Nokea
A nurse is caring for a client receiving high-flow oxygen therapy via a noninvasive positive pressure ventilation (NPPV) device. What is an important nursing intervention for this client?
- A. Assessing the client's oxygen saturation every 4 hours
- B. Monitoring the client's respiratory rate every 15 minutes
- C. Providing frequent oral care to prevent dry mouth
- D. Administering oxygen at a flow rate of 1-2 L/min
Correct Answer: C
Rationale: Providing frequent oral care (C) is key with NPPV (e.g., CPAP/BiPAP), as high-flow air dries the mouth, risking sores or discomfort. Q4h SpO2 (A) isn't specific to NPPV. Q15min RR (B) is excessive. 1-2 L/min (D) doesn't apply to NPPV. Oral care enhances comfort, per critical care standards, vital for compliance.
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When reading an autopsy report, the nurse encounters the term 'midsagittal plane.' This nurse understands that this means the body was viewed using a plane that matched which of the following descriptions?
- A. This plane cuts the body horizontally.
- B. This plane divides the body into front and back portions.
- C. The body is separated into left and right equal portions.
- D. The body is divided using an X across the chest.
Correct Answer: C
Rationale: Midsagittal plane splits the body into equal left-right halves, unlike horizontal, front-back, or X divisions. Nurses use this in anatomical understanding.
Which of the following is TRUE about the human needs?
- A. May not be deferred
- B. Are not interrelated
- C. Met in exact and rigid way
- D. Priorities are alterable
Correct Answer: D
Rationale: Maslow's theory (1940s) allows need priorities to shift e.g., delaying hunger for safety in crisis. Needs interrelate (safety affects esteem), aren't rigid, and can be deferred. Nurses adapt care e.g., addressing fear before nutrition in trauma reflecting this alterability, key to responsive patient management.
When is the best time to collect urine specimen for routine urinalysis and C/S?
- A. Early morning
- B. Later afternoon
- C. Midnight
- D. Before breakfast
Correct Answer: A
Rationale: Early morning urine first void e.g., concentrated is best for urinalysis/C&S, detecting glucose, bacteria. Later dilutes; midnight, pre-breakfast vary. Nurses collect e.g., 6 AM for accuracy, per protocols.
A client with peptic ulcer disease is being taught about dietary management. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should avoid drinking milk.
- B. I should avoid drinking coffee.
- C. I should avoid eating high-fiber foods.
- D. I should avoid eating low-fat foods.
Correct Answer: B
Rationale: The correct answer is B. Avoiding coffee is important in managing peptic ulcer disease as it helps reduce acid production and alleviate symptoms. Coffee is known to stimulate acid secretion in the stomach, which can exacerbate ulcer symptoms. Therefore, instructing the client to avoid drinking coffee is essential in the dietary management of peptic ulcer disease. Choices A, C, and D are incorrect. Drinking milk is generally allowed and can even provide a protective effect against ulcers. High-fiber foods are beneficial for digestion and do not need to be avoided unless they cause discomfort. Low-fat foods are also typically recommended for individuals with peptic ulcer disease as they are easier on the digestive system.
Which of the following statement best describe the resistance stage of GAS?
- A. Body shuts down due to stress
- B. Body adapts to stress
- C. Immediate reaction to stress
- D. Permanent damage occurs
Correct Answer: B
Rationale: Resistance stage is body adapting to stress (B), per GAS sustaining effort (e.g., cortisol stabilizes). Shutdown (A) and damage (D) are exhaustion, immediate (C) alarm. B best defines resistance's coping phase, making it correct.