplex a) Is an acquired immunodeficiency virus (AIDS) defining illness b) Is curable only after 1 year of antiviral therapy c) Can lead to cervical cancer d) Causes severe electrolyte imbalances ✔✔ a) Is an acquired immunodeficiency virus (AIDS) defining illness An 18 year old female college student is seen at the university health centre. She undergoes a pelvic examination and is diagnosed with gonorrhoea 19. Which of the following responses by the nurse would be best when the client says that she is nervous about the upcoming pelvic examination a) can you tell me more about how you‟re feelingb) you‟re not alone. Most women feel uncomfortable about this examination c) do not worry about Dr smith. He‟s a specialist in female problems d) we‟ll do everything we can to avoid embarrassing you ✔✔ a) can you tell me more about how you‟re feeling Gonorrhoea in women a) is often marked by symptoms of dysuria or vaginal bleeding b) does not lead to serious complications c) can be treated but not cured d) may not cause symptoms until complications occur ✔✔ d) may not cause symptoms until complications occur A 24 year old female client, who is on her honeymoon, comes to an ambulatory care clinic in moderate distress with a probable diagnosis of acute cystitis 22. Which of the following symptoms would the nurse expect the client to report during the assessment a) fever and chills b) frequency and burning on urination c) suprapubic pain and nausea d) dark, concentrated urine ✔✔ b) frequency and burning on urination 24. The physician tells the client that the infection has likely been precipitated by sexual intercourse and that an antibiotic will be prescribed. The client becomes upset, and tearfully asks the nurse if this means she should abstain from intercourse for the rest of her honeymoon. What advice should the nurse offer her a) avoid intercourse until you‟ve completed the antibiotic therapy and then limit intercourse to once a week b) limit intercourse to once a day in the early morning after your bladder has restedd) you and your husband can enjoy intercourse as often as you wish. Just make sure he wears a condom and uses a spermicide ✔✔ c) as long as you‟re comfortable you can have intercourse as often as you wish; but be sure to urinate within 15 minutes after intercourse