Your patient has been admitted with a diagnosis of bilateral pneumonia. You have trouble communicating with this patient, who is pouty and demanding your constant attention. She talks for long periods about the smallest details of her life. Besides the pneumonia, you ask the physician if the patient has a history of which of the following personality disorders?

Borderline

Schizoid

Narcissistic

Antisocial

Answer and Explanation

The Correct Answer is C

Choice A reason: Borderline personality disorder is characterized by instability in relationships, self-image, and emotions, not necessarily by being pouty and demanding attention.

Choice B reason: Schizoid personality disorder involves detachment from social relationships and a limited range of emotional expression, which does not align with the patient's behavior.

Choice C reason: Narcissistic personality disorder includes traits such as needing excessive admiration and having a sense of entitlement, which could explain the patient's behavior.

Choice D reason: Antisocial personality disorder is marked by a disregard for and violation of the rights of others, which is not described in the patient's behavior.

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Correct Answer is C

Explanation

Choice A reason: Hypertension is not typically a direct complication of inhaled anesthetics.

Choice B reason: Urinary retention can occur postoperatively but is not specifically associated with inhaled anesthetics.

Choice C reason: Laryngospasm is a potential complication of inhaled anesthetics, which can occur due to irritation of the airway during anesthesia.

Choice D reason: Anxiety is not a complication of inhaled anesthetics; it is more likely to be associated with preoperative stress.

A. "A heating pad will be used on the operative site to help reduce pain." B. "Expect to remain in bed for at least the first 24 hours." C. "You will use a continuous passive motion (CPM) machine several times a day." D. "You will use a special soap to shower with the evening before your surgery."

Correct Answer is C

Explanation

Choice A reason: The use of a heating pad on the operative site is not typically recommended immediately post-surgery due to the risk of bleeding and swelling.

Choice B reason: Patients are encouraged to mobilize as soon as possible after surgery to prevent complications such as deep vein thrombosis and pulmonary embolism.

Choice C reason: The use of a CPM machine is common after total hip replacement surgery to help restore joint function and prevent stiffness.

Choice D reason: Using a special soap the evening before surgery is part of the preoperative preparation to reduce the risk of infection.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assisting in the care of a patient receiving an inhaled anesthetic. Which is a potential complication of inhaled anesthetics?

Correct Answer is C

Explanation

A nurse is reinforcing preoperative teaching to a client who is undergoing total hip replacement surgery. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

An older adult patient experiences a fracture of the lower leg and undergoes closed reduction and placement of a fiberglass cast. What should the nurse prepare for when planning care?

Which of the following does the nurse implement to prevent postoperative respiratory complications for a patient? (Select all that apply)

A nurse is collecting data from a client who has obsessive-compulsive personality disorder. Which of the following findings should the nurse include?

A patient who repeats a word or part of a word over and over might be said to have which of the following symptoms?

A nurse is caring for a client during the immediate postoperative period following thoracic surgery. When administering an opioid analgesic for pain, the nurse should explain that the medication should have which of the following effects?

A nurse is caring for a client who is 5 days postoperative after abdominal surgery. The client reports a sudden pulling sensation and pain in his surgical incision. Upon examination, the nurse finds an evisceration. Which of the following interventions is appropriate?

A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following actions is appropriate for the nurse to take?

Mr. Thomas is chastised by his boss for failing to complete an assignment. When he arrives home, he slaps his son when the boy is slow in performing his chores. Mr. Thomas is displaying: