You are working in a Family Practice office. A patient comes into the office with right facial drooping. The physician makes a diagnosis of Bell's palsy. You know that the primary treatment for this disease is likely to include:

Antibiotic

Prednisone

Vitamin C

Surgery

Answer and Explanation

The Correct Answer is B

Choice A rationale: Bell's palsy is not caused by a bacterial infection; hence, antibiotics are not the primary treatment.

Choice B rationale: Corticosteroids like prednisone are often used to reduce inflammation and improve symptoms in Bell's palsy.

Choice C rationale: While vitamins can support overall health, they are not the primary treatment for Bell's palsy.

Choice D rationale: Surgery is not the primary treatment for Bell's palsy unless certain complications arise.

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Correct Answer is C

Explanation

Choice A rationale: Low blood pressure sensed by baroreceptors in the kidneys would stimulate the renin-angiotensin-aldosterone system, which regulates blood pressure and sodium balance.

Choice B rationale: Low osmolality sensed by osmoreceptors in the kidneys would

indicate that the body has excess water and needs to excrete it, which would inhibit ADH release.

Choice C rationale: ADH, or antidiuretic hormone, is a peptide hormone that regulates the water balance in the body. It is released from the posterior pituitary gland in response to signals from the hypothalamus. When the plasma osmolarity, or the concentration of solutes in the blood, is high, it means that the body is dehydrated and needs to conserve water. The osmoreceptors in the hypothalamus detect this change and stimulate the release of ADH, which acts on the kidneys to increase water

reabsorption and decrease urine output. This helps to lower the plasma osmolarity and restore the water balance.

Choice D rationale: High concentration of potassium sensed by chemoreceptors in the carotid body would affect the acid-base balance and respiratory rate, but not ADH

release.

A. A 58-year-old client with gastrointestinal reflux disease B. A 65-year-old client with mild emphysema C. A 72-year-old client with hyperthyroidism D. A 48-year-old client with hypertension

Correct Answer is D

Explanation

Choice A rationale: Gastrointestinal reflux disease is not typically a contraindication for sumatriptan.

Choice B rationale: Mild emphysema is not typically a contraindication for sumatriptan.

Choice C rationale: Hyperthyroidism is not typically a contraindication for sumatriptan.

Choice D rationale: Sumatriptan, a medication used for migraines, may elevate blood pressure, so it would be questionable for a client with hypertension.

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You are working in a Family Practice office. A patient comes into the office with right facial drooping. The physician makes a diagnosis of Bell's palsy. You know that the primary treatment for this disease is likely to include:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

ADH release from the posterior pituitary is stimulated by which process?

Correct Answer is C

Explanation

For which client with severe migraine headaches would the nurse question an order for sumatriptan?

Correct Answer is D

Explanation

A nurse is teaching a client newly diagnosed with osteoarthritis (OA) about drugs used to treat the disease. For which drug does the nurse less likely plan health teaching?

Which is the most common complication expected in clients with type 1 diabetes Mellitus?

The nurse is assessing a client receiving peritoneal dialysis. Which laboratory result should immediately be reported to the primary healthcare provider (PHCP)?

You are working in a Family Practice office. A patient comes into the office with right facial drooping. The physician makes a diagnosis of Bell's palsy. You know that the primary treatment for this disease is likely to include:

When providing care for a client receiving peritoneal dialysis. While draining the dialysate the nurse notices that the efluent is cloudy. Which intervention is most important for the nurse to carry out at this moment?

The healthcare provider performs a paracentesis on a client with ascites and 3 liters of fluid are removed. Which assessment parameter is most critical for the nurse to monitor following the procedure?