Nokea
A nurse is teaching a client about intestinal ova and parasites. Which of the following instructions should a nurse provide clients suspected of having intestinal ova and parasites?
- A. Avoid beef products.
- B. Take precautions to avoid direct sunlight.
- C. Increase the intake of between-meal supplements.
- D. Perform scrupulous handwashing.
Correct Answer: D
Rationale: The correct answer is D because handwashing is a key preventive measure against the spread of intestinal parasites.
You may also like to solve these questions
An 88-year-old woman is brought to the health clinic for the first time by her 64-year-old daughter. During the initial comprehensive nursing assessment of the patient, what should the nurse do?
- A. Ask the daughter whether the patient has any urgent needs or problems.
- B. Interview the patient and daughter together so that pertinent information can be confirmed.
- C. Obtain a health history using a functional health pattern and assess activities of daily living (ADLs) and mental status.
- D. Refer the patient for an interdisciplinary comprehensive geriatric assessment because at her age she will have multiple needs.
Correct Answer: C
Rationale: Assessing ADLs, mental status, and obtaining a thorough health history ensures comprehensive understanding of the patient's needs.
A client in the intensive care unit is receiving teaching before removal of an endotracheal tube. Which of the following instructions should the nurse include in the teaching?
- A. Rest in a side-lying position after the tube is removed.
- B. Use the incentive spirometer every 4 hours after the tube is removed.
- C. Avoid speaking for extended periods.
- D. Vital signs will be monitored by a nurse every 15 minutes in the first hour after the tube is removed.
Correct Answer: C
Rationale: The correct answer is C: Avoid speaking for extended periods. This instruction is important to prevent strain on the vocal cords and reduce the risk of aspiration or airway irritation post-extubation. Speaking after the removal of the endotracheal tube can potentially lead to complications.
Step-by-step rationale:
1. Speaking can cause strain on the vocal cords, which may lead to hoarseness or damage.
2. It is essential to allow the airway to recover and prevent irritation or inflammation.
3. Resting the voice can aid in the healing process and reduce the risk of complications.
4. Incentive spirometer use (option B) is important for lung expansion but not directly related to vocal cord rest.
5. Vital signs monitoring (option D) is crucial but does not address vocal cord care or prevention of complications.
6. Resting in a side-lying position (option A) is not directly related to vocal cord rest or post-extubation care.
When selecting audiovisual and written materials as teaching strategies, what is important for the nurse to do?
- A. Provide the patient with these materials before the planned learning experience.
- B. Ensure that the materials include all the information the patient will need to learn.
- C. Review the materials before use for accuracy and appropriateness to learning needs and goals.
- D. Assess the patient’s auditory and visual ability because these functions are necessary for these strategies to be effective.
Correct Answer: C
Rationale: The correct answer is 'Review the materials before use for accuracy and appropriateness to learning needs and goals.' Ensuring the materials are accurate and appropriate is critical to effective teaching. Providing materials beforehand or ensuring they cover all needed information may not always be feasible or necessary.
A healthcare provider is assessing a client immediately after the removal of the endotracheal tube. Which of the following findings should the provider report to the healthcare provider?
- A. Stridor
- B. Copious oral secretions
- C. Hoarseness
- D. Sore throat
Correct Answer: A
Rationale: The correct answer is A: Stridor. Stridor is a high-pitched, harsh respiratory sound that indicates airway obstruction, which can be life-threatening post endotracheal tube removal. Copious oral secretions (B), hoarseness (C), and sore throat (D) are common after endotracheal tube removal but do not indicate immediate airway compromise. Reporting stridor is crucial for prompt intervention to prevent respiratory distress.
What nursing measure would be most helpful in obtaining Mr. Smith’s compliance with treatment?
- A. Involve Mrs. Smith in the teaching sessions
- B. Teach Mr. Smith about his prescribed medications
- C. Ask the social worker to talk to Mr. Smith
- D. Refer the Smiths to the American Lung Association
Correct Answer: B
Rationale: Education empowers patients to understand and adhere to their treatment plans.