Martha, a 55-year-old with a past medical history of hypertension, asks you about decreasing her risk for sun damage during her frequent beach trips. Which advice is most accurate?

Increasing sun exposure by 10 minutes each day will minimize risk.

Water-resistant sunscreens are all you need while swimming.

Use a sunscreen with SPF of at least 10

Avoid direct sun exposure between 10 AM and 2 PM.

Answer and Explanation

The Correct Answer is D

A.   Increasing sun exposure would actually increase the risk of sun damage and skin cancer rather than minimizing it.
B.   While water-resistant sunscreens are important for protection during swimming, they are not the only measure needed to reduce sun damage, especially during extended sun exposure periods.
C.   A sunscreen with SPF of at least 10 may not provide sufficient protection, especially for someone spending extended periods of time in direct sunlight. Higher SPF is generally recommended.
D.   Avoiding direct sun exposure between 10 AM and 2 PM is crucial because during these hours, the sun's rays are the strongest, increasing the risk of sunburn and skin

damage. Opting for shade or protective clothing during these hours can significantly reduce the risk of sun damage.

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Correct Answer is ["A","D","E"]

Explanation

A. Assessing the client's airway protection is essential, as vocal cord paralysis can impair swallowing and increase the risk of aspiration.

B. He does not need a tracheostomy or stoma care unless he has severe respiratory distress or obstruction.
C. A Teflon injection into the vocal cords is a surgical procedure that can improve the voice quality of some patients with vocal cord paralysis, but it is not a nursing intervention and it has potential complications, such as granuloma formation and migration of the material.
D. Monitoring for signs of hypothyroidism is important since Tom is taking levothyroxine, a medication used to treat hypothyroidism.
E. Suggesting speech therapy consultation is appropriate to help Tom manage any speech difficulties resulting from vocal cord paralysis.

A. Reflex bronchoconstriction B. Mucociliary clearance system C. Alveolar macrophages D. Chemoreceptors respond to changes in PaCO2 and Ph

Correct Answer is A

Explanation

A. Exposure to strong odors can trigger reflex bronchoconstriction, leading to symptoms like difficulty breathing and chest tightness, especially in individuals with hypersensitive airways.
B. While the mucociliary clearance system plays a role in removing inhaled particles and irritants from the airways, it is not primarily responsible for acute symptoms like difficulty breathing.
C. Alveolar macrophages are involved in phagocytosis and defense against inhaled particles and pathogens but are not directly involved in causing acute respiratory symptoms like bronchoconstriction.
D. Chemoreceptors primarily regulate respiratory drive in response to changes in blood gases and pH but are not directly responsible for bronchoconstriction in response to odor exposure.

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Martha, a 55-year-old with a past medical history of hypertension, asks you about decreasing her risk for sun damage during her frequent beach trips. Which advice is most accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Tom, a 34-year-old man with a history of vocal cord paralysis post-thyroidectomy, comes to your clinic. He is currently taking levothyroxine. Which of the following nursing - interventions are appropriate for Tom? Select all that apply

Correct Answer is ["A","D","E"]

Explanation

Mike, a 27-year-old, reports difficulty in breathing and a "tight chest after being exposed to a strong odor. No wheezing is heard upon auscultation. Which mechanism is primarily responsible for Mike's symptoms?

Correct Answer is A

Explanation

Martha, 70, complains of fatigue and anemia. She has a family history of Waldenstrom's macroglobulinemia. The healthcare provider orders Immunofixation Electrophoresis. Why is Immunofixation Electrophoresis important for Martha's case?

Sarah, a 68-year-old female who is on anticoagulant therapy for atrial fibrillation, presents with a contusion on her forearm after a fall. Which two combined assessments should the nurse prioritize in Sarah's care?

James, 35, who is undergoing chemotherapy, has white lesions resembling milk curds in the back of his throat. His CBC shows reduced counts across the board. What question should the nurse ask?

Linda, a 70-year-old woman with COPD, has arterial blood gases that show a pH of 7.35, PaCO2 of 55, and Pa02 of 60. She is currently on 2 liters of oxygen via a nasal -cannula. Which of the following interventions are appropriate for Linda? Select all that apply

Sarah, a 42 year old woman, complains of rectal pain that worsens during bowel movements. She has no history of rectal or colon problems but has been taking profen regularly for chronic back pain. What could be a potential reason for her symptoms?

John, a 65-year-old man, is nonambulatory and presents with complaints of rectal pain and problems with urination. What is the best position to examine John's rectum and prostate?

Nurse Patricia needs to choose the best management options for four different patients. Match the patient's condition to the appropriate management strategy.