Nokea
A male patient who had surgery 2 days ago for head and neck cancer is about to make his first attempt to ambulate outside his room. The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. Which of the following nursing interventions would be appropriate?
- A. Encourage the patient to walk in the hall alone
- B. Discourage the patient from walking in the hall for a few more days
- C. Accompany the patient for his walk
- D. Consult a physical therapist before allowing the patient to ambulate
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which of the following substances increase the amount of urine produced?
- A. Caffeine-containing drinks, such as coffee and cola
- B. Beets
- C. Urinary analgesics
- D. Kaolin with pectin (Kaopectate)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Mrs. Mitchell has been given a copy of her diet. The nurse discusses the foods allowed on a 500-mg low sodium diet. These include:
- A. A ham and Swiss cheese sandwich on whole wheat bread
- B. Mashed potatoes and broiled chicken
- C. A tossed salad with oil and vinegar and olives
- D. Chicken bouillon
Correct Answer: B
Rationale: The correct answer is B: Mashed potatoes and broiled chicken. Both mashed potatoes and broiled chicken are typically low in sodium content, making them suitable choices for a 500-mg low sodium diet. The other options, such as a ham and Swiss cheese sandwich on whole wheat bread, a tossed salad with oil and vinegar and olives, and chicken bouillon, may contain higher amounts of sodium and are not typically recommended for a low sodium diet.
Parenteral penicillin can be administered as an:
- A. IM injection or an IV solution
- B. IV or an intradermal injection
- C. Intradermal or subcutaneous injection
- D. IM or a subcutaneous injection
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following patients is at greater risk for contracting an infection?
- A. A patient with leukopenia
- B. A patient receiving broad-spectrum antibiotics
- C. A postoperative patient who has undergone orthopedic surgery
- D. A newly diagnosed diabetic patient
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following is not a cause of tachycardia?
- A. Fever
- B. Exercise
- C. Sympathetic nervous system stimulation
- D. Parasympathetic nervous system stimulation
Correct Answer: D
Rationale: Tachycardia is an increased heart rate, and it can be caused by various factors such as fever, exercise, and sympathetic nervous system stimulation, all of which tend to increase heart rate. However, parasympathetic nervous system stimulation typically slows the heart rate, making it the exception among the choices provided. Thus, parasympathetic nervous system stimulation is not a cause of tachycardia.