For the Nursing Exam #3 (Winter 2023), which of the following is an example of allopathic treatment?

Burning dried herbs to relieve chronic abdominal pain and diarrhea.

Use of tai chi exercises to relieve chronic back pain.

Prescription of antibiotic medication for a bacterial infection.

Manipulation of the spine to relieve migraine headaches.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Burning dried herbs is a form of traditional medicine, not allopathic medicine.

Traditional medicine encompasses a wide range of practices and therapies that have been used for centuries across different cultures.

It often relies on natural substances and processes, such as herbs, acupuncture, and massage, to promote healing and well- being.

While traditional medicine can offer valuable benefits, it's important to note that it's not always based on scientific evidence and its efficacy can vary depending on the specific practice and condition being treated.

Choice B rationale:

Tai chi exercises are a form of complementary and alternative medicine (CAM), not allopathic medicine.

CAM encompasses a diverse group of therapies that are not considered part of mainstream conventional medicine. Tai chi is a mind-body practice that involves gentle, flowing movements and deep breathing.

It has been shown to offer a range of health benefits, including reducing stress, improving balance, and easing pain.

However, it's important to note that tai chi is not a cure-all and should not be used as a substitute for conventional medical care when necessary.

Choice C rationale:

Prescription of antibiotic medication is a hallmark of allopathic medicine.

Allopathic medicine, also known as conventional or Western medicine, is based on the scientific understanding of the body and disease.

It focuses on diagnosing and treating specific diseases or conditions using medications, surgery, or other interventions that have been proven effective through rigorous scientific research.

Antibiotics are a type of medication that specifically targets and kills bacteria.

They are essential for treating bacterial infections, which can cause a wide range of illnesses, from minor skin infections to life- threatening pneumonia.

Choice D rationale:

Manipulation of the spine, also known as chiropractic care, is a form of CAM, not allopathic medicine. Chiropractic care focuses on the musculoskeletal system, particularly the spine.

Chiropractors use manual adjustments to the spine to relieve pain, improve range of motion, and restore function.

While some studies have shown that chiropractic care can be effective for certain conditions, such as lower back pain, it's important to note that it's not a cure-all and should not be used as a substitute for conventional medical care when necessary.

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Correct Answer is C

Explanation

Choice A rationale:

Debridement refers to the removal of dead, damaged, or infected tissue to promote healing. It is not a term used to describe skin breakdown caused by moisture.

Choice B rationale:

Evisceration is the protrusion of internal organs through a wound or surgical incision. It is not relevant to the condition of perineal skin breakdown due to wetness.

Choice D rationale:

Dehiscence is the separation of a surgical wound. It is not applicable in this case, as there is no mention of a surgical wound.

Choice C rationale:

Maceration is a term used to describe skin that has become softened and broken down due to prolonged exposure to moisture. This is the most accurate term to describe the condition of perineal skin breakdown after sitting in wet underclothes for many hours.

Key features of maceration:

Skin softening: The skin becomes white and wrinkled, resembling a prune.

Epidermal loss: The outer layer of skin (epidermis) may slough off, leaving the underlying tissue exposed. Redness: The affected area may become red and inflamed.

Pain or tenderness: The area may be painful or tender to the touch.

Increased risk of infection: Macerated skin is more susceptible to infection due to the breakdown of the skin barrier. Causes of maceration:

Prolonged exposure to moisture: This can include sweat, urine, feces, wound drainage, or excessive bathing. Friction: Rubbing or chafing of the skin can also contribute to maceration.

Impaired circulation: Poor blood flow to the area can make it more vulnerable to maceration. Prevention of maceration:

Keep skin clean and dry: This is the most important step in preventing maceration. Change wet or soiled clothing or dressings promptly.

Apply barrier creams or ointments: These can help to protect the skin from moisture.

Use incontinence products: These can help to keep the skin dry if the patient is incontinent. Reposition the patient frequently: This helps to reduce pressure and friction on the skin.

A. The patient’s last bowel movement was before surgery, 4 days ago. B. The patient has refused enoxaparin injections after surgery. C. The patient’s platelet count was 45,000/mm^3 this morning. D. The patient required transfusion of two units of packed red blood cells.

Correct Answer is B

Explanation

Choice A rationale:

A patient's last bowel movement being 4 days ago does not directly increase their risk of pulmonary embolism (PE). While constipation can be a risk factor for deep vein thrombosis (DVT), which can lead to PE, it is not a significant risk factor on its own.

It's important to assess for other risk factors for DVT, such as immobility, recent surgery, or a history of blood clots, in conjunction with constipation.

Choice C rationale:

A platelet count of 45,000/mm^3 is low (thrombocytopenia), but it does not directly increase the risk of PE.

In fact, a low platelet count can sometimes hinder clot formation. However, it's important to monitor patients with thrombocytopenia for bleeding risks, as they may be more prone to bleeding complications.

Choice D rationale:

While receiving a transfusion of two units of packed red blood cells can increase blood viscosity, which could theoretically slightly increase the risk of PE, it is not a major risk factor.

Patients who receive transfusions are often already at an elevated risk of PE due to other underlying conditions or surgeries. It's essential to assess for other risk factors in these patients.

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For the Nursing Exam #3 (Winter 2023), which of the following is an example of allopathic treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which term is used to describe the following condition in a patient’s medical record: perineal skin breakdown after sitting in wet underclothes for many hours?

Correct Answer is C

Explanation

Which assessment finding indicates that the patient is at high risk for development of pulmonary embolism?

Correct Answer is B

Explanation

The nurse is caring for a patient with shallow respirations and diminished breath sounds following abdominal surgery yesterday.Which are the appropriate actions of the nurse? (Select all that apply.)

What is the first intervention of the nurse for changing the dressing to a painful burn?

Which factor contributes to the formation of a pressure injury when a patient’s body slides downward to the foot of the bed?

The nurse administers a medication to the patient. Which symptoms indicate that the patient is having an allergic reaction rather than a side effect?

Which is the priority nursing diagnosis for a patient with shallow respirations following abdominal surgery?

If a patient opts for an herbal supplement over a prescribed medication, what would be the nurse’s best response?

A patient has an order for a subcutaneous injection of insulin.Into which of the following tissues will the nurse prepare to give this injection?

The patient is scheduled to receive insulin aspart and insulin detemir.What is the correct procedure for the nurse to draw up the insulins for administration?