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6. What is the rationale behind many nurses advocating complementary and alternative therapies?
- A. They promote self-care and self-determination by patients.
- B. They are congruent with a view of humans as holistic beings.
- C. They are less expensive for patients than conventional therapies.
- D. They cause few adverse effects while achieving positive outcomes.
Correct Answer: B
Rationale: Many nurses advocate CAM because it aligns with a holistic view of health, considering physical, emotional, and spiritual aspects, as stated in option B.
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For a patient with osteogenic sarcoma, you would be particularly vigilant for elevations in which laboratory value?
- A. Sodium.
- B. Calcium.
- C. Potassium.
- D. Hematocrit.
Correct Answer: B
Rationale: Elevated calcium levels are commonly associated with osteogenic sarcoma due to bone destruction and release of calcium into the bloodstream.
A 64-year-old male client is admitted to the hospital with benign prostatic hypertrophy (BPH). The client has a history of adult onset diabetes mellitus and hypertension. He is scheduled to undergo a resection of the prostate. The most serious symptom that may accompany BPH is:
- A. acute urinary retention.
- B. hesitancy in starting urination.
- C. increased frequency of urination.
- D. decreased force of the urinary stream.
Correct Answer: A
Rationale: Acute urinary retention is a symptom of BPH, is serious, and requires urgent medical attention. Hesitancy in starting urination is a symptom of BPH, but it is not serious or life-threatening. Increased frequency of urination is a symptom of BPH, but it is not serious or life-threatening. Decreased force of the urinary stream is due to an obstruction, but it is not serious or life-threatening.
Sixty-five-year-old Dominic is being transferred into the postanesthesia care unit (PACU) from the OR. Once there, initial assessment will focus on
- A. Airway, breathing, circulation, and wound site.
- B. Intake, output, and intravenous access.
- C. Abdominal sounds, oxygen level, and level of consciousness.
- D. Pulse oximetry, pupil responses, and deep tendon reflexes.
Correct Answer: A
Rationale: ABCs are prioritized in the immediate postoperative period.
A patient is scheduled for a hemorrhoidectomy at an ambulatory day-surgery center. An advantage of performing surgery at an ambulatory center is a decreased need for
- A. laboratory tests and perioperative medications.
- B. preoperative and postoperative teaching by the nurse.
- C. psychologic support to alleviate fears of pain and discomfort.
- D. preoperative nursing assessment related to possible risks and complications.
Correct Answer: A
Rationale: Ambulatory centers often streamline processes, reducing the need for extensive laboratory tests and perioperative medications.
Which teaching strategies should be used when it is difficult to reach the desired goals of the session (select all that apply)?
- A. DVD
- B. Role play
- C. Discussion
- D. Printed material
Correct Answer: B
Rationale: The correct answers are 'Role play,' 'Discussion,' and 'Lecture-discussion.' These strategies encourage active participation and engagement, which can help overcome barriers to achieving learning goals. DVDs and printed materials may not engage the patient as effectively in challenging situations.