Nokea
Which of the following is not a reason for pelvic ultrasonography?
- A. to measure uterine size
- B. to detect multiple pregnancies
- C. to measure renal size
- D. to detect foreign bodies
Correct Answer: C
Rationale: Pelvic ultrasonography assesses pelvic organs, not renal size, which is evaluated via abdominal or renal ultrasonography.
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A 46 year-old has returned from a heart catheterization and wants to get up to start walking 3 hours after the procedure. The nurse should:
- A. Tell the patient to remain with the leg straight for at least another hour and check the chart for activity orders.
- B. Allow the patient to begin limited ambulation with assistance.
- C. Recommend a physical therapy consultation for ambulation.
- D. Tell the patient to remain with leg straight for another 6 hours and check the chart for activity orders.
Correct Answer: A
Rationale: The patient should keep the leg straight for at least 4 hours.
When a client needs oxygen therapy, what is the highest flow rate that oxygen can be delivered via nasal cannula?
- A. 2 liters/minute
- B. 4 liters/minute
- C. 6 liters/minute
- D. 8 liters/minute
Correct Answer: C
Rationale: The highest flow rate that oxygen can be delivered via nasal cannula is 6 liters/minute. Higher flow rates must be delivered by mask.
The nurse is teaching a client about erythema infectiosum. Which of the following factors are not correct?
- A. There is no rash.
- B. The disorder is uncommon in adults.
- C. There is no fever.
- D. There is sometimes a 'slapped face' appearance.
Correct Answer: B
Rationale: Fifth's disease, erythema infectiosum, is uncommon in adults. All the other statements are correct.
A client with a pleural drainage system to suction has gentle bubbling of the water seal. What should the nurse do?
- A. Notify the physician.
- B. Clamp the chest tube.
- C. Replace the system.
- D. Document the finding.
Correct Answer: D
Rationale: Gentle bubbling is a normal finding for the client who has a pleural drainage system to suction, so it simply needs to be documented. If the bubbling becomes vigorous, it could indicate a leak, which the nurse needs to investigate. The remaining choices are not necessary.
Which type of dressing is recommended to place over a site when a chest tube is removed by the physician?
- A. transparent dressing
- B. colloidal dressing
- C. petrolatum gauze
- D. nonadherent dressing
Correct Answer: C
Rationale: Petrolatum gauze is recommended to place over a site when a chest tube is removed by the physician. This is because it forms an airtight seal, which the other choices do not.