Nursing Elites

1. The client states, “the doctor says I am nearsighted. I do not get it.” What would be the best response by the nurse?

• A. I am sorry you did not understand. Would you like a different doctor?
• B. Nearsighted, or myopia means that you have difficulty seeing things at a distance.
• C. You will need to have glasses.
• D. This means you won’t ever need glasses.

Correct answer: B

Rationale: The correct response is to explain to the client what nearsightedness means, which is having difficulty seeing distant objects, as known as myopia. Choice A is not helpful as changing doctors is not necessary for this situation. Choice C is premature as wearing glasses is a possible solution but not the only one. Choice D is incorrect as nearsightedness (myopia) often requires glasses for correction.

2. A nurse is teaching a client who has a new prescription for ibuprofen to treat rheumatoid arthritis. The nurse should teach the client to monitor for what adverse effect of this medication?

• A. Bleeding
• B. Insomnia
• C. Blurred vision
• D. Constipation

Correct answer: C

Rationale:

3. The mother of a newborn baby is concerned that the baby will develop illnesses from being around people from outside of their family. What is the nurse's best response?

• A. "You should never go around people after your baby is born,"?
• B. "Why do you think that is a bad idea?"?
• C. "Tell me more about that."?
• D. "I did that, and my kids turned out just fine."?

Correct answer: C

Rationale:

4. The nurse is performing a psychosocial assessment on a client with a severe rheumatoid arthritis. What would be the most appropriate statement by the nurse?

• A. "Tell me about what medication you are taking"?
• B. "What physical limitations are you experiencing?"?
• C. "How does this impact your role in your family?"?
• D. "What therapies are you using to reduce swelling?"?

Correct answer: C

Rationale:

5. What is the term for a ringing in the ears reported by the client?

• A. Weber
• B. Rinne
• C. Pinna
• D. Tinnitus

Correct answer: D

Rationale: Tinnitus is the correct answer. Tinnitus refers to the perception of noise or ringing in the ears. This condition can be constant or intermittent and may be caused by various factors such as exposure to loud noises, ear infections, or underlying health conditions. Choices A, B, and C are incorrect as Weber and Rinne tests are related to hearing assessment, while the pinna is the external part of the ear responsible for collecting sound waves.

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