Nokea
A client is prescribed prednisone for asthma management. Which statement by the client indicates a need for further teaching?
- A. I will take this medication every day to prevent asthma attacks.
- B. I will avoid people with infections while taking this medication.
- C. I will take this medication with food to prevent stomach upset.
- D. I will stop taking this medication if I feel fine.
Correct Answer: D
Rationale: The correct answer is D because stopping prednisone abruptly can lead to adrenal insufficiency due to the suppression of the body's natural cortisol production. The client should never stop taking prednisone suddenly without consulting the healthcare provider. Choice A is correct because prednisone is often used as a daily preventive medication for asthma. Choice B is correct as prednisone can lower the immune system, making the client more susceptible to infections. Choice C is incorrect because prednisone is usually taken with food to minimize stomach upset.
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What should the nurse request Mr. Ross to do while assisting him to cough and deep breathe postoperatively?
- A. Request him to splint his incision with his hand or a pillow
- B. Ask him to relax his abdominal muscles
- C. Place him in a supine position
- D. Encourage him to limit his chest expansion upon inspiration
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nursing student asks what essential hypertension is. What response by the registered nurse is best?
- A. It means it is caused by another disease.
- B. It means it is essential that it be treated.
- C. It is hypertension with no specific cause.
- D. It refers to severe and life-threatening hypertension.
Correct Answer: C
Rationale: The correct answer is C: It is hypertension with no specific cause.
Rationale:
1. Essential hypertension is also known as primary or idiopathic hypertension.
2. It is the most common type of hypertension, accounting for about 90-95% of cases.
3. The exact cause of essential hypertension is unknown, but it is believed to be due to a combination of genetic, environmental, and lifestyle factors.
4. Choices A, B, and D are incorrect because essential hypertension is not caused by another disease, does not necessarily require treatment as essential means "fundamental," and is not specifically severe or life-threatening.
What would be most helpful for the nurse to discuss with Mr. Singer before his total laryngectomy?
- A. The importance of fluid intake
- B. The problem of constipation
- C. The possible radiation therapy
- D. The method of communication
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with chronic obstructive pulmonary disease (COPD) is being taught by a healthcare provider. Which statement by the client indicates a need for further teaching?
- A. I will avoid smoking to prevent further damage to my lungs.
- B. I will eat smaller, more frequent meals to avoid feeling bloated.
- C. I will exercise every day to improve my strength and endurance.
- D. I will drink plenty of fluids to help thin my mucus.
Correct Answer: C
Rationale: The correct answer is C because daily exercise may exacerbate COPD symptoms in some cases. Individuals with COPD may experience increased shortness of breath and fatigue during physical activity. Therefore, it is crucial to tailor an exercise plan to each client's specific needs and capabilities. Choices A, B, and D are correct as they align with COPD management strategies of smoking cessation, dietary modifications, and hydration to help with mucus clearance, respectively.
In planning Mr. Jones’ discharge teaching, what is important to emphasize?
- A. He should not leave his home without wearing a mask
- B. Medications must be taken as ordered
- C. All visitors to his home should wear masks
- D. He is cured of tuberculosis
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.