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A client calls to report redness to the sclera, itching of the eyes, and increased lacrimation for several hours. What should you direct the caller to do first?
- A. Please call your doctor.'
- B. Apply a cool compress to your eyes.'
- C. If you are wearing contact lenses, remove them.'
- D. Take an over-the-counter antihistamine.'
Correct Answer: C
Rationale: Removing contact lenses is the first step to prevent further irritation and allow proper assessment of the eye condition.
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Lack of bubbling in the suction control chamber indicates
- A. Excessive negative pressure (suction)
- B. A leak somewhere in the drainage system, as within the patient
- C. A kink or plug in the drainage tubing
- D. The patient’s lung has reexpanded
Correct Answer: D
Rationale: Reexpanded lungs stop air leakage into the drainage system.
A client is moving to a new state and needs to find a new doctor and hospital there. What advice by the nurse is best?
- A. Ask the hospitals there about standard nurse-client ratios.
- B. Choose the hospital that has the newest technology.
- C. Find a hospital that is accredited by The Joint Commission.
- D. Use a facility affiliated with a medical or nursing school.
Correct Answer: C
Rationale: The correct answer is C: Find a hospital that is accredited by The Joint Commission. This is the best advice because The Joint Commission accreditation ensures that the hospital meets high-quality standards in patient care, safety, and performance. Accreditation indicates the hospital's commitment to providing excellent healthcare services.
A: Asking about nurse-client ratios is important for patient safety, but it is not the most critical factor when choosing a hospital.
B: Choosing a hospital based solely on technology does not guarantee quality care or safety.
D: Using a facility affiliated with a medical or nursing school may provide access to cutting-edge research and expertise, but it does not guarantee overall quality of care provided by the hospital.
What are the priority nursing interventions for a client in shock?
- A. Hypoxia
- B. Hypercapnia
- C. Acidosis
- D. Alkalosis
Correct Answer: C
Rationale: Acidosis occurs when blood pH drops below 7.35 due to an accumulation of hydrogen ions, commonly resulting from respiratory or metabolic imbalances.
Which of the following is a sign of presbyopia?
- A. Difficulty seeing distant objects
- B. Difficulty seeing close objects
- C. Double vision
- D. Color blindness
Correct Answer: B
Rationale: Presbyopia is the gradual loss of near focusing ability, making it difficult to see close objects.
A nurse criticizes the attending physician and suggests that a different physician should care for the patient. What is your best response?
- A. Call the nurse away from the patient and remind him that the patient can still hear even if unconscious.
- B. Report the nurse to the attending physician.
- C. Ask the nurse why he has such feelings.
- D. Simply nod your head in agreement.
Correct Answer: A
Rationale: Protecting the patient's dignity and ensuring professionalism is paramount.