Which one of the following is most true of the capacity to make medical decisions?- Nurselytic

ATI RN

ATI RN Test Bank

physical examination and health assessment test bank Questions

Question 1 of 5

Which one of the following is most true of the capacity to make medical decisions?

A. It should be addressed within the legal system. B. It includes the ability to express a choice and to weigh options. C. It is an all-or-none determination (i.e., not decision-specific). D. It is beyond the capability of most nursing home residents.

Correct Answer: B

Rationale: Decision-making capacity includes the ability to express a choice and to weigh options.

Question 2 of 5

Upon assessment, the nurse notes the patient has an enlarged thyroid. Which action is most appropriate?

A. Document the finding and observe for a few weeks B. Order a thyroid function test and ultrasound C. Advise the patient to take iodine supplements D. Schedule a follow-up appointment in six months

Correct Answer: B

Rationale: An enlarged thyroid warrants further investigation, such as thyroid function tests and imaging (ultrasound).

Question 3 of 5

What is the appropriate prophylactic medication for an 18-year-old woman with a past medical history of migraine headaches?

A. Sumatriptan (Imitrex) B. Propranolol (Inderal) C. Ibuprofen (Motrin) D. Dihydroergotamine (DHE)

Correct Answer: B

Rationale: Propranolol is commonly prescribed for migraine prophylaxis in young adults.

Question 4 of 5

What is the most critical diagnosis to consider for a patient experiencing the worst headache of her life and presenting with a blood pressure of 200/110?

A. Migraine B. Subarachnoid hemorrhage C. Cluster D. Panic disorder

Correct Answer: B

Rationale: The worst headache of life with high blood pressure suggests a subarachnoid hemorrhage.

Question 5 of 5

A patient with a diagnosis of giardiasis is being treated with metronidazole (Flagyl). What information would be important to obtain before prescribing this medication?

A. If the patient is allergic to sulfa B. If the patient has peptic ulcer disease C. If the patient is at least 18 years of age D. If the patient drinks alcohol

Correct Answer: D

Rationale: Metronidazole interacts with alcohol, causing a disulfiram-like reaction, so patients should be advised to avoid alcohol.

Similar Questions

A patient with a diagnosis of giardiasis is being treated with metronidazole (Flagyl). What information would be important to obtain before prescribing this medication?

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The nurse is providing care to an older client who is at risk for constipation. Which of the following should the nurse recommend?

Mr. Quince is a 68-year-old patient who describes several months of urinary frequency and a sensation of incomplete emptying with no associated dysuria, hematuria, or fever. Physical examination reveals a slightly enlarged but nontender prostate, a postvoid residual urine volume of 20 mL, and a urinalysis with 15 white blood cells (WBCs) and 5 red blood cells (RBCs). Urine culture reveals 30,000 colony-forming units of Escherichia coli. You see a report from last year that shows urinalysis with 10 WBCs and 4 RBCs that was obtained as part of a routine evaluation. What is the most appropriate next step in the management of Mr. Quince’s symptoms?

Which of the following statements regarding programs to increase daytime engagement in persons with dementia is true?

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