Intradermal skin testing using a variety of antigens can be done to evaluate cell-mediated immunity. If the patient has a defect in cellular immunity, what test result does the nurse expect?
A) Erythema and induration
B) Itching and pain
C) No change in skin assessment
D) Increased B lymphocytes
C
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What should the nurse keep in mind when determining the relationship between pain and sleep in an older patient?
A) Nonpharmacologic measures to control pain and enhance sleep are preferable to analgesics. B) Analgesic drugs should be administered to older adults to prevent potential episodes of pain. C) Older adults are more sensitive to pain than younger adults, and more at risk of having pain interfere with sleep. D) The availability of alternative forms of pain control such as massage and diversion means that pharmacologic pain medications are inappropriate and unnecessary.
What percentage of patients who commit suicide have depressive illness?
A. 100% B. 90% C. 70% D. 50%
The nurse arrives for the shift report and finds out that one of his assigned clients has a compound or open fracture and is going to surgery sometime during the shift. The nurse knows that this type of fracture involves:
a. a bone that has broken, and the two sections of broken bone are not aligned b. a broken bone that is protruding through the skin, causing an open wound c. two or more types of fractures, thus compounding or making the situation worse d. significant bleeding into the area surrounding the fracture
A patient who has Alzheimer's disease begins taking donepezil (Aricept). After 3 months of treatment, the patient does not show improvement of symptoms. The primary care NP should:
a. switch to rivastigmine (Exelon). b. switch to galantamine (Razadyne). c. switch to memantine (Namenda). d. continue donepezil and reevaluate in 3 months.