Nokea
A client with emphysema is being cared for by a nurse. Which of the following findings should the nurse not expect to assess in this client?
- A. Dyspnea
- B. Bradycardia
- C. Barrel chest
- D. Clubbing of the fingers
Correct Answer: B
Rationale: Step 1: Emphysema causes impaired gas exchange, leading to dyspnea (A) due to difficulty breathing.
Step 2: Emphysema results in hyperinflation of the lungs, causing a barrel chest (C) due to increased chest diameter.
Step 3: Clubbing of the fingers (D) is a sign of chronic hypoxia, commonly seen in emphysema.
Step 4: Bradycardia (B) is not typically associated with emphysema; tachycardia is more common due to the body compensating for hypoxia.
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Which concept characterizes culture as continuously evolving?
- A. Learned from birth through language and socialization.
- B. Learned by members of the same cultural group.
- C. Influenced by specific conditions related to environment,technology and availability of resources.
- D. Dynamic and ever-changing.
Correct Answer: D
Rationale: Culture evolves dynamically, adapting to environmental, technological, and resource-related changes over time.
In caring for a patient with neutropenia, what tasks can be delegated to the nursing assistant? (Choose all that apply.)
- A. Take vital signs every 4 hours.
- B. Report temperature elevation >100.4° F.
- C. Assess for sore throat,cough or burning with urination.
- D. Gather the supplies to prepare the room for protective isolation.
Correct Answer: B
Rationale: Tasks such as taking vital signs, reporting fever, and preparing the room for isolation are within the scope of a nursing assistant, while assessing for specific symptoms requires more advanced clinical skills.
65-year-old Dominic is being transferred into the 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 setting, and level of consciousness.
- D. Pulse oximeter, pupil responses, and deep tendon reflexes.
Correct Answer: A
Rationale: The ABCs (airway, breathing, circulation) are the priority in postoperative assessments to ensure the patient's immediate physiological stability. The wound site is also assessed for signs of bleeding or infection.
A patient who has been taking ibuprofen (Motrin) and imipramine (Tofranil) for control of cancer pain is having increased pain. What would the health care provider recommend as an appropriate change in the medication plan?
- A. Add PO oxycodone (Oxycontin) to the other medications
- B. Substitute PO propoxyphene (Darvon), a mild opioid, for imipramine
- C. Add transdermal fentanyl (Duragesic) to the use of the other medications
- D. Substitute PO hydrocodone with acetaminophen (Lortab, Vicodin) for the other medications
Correct Answer: C
Rationale: The correct answer is C. Adding a stronger opioid like transdermal fentanyl can address increased pain.
Why might a client receive a central venous catheter?
- A. Client is receiving 0.9 normal saline
- B. Client is receiving total parenteral nutrition (TPN)
- C. Client is receiving short-term IV therapy
- D. Client has had one infiltrated IV
Correct Answer: B
Rationale: The correct answer is B because TPN requires a central venous catheter due to the high osmolarity of the solution.