Nokea
A patient is receiving care to manage symptoms of a terminal illness when the disease no longer responds to treatment. What is this type of care known as?
- A. Terminal care
- B. Palliative care
- C. Supportive care
- D. Maintenance care.
Correct Answer: B
Rationale: Palliative care focuses on symptom management and improving quality of life for patients with terminal illnesses, regardless of whether curative treatment is still being attempted.
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What sign would you expect to find when assessing Mr. Stout with chronic bronchitis?
- A. Loss of weight
- B. Chronic cough
- C. Barrel chest
- D. Scanty sputum
Correct Answer: B
Rationale: Chronic cough is a hallmark symptom of chronic bronchitis.
Mrs. Roberts communicates very well by lipreading. In planning Mrs. Roberts' care, it is important to
- A. face her and slightly raise your voice
- B. write everything important
- C. employ nonverbal cues to help convey your meaning
- D. avoid obscuring her view of your mouth
Correct Answer: D
Rationale: Clear visibility of the speaker's mouth is vital for effective lipreading, ensuring accurate communication.
A client has developed atelectasis postoperatively. Which of the following findings should the nurse expect?
- A. Facial flushing
- B. Increasing dyspnea
- C. Decreasing respiratory rate
- D. Friction rub
Correct Answer: B
Rationale: The correct answer is B: Increasing dyspnea. Atelectasis is a condition where the lung tissue collapses, leading to decreased oxygen exchange and resulting in symptoms like dyspnea (difficulty breathing). This occurs because the collapsed lung tissue reduces the surface area available for gas exchange, leading to decreased oxygen saturation and increased work of breathing.
Facial flushing (choice A) is not typically associated with atelectasis. Decreasing respiratory rate (choice C) may not be a reliable indicator as the body may compensate by increasing respiratory rate to maintain oxygenation. Friction rub (choice D) is more commonly associated with conditions like pleurisy or pneumonia, not atelectasis.
During an ophthalmic assessment, which of the following is the nurse expected to observe carefully?
- A. Level of central vision
- B. Internal eye condition
- C. Pupil responses
- D. Rate of blinking
Correct Answer: C
Rationale: Pupil responses are critical in assessing neurological and ocular health. They provide important clues about potential disorders.
When caring for a dying client, which intervention protects the client’s skin from breakdown?
- A. Applying oil to the client’s body.
- B. Providing plenty of drinking water to hydrate the client’s skin.
- C. Giving the client a sponge bath twice a day.
- D. Changing the client’s position every 2 hours.
Correct Answer: D
Rationale: Regularly repositioning the client reduces pressure on vulnerable areas, preventing skin breakdown.