The nurse understands that histamine, a naturally occurring substance in the body that is released in response to tissue damage, causes all the following symptoms except:

a. it dilates the arterioles to allow increased blood supply to the area.
b. gastrointestinal upset.
c. increased mucus production.
d. itching.


ANS: B

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A Incorrect: Histamine causes this response.
B Correct: Histamine does not cause GI upset.
C Incorrect: Histamine causes this response.
D Incorrect: Histamine causes this response.

Nursing

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A client will be admitted to the hospital to have a surgical procedure in the morning. The nurse is aware that the client is hearing impaired and is planning the care as well as how to communicate with the client

What solution for communication could the nurse use? A) Use a whiteboard or paper and pencil so that the client will clearly understand what is being asked. B) See if the client can lip-read so communication will be clear. C) Tell the client he must bring an interpreter with him to the hospital to stay. D) Speak in a loud voice so that the client may hear some of what is said.

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A 77-year-old female patient who is recovering in the hospital from a total knee replacement has rung her call bell and told the nurse that she needs pain medication. When assessing the patient's pain, what principle should the nurse bear in mind?

A) Older adults tend to have a blunted pain sensation, so complaints should be followed-up promptly. B) Older adults frequently confuse pain with other tactile sensations. C) Pain in older adults is often unrelated to physical harm or pathophysiological processes. D) The sensation of pain increases with age, so older adults typically feel more pain for a longer period than younger patients.

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A nurse notes that the left arm of a client who has experienced a brain attack is in a con-tracted, fixed position. What complication of this position should the nurse be alert for?

A. Shoulder subluxation B. Flaccid hemiparesis C. Pathologic fracture D. Neglect syndrome

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Direct eye contact is preferred by which of the following cultures?

A) Chinese B) Filipino C) Russian D) South Asian

Nursing