The public health nurse is planning a health promotion campaign that reflects current epidemiologic trends. The nurse should know that hemorrhagic stroke currently accounts for what percentage of total strokes in the United States?
A) 43%
B) 33%
C) 23%
D) 13%
Ans: D
Feedback:
Strokes can be divided into two major categories: ischemic (87%), in which vascular occlusion and significant hypoperfusion occur, and hemorrhagic (13%), in which there is extravasation of blood into the brain or subarachnoid space.
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What is the rationale for administering a narcotic analgesic and a nonsteroidal anti-inflammatory drug together?
A) To prevent respiratory depression from the narcotic B) To eliminate the need for additional medication during the night C) To combine the medications more effectively and relieve the patient's pain with fewer narcotics D) To eliminate toxic effects of the narcotic
A nurse is assigned to care for a patient with the diagnosis of centriacinar (centrilobar) emphy-sema. What is a characteristic of this type of emphysema?
a. No significant smoking history in the pa-tient b. Enlarged and broken down bronchioles with intact alveoli c. Hypoelastic bronchi and bronchioles d. Deficiency of the enzyme inhibitor al-pha1-antitrypsin.
The client receives temazepam (Restoril) at bedtime for sleep. The client tells the nurse that he also has a glass of wine before bed to help him sleep. What is the nurse's best response?
1. "One glass of wine is okay, but be sure not to have more than that." 2. "Combining wine with your medication will decrease the effectiveness of your medication." 3. "This is okay as long as you have a high-fat meal with your wine." 4. "Combining wine with your medication can sedate you and cause breathing problems."
A doctor orders restraints for an elderly patient who is disoriented from the pain medication she is taking. Which of the following is an appropriate guideline for applying these restraints?
A) Chemical restraints should be tried before using physical restraints. B) The restraints can be ordered by the nursing supervisor in emergency situations. C) The patient's vital signs must be assessed every hour. D) Adults must be reassessed within 4 hours; children (aged, 9 to 17 years) within 2 hours; and children less than age 9 years within 1 hour.