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What is the recommended sleep duration for 14-17-year-olds?
- A. 14-17 hours
- B. 8-10 hours
- C. 12-15 hours
- D. 9-11 hours
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A client is diagnosed with rheumatoid arthritis, an autoimmune disorder. When teaching the client and family about autoimmune disorders, the nurse should provide which information?
- A. Clients with autoimmune disorders may have false-negative but not false-positive serologic tests
- B. Advanced medical interventions can cure most autoimmune disorders
- C. Autoimmune disorders include connective tissue (collagen) disorders
- D. Autoimmune disorders are distinctive, adding differential diagnosis
Correct Answer: C
Rationale: Autoimmune disorders include connective tissue (collagen) disorders. Connective tissue disorders, such as rheumatoid arthritis, systemic lupus erythematosus, and scleroderma, are a type of autoimmune disorder. In these conditions, the body's immune system mistakenly attacks its own tissues, including the connective tissues. Therefore, it is important for the client and family to understand that connective tissue disorders fall under the category of autoimmune disorders. This knowledge can help them better understand the nature of the disease and how it affects the body.
Immunotherapy provides symptomatic improvement in all of the following EXCEPT
- A. ragweed allergy
- B. local reaction to bee sting
- C. anaphylaxis to a wasp sting
- D. house dust mite allergy
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is preparing to assist the physician with a bone marrow biopsy. Which of the ff. interventions is most important for the nurse to do before the procedure?
- A. Explain the procedure to the patient's family
- B. Observe the patient for bleeding
- C. Administer an analgesic to the patient
- D. Drape the biopsy site
Correct Answer: B
Rationale: Before a bone marrow biopsy procedure, it is most important for the nurse to observe the patient for any signs of bleeding. This includes assessing the patient's coagulation status, looking for any bleeding disorders, and checking the patient's platelet levels. By monitoring for bleeding tendencies before the procedure, the nurse can ensure that the patient is in a stable condition to undergo the bone marrow biopsy safely. Additionally, post-procedure monitoring for bleeding is crucial to prevent complications such as hematoma formation. Explaining the procedure to the family, administering an analgesic, and draping the biopsy site are important steps, but ensuring the patient's safety by assessing for bleeding is the highest priority.
The nurse is planning care for a school-age client who is postoperative for the surgical removal of the appendix. In addition to pharmacologic pain management, what should the nurse include in the plan of care to address pain?
- A. Applying a warm, moist pack every 4 hours
- B. Applying EMLA cream to the incision site prior to ambulation
- C. Applying a cold, moist pack every 2 hours
- D. Applying a pillow against the abdomen to splint the incision site when coughing
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
An adult is brought in by ambulance after a motor vehicle accident. He is unconscious, on a backboard with his neck immobilized. He is bleeding profusely from a large gash on his right thigh. What is the first action the nurse should take?
- A. Stop the bleeding
- B. Take his vital signs
- C. Check his airway
- D. Find out what happened from eyewitnesses
Correct Answer: C
Rationale: The first action the nurse should take in this situation is to check the patient's airway. Ensuring a patent airway is a critical step as it is essential for breathing and oxygenation. In this case, the unconscious patient may be at risk of airway obstruction due to various factors such as blood, secretions, or swelling from the injury. By checking the airway first, the nurse can quickly identify and address any blockages or issues that may compromise the patient's ability to breathe effectively. Once the airway is secured, the nurse can then proceed to address the other needs of the patient, such as controlling bleeding and stabilizing other vital signs.