Nokea
A client with respiratory failure is receiving mechanical ventilation and continues to produce ABG results indicating respiratory acidosis. Which action should you expect to correct this problem?
- A. Increase the ventilator rate from 6 to 10 per minute
- B. Decrease the ventilator rate from 10 to 6 per minute
- C. Increase the oxygen concentration from 30% to 40%
- D. Decrease the oxygen concentration from 40% to 30%
Correct Answer: A
Rationale: Increasing the ventilator rate enhances CO2 removal, correcting respiratory acidosis by improving ventilation.
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A confirmatory laboratory test for HIV includes
- A. Western blot.
- B. Low WBC.
- C. Comprehensive metabolic panel.
- D. Enzyme-linked immunosorbent assay (ELISA).
Correct Answer: A
Rationale: Western blot is used to confirm HIV infection.
A patient is receiving care to manage symptoms of a terminal illness when the disease no longer responds to treatment. What is this type of care known as?
- A. Terminal care
- B. Palliative care
- C. Supportive care
- D. Maintenance care.
Correct Answer: B
Rationale: Palliative care focuses on symptom management and improving quality of life for patients with terminal illnesses, regardless of whether curative treatment is still being attempted.
A community health center is preparing a presentation on the prevention and detection of cancer. Which health care professional (RN, LPN/LVN, nurse practitioner, nutritionist) should be assigned to address the following topics?
- A. Explain screening exams and diagnostic testing for common cancers.
- B. How to plan a balanced diet and reduce fats and preservatives.
- C. Prepare a poster on the seven warning signs of cancer.
- D. How to practice breast or testicular self-examinations.
Correct Answer: A
Rationale: RNs are best suited to explain complex medical procedures like screening exams and diagnostic tests, while other topics may involve collaboration with nutritionists or nurse practitioners.
A client has a chest tube in place connected to wall suction due to a right-sided pneumothorax. The client complains of chest burning. Which of the following actions should be taken?
- A. Increase the wall suction.
- B. Strip the chest tube.
- C. Clamp the chest tube.
- D. Reposition the client.
Correct Answer: D
Rationale: The correct answer is D: Reposition the client. This action should be taken because chest burning could indicate that the chest tube is irritating the pleura. Repositioning the client may help alleviate the pressure on the pleura, reducing discomfort. Increasing wall suction (A) could worsen the irritation. Stripping the chest tube (B) is outdated and can cause damage. Clamping the chest tube (C) can lead to tension pneumothorax.
Which triage assessment prioritizes the client’s need for treatment as the need to be seen now?
- A. Delayed
- B. Immediate
- C. Minimal
- D. Expectant
Correct Answer: B
Rationale: The correct answer is B because immediate triage indicates the client requires urgent treatment.