Your neighbor tells you about her preteen son. It seems that he has an ongoing head cold. His sinus is congested; he is not eating regularly and is losing weight. Your neighbor reports that his head cold is so bad that he has to wear sunglasses even in the house. She asks him to remove the glasses but he becomes agitated. You noticed her son is around the neighborhood during school hours when the rest of the family is working. What is your best response?

Correct Answer: D

Rationale: In this scenario, the best response is option D: "Your son's condition and behavior do not seem normal. Why don't you ask your practitioner to assess your son." This response is the most appropriate because it addresses the concerning symptoms and behavior exhibited by the preteen boy and encourages the neighbor to seek professional medical advice. Option A is incorrect because it is too direct and assumes a diagnosis without proper assessment. Option B is inappropriate as it insinuates potential theft rather than focusing on the child's health. Option C is not the best response as it does not address the immediate health concerns and the child's unusual behavior during school hours. Educationally, this question highlights the importance of recognizing signs of potential health issues in children and the role of seeking medical evaluation from a healthcare provider. It emphasizes the need for early intervention and appropriate healthcare management in cases where a child's symptoms are concerning or abnormal. Encouraging open communication and seeking professional advice when faced with health-related concerns is crucial in ensuring the well-being of individuals, especially children.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Bradycardia. Beta-adrenergic blockers are contraindicated in patients with bradycardia because these medications can further decrease the heart rate, potentially leading to serious complications such as heart block or cardiac arrest. By notifying the physician of a history of bradycardia, potential harm can be prevented. Option A) Hypertension is not a contraindication for beta-adrenergic blockers; in fact, these medications are commonly used to manage hypertension by reducing heart rate and blood pressure. Option B) Tachycardia is another condition where beta blockers are typically indicated due to their ability to slow down the heart rate. Option C) Rheumatoid arthritis is not directly related to the use of beta-adrenergic blockers in the context of glaucoma treatment. Educationally, understanding contraindications and indications for medications is crucial for safe and effective nursing practice. This question highlights the importance of recognizing when a medication should not be used based on a patient's specific health history to prevent adverse outcomes. Nurses need to have a solid foundation in pharmacology to make informed decisions and provide quality patient care.

Correct Answer: C

Rationale: In this scenario, option C: "I can't wait to get back to my regular weightlifting class," is the most concerning comment regarding post-operative stapedectomy instructions. Engaging in weightlifting places significant strain on the body, including the head and neck, which can jeopardize the healing process and potentially lead to complications, such as dislodging the surgical site or causing bleeding. Option A, regarding swimming lessons in a couple of months, and option B, mentioning a long overseas flight in several weeks, are less concerning as long as the client follows proper precautions, such as avoiding water entry into the ear canal and using ear protection during air travel to prevent pressure changes. Option D, stating coughing with the mouth open, is also a concern post-stapedectomy as it can increase the risk of introducing infection into the surgical site. However, the risk is lower compared to the physical strain associated with weightlifting. From an educational perspective, it is crucial for clients to understand and adhere to post-operative instructions to promote optimal healing and prevent complications. Educators must emphasize the importance of avoiding activities that can jeopardize the surgical site integrity and overall recovery process. Clients should be encouraged to consult healthcare providers if they have any doubts or concerns about their post-operative instructions to ensure a smooth recovery.

Correct Answer: A

Rationale: In the context of adult medical surgical nursing, understanding the manifestations of endometrial cancer is crucial for early detection and appropriate management. The correct answer is A) Thickened endometrial lining on ultrasound. This finding is most often associated with endometrial cancer because it indicates abnormal growth or thickening of the endometrial tissue, which is a common presentation in individuals with this type of cancer. Option B) Irregular periods can be a symptom of various gynecological conditions, but it is not specific to endometrial cancer. Option C) Young age is not typically associated with endometrial cancer, as it commonly affects postmenopausal women. Option D) Dyspareunia, or painful intercourse, can occur in various conditions but is not a characteristic finding of endometrial cancer. Educationally, understanding the key clinical manifestations of endometrial cancer helps nurses and healthcare providers in recognizing potential signs, conducting appropriate assessments, and initiating timely interventions. Thickened endometrial lining on ultrasound is a significant finding that warrants further investigation, such as biopsy or additional imaging studies, to confirm the diagnosis and plan appropriate treatment. This knowledge is essential for providing comprehensive care to patients with suspected or diagnosed endometrial cancer.