Nokea
A patient asks how to avoid lung cancer. The following are risk factors, except:
- A. Exposure to passive smoke
- B. Crowded living conditions
- C. Air pollution
- D. Diet low in fruits and vegetables
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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During chemotherapy for lymphocytic leukemia, a client develops abdominal pain, fever, and "horse barn" smelling diarrhea. It would be most important for the nurse to advise the physician to order:
- A. Enzyme-linked immunosuppressant assay
- B. Stool for Clostridium difficile test
- C. Flat palate X-ray of the abdomen
- D. Electrolyte panel and hemogram
Correct Answer: B
Rationale: The client's symptoms of abdominal pain, fever, and "horse barn" smelling diarrhea are concerning for Clostridium difficile infection, especially in the setting of receiving chemotherapy which can weaken the immune system. Clostridium difficile is a bacteria that can cause severe diarrhea and inflammation of the colon. Testing for Clostridium difficile in the stool is crucial for diagnosing the infection and guiding appropriate treatment. Therefore, advising the physician to order a stool test for Clostridium difficile would be the most important in this scenario to confirm the diagnosis and initiate appropriate management.
Which nursing interventions can help prevent falls in a patient with Parkinson's disease? Choose all answers that are correct. i.Keep the patient's call light within reach ii.Apply a soft vest restraint when the patient is in bed iii.Avoid use of throw rugs iv.Maintain the patient's bed in a low position v.Encourage the patient to be independent for as long as possible vi.Provide a cane or walker for ambulation
- A. 1, 4, 2005
- B. 1, 3, 4, 6
- C. 2, 3, 2006
- D. 2, 4, 5, 6
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
If a Wall unit is used, What should be the suctioning pressure required by James?
- A. 50-95 mmHg
- B. 100-120 mmHg
- C. 95-110 mmHg
- D. 155-175 mmHg
Correct Answer: A
Rationale: The recommended suction pressure range for suctioning an adult patient using a wall unit is typically between 80-120 mmHg. However, for a pediatric patient, the recommended suction pressure range is lower, usually between 50-95 mmHg. In this case, James' age is specified, so it is crucial to consider the appropriate suction pressure range for pediatric patients. Therefore, the suctioning pressure required by James should be in the range of 50-95 mmHg, making option A the correct answer.
When creating a teaching program for the parents of Jessica who is diagnosed with pulmonic stenosis (PS), Nurse Alex would keep in mind that this disorder involves which of the following?
- A. A single vessel arising from both ventricles
- B. Obstruction of blood flow from the left ventricle
- C. Obstruction of blood flow from the right ventricle
- D. Return of blood to the heart without entry to the left atrium
Correct Answer: C
Rationale: Pulmonic stenosis (PS) is a heart condition where there is obstruction or narrowing of the pulmonary valve, which is responsible for allowing blood to flow out of the right ventricle to the lungs for oxygenation. This obstruction leads to decreased blood flow from the right side of the heart to the lungs, causing increased pressure in the right ventricle. This can result in symptoms such as fatigue, shortness of breath, and possible heart murmurs. It is essential for Nurse Alex to educate Jessica's parents about the impact of this obstruction in the right ventricle and the importance of monitoring Jessica's symptoms and seeking appropriate medical care when needed.
The nurse administered neutral protamine Hagedorn (NPH) insulin to a diabetic client at 7am. At what time would the nurse expect the client to be at most risk for a hypoglycemic reaction?
- A. 10:00 AM
- B. 4:00 PM
- C. Noon
- D. 10:00 PM
Correct Answer: D
Rationale: NPH insulin typically peaks in its action around 6-10 hours after administration. Therefore, after administering NPH insulin at 7am, the client would be at most risk for a hypoglycemic reaction around 10pm. This is when the insulin is exerting its strongest effect, potentially leading to lower blood sugar levels. Monitoring for hypoglycemia during this time frame is crucial to ensure prompt intervention if needed.