Running head: [SHORTENED TITLE UP TO 50 CHARACTERS] 1
Med surge Evolve Answers with Rationales.
Question: The nurse is teaching the client about risk
... [Show More] factors for skin cancer. Which
statements by the client indicate that teaching was successful? Select all that apply.
Answer: "I have to avoid excessive exposure to sunlight."
"I am at higher risk for skin cancer because my mother had one."
Rationale:
Options 1 and 3 describe risk factors for skin cancer. Additional risk factors for skin cancer
include age greater than 60 years, light-colored skin, and occupation exposure to arsenic, which
is commonly used in pest control.
Question: The nurse is caring for a client diagnosed with trigeminal neuralgia. The client
asks the nurse, "Why do I have so much pain?" Which is the appropriate response by the nurse?
Answer: "Pain is due to stimulation of the affected nerve by pressure and temperature."
Rationale:
The paroxysms of pain that accompany this neuralgia are triggered by stimulation of the terminal
branches of the trigeminal nerve. Symptoms can be triggered by pressure from washing the face,
brushing the teeth, shaving, eating, or drinking. Symptoms also can be triggered by thermal
stimuli, such as a draft of cold air. The remaining options are incorrect.
studyclock
[SHORTENED TITLE UP TO 50 CHARACTERS] 2
Question: The nursing student is describing the differences between specific and
nonspecific immunity to a group of classmates. Which statement made by the student to the
classmates indicates accurate knowledge of specific immunity?
Answer: "It is the second line of defense against infection."
Rationale:
Specific immunity is the second line of defense against infection. The body uses this process to
identify specific antigens. With this type of immunity, different reactions occur in response to
different antigens, and the response must be learned and developed. The remaining options
identify nonspecific immunity.
Which are possible causes of upper airway obstruction? Select all that apply.
Laryngeal edema
3.
Head and neck cancer
4.
Foreign body aspiration
5.
Lymph node enlargement
Rationale:
Obstruction of the upper airway can be due to obstruction by edema, a tumor, or foreign body
aspiration. Thick, not thin, secretions could obstruct the upper airway.
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A client with a traumatic brain injury is on mechanical ventilation. The nurse promotes
normal intracranial pressure (ICP) by ensuring that the client's arterial blood gas (ABG) results
are within which ranges?
Rationale: [Show Less]