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A nurse collaborates with a respiratory therapist to complete pulmonary function tests (PFTs) for a client. Which statements should the nurse include in communications with the respiratory therapist prior to the tests? (SATA)
- A. I held the client's morning bronchodilator medication.
- B. The client is ready to go down to radiology for this examination.
- C. Physical therapy states the client can run on a treadmill.
- D. I advised the client not to smoke for 6 hours prior to the test.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Mr. Woodring has had a stapedectomy. On his first postoperative day, he tells the nurse he is dizzy and has ringing in his ears. Your assessment would be that these symptoms are
- A. normal
- B. indicative of postoperative complications
- C. probably related to rapid head movement
- D. probably related to antibiotic therapy
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A new medical resident assessed a patient who is starting withdrawal from benzodiazepine. The resident writes orders for Ativan. What is your best response?
- A. Ask the attending physician to review the orders.
- B. Administer the medication as prescribed.
- C. Ask the resident to clarify the orders.
- D. Point out to the resident that the patient is dependent on benzodiazepine.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
How will recognizing that clients have different perceptions of time assist the nurse to provide more sensitive care?
- A. Adapting care plans to accommodate varying time perspectives.
- B. Enforcing strict schedules regardless of cultural differences.
- C. Ignoring time-related preferences.
- D. None of the above.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with chronic obstructive pulmonary disease (COPD) is being assessed by a nurse. Which finding should the nurse expect?
- A. Increased anterior-posterior (AP) chest diameter
- B. Decreased respiratory rate
- C. Weight gain
- D. Productive cough with yellow sputum
Correct Answer: A
Rationale: The correct answer is A: Increased anterior-posterior (AP) chest diameter. In COPD, air trapping causes hyperinflation of the lungs, leading to an increase in the AP chest diameter known as barrel chest. This is a classic physical finding in patients with COPD due to chronic airway obstruction.
Explanation of other choices:
B: Decreased respiratory rate - In COPD, patients typically have an increased respiratory rate due to difficulty breathing.
C: Weight gain - Weight gain is not a typical finding in COPD and is more often associated with other medical conditions or lifestyle factors.
D: Productive cough with yellow sputum - While a productive cough is common in COPD, yellow sputum is more indicative of a bacterial infection rather than COPD alone.
You are teaching prevention of accidental eye injuries in a community health clinic to a church group. What is the most important thing to stress?
- A. Follow workplace policies for handling chemicals.
- B. Children and parents should be cautious about aggressive play.
- C. Wear protective eyewear during sports or hazardous work.
- D. Establish emergency eyewash stations in the workplace.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.