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A client with dyspnea and difficulty climbing stairs is classified as having class III dyspnea. Which intervention should the nurse include in the client's plan of care?
- A. Assistance with activities of daily living.
- B. Daily physical therapy activities.
- C. Oxygen therapy at 2 liters per nasal cannula.
- D. Complete bedrest with frequent repositioning.
Correct Answer: A
Rationale: The correct answer is A: Assistance with activities of daily living. Class III dyspnea signifies moderate exertion causing symptoms. Therefore, the client may need help with daily activities to conserve energy. Daily physical therapy (B) may be too strenuous. Oxygen therapy (C) may not be necessary at this point. Complete bedrest (D) can lead to deconditioning.
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The role of the nurse on a multidisciplinary team is to
- A. Prescribe the treatment
- B. Arrange a posthospitalization rehabilitation program
- C. Determine the appropriate physical exercises
- D. Coordinate the actions of the other team members
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has been diagnosed with hypertension but does not take the antihypertensive medications because of a lack of symptoms. What response by the nurse is best?
- A. Do you have trouble affording your medications?
- B. Most people with hypertension do not have symptoms.
- C. You are lucky; most people get severe morning headaches.
- D. You need to take your medicine or you will get kidney failure.
Correct Answer: B
Rationale: Step-by-step rationale:
1. Choice B is correct because it educates the client that hypertension often presents without symptoms.
2. Lack of symptoms does not mean the condition is not serious.
3. This response promotes understanding and adherence to medication.
4. Choices A, C, and D are incorrect as they do not address the main issue of hypertension being asymptomatic.
Which is a symptom of mental disorders?
- A. Anger
- B. Sleep deprivation
- C. Speech abnormalities
- D. Anxiety
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the primary advantage of the use of midazolam (Versed) as an adjunct to general anesthesia?
- A. Amnestic effect
- B. Analgesic effect
- C. Prolonged action
- D. Antiemetic effect
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
While discussing factors causing emphysema with Mr. Puff, what major factor is he already aware of?
- A. Air pollution
- B. Repeated bronchial infections
- C. Cigarette smoking
- D. Hereditary
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.