Nokea
A nurse is providing care for an elderly patient with dementia. Which of the following interventions is most appropriate?
- A. Encourage the patient to make complex decisions
- B. Provide a structured routine
- C. Limit social interactions
- D. Avoid physical activity
Correct Answer: B
Rationale: A structured routine reduces confusion and promotes safety in dementia. Complex decisions overwhelm, social interactions benefit, and activity supports health.
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Which fetal heart monitor pattern can indicate cord compression?
- A. variable decelerations
- B. early decelerations
- C. bradycardia
- D. tachycardia
Correct Answer: A
Rationale: Variable decelerations are associated with umbilical cord compression, which can intermittently reduce fetal blood flow. The other patterns are related to different fetal conditions. Reduction of Risk Potential
A client who had a total thyroidectomy this morning is to be admitted to the surgical floor. What should the nurse have readily available when the client arrives?
- A. Tracheostomy set
- B. Catheterization tray
- C. Sterile dressing set
- D. Ventilator
Correct Answer: A
Rationale: Thyroidectomy risks airway obstruction from swelling or hematoma; a tracheostomy set is essential for emergency airway management.
Most asthmatic attacks respond to Epinephrine (Adrenalin)
Most asthmatic attacks respond to Epinephrine (Adrenalin) and it may be used as a therapeutic agent in the treatment of some allergic conditions because it:
- A. Improves cardiac output due to its positive inotropic effect.
- B. Acts as a hypertensive agent elevating BP.
- C. Dilates the bronchi.
- D. Antagonizes histamine.
Correct Answer: C
Rationale: Epinephrine dilates bronchi, relieving bronchospasm in asthma and allergic reactions.
The nurse understands that the patient with esophageal varices should not be given food such as:
The nurse understands that the patient with esophageal varices should not be given food such as:
- A. Crackers
- B. Purred food
- C. Liquid
- D. Soft
Correct Answer: A
Rationale: Crackers, being rough, can irritate or rupture fragile esophageal varices.
Which of the following lab reports indicates that a client with acute glomerulonephritis is improving?
- A. Positive ASO titer
- B. Increased C reactive protein
- C. Negative eosinophil count
- D. Decreased erythrocyte sedimentation rate
Correct Answer: D
Rationale: A decreased erythrocyte sedimentation rate indicates reduced inflammation, suggesting improvement in acute glomerulonephritis.