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A patient with lung cancer develops syndrome of inappropriate antidiuretic hormone secretion (SIADH). After reporting symptoms of weight gain, weakness, and nausea and vomiting to the physician, you would anticipate which initial order for the treatment of this patient?
- A. A fluid bolus as ordered.
- B. Fluid restrictions as ordered.
- C. Urinalysis as ordered.
- D. Sodium-restricted diet as ordered.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A client with chronic obstructive pulmonary disease (COPD) is being taught by a healthcare provider. Which statement by the client indicates a need for further teaching?
- A. I will avoid smoking to prevent further damage to my lungs.
- B. I will eat smaller, more frequent meals to avoid feeling bloated.
- C. I will exercise every day to improve my strength and endurance.
- D. I will drink plenty of fluids to help thin my mucus.
Correct Answer: C
Rationale: The correct answer is C because daily exercise may exacerbate COPD symptoms in some cases. Individuals with COPD may experience increased shortness of breath and fatigue during physical activity. Therefore, it is crucial to tailor an exercise plan to each client's specific needs and capabilities. Choices A, B, and D are correct as they align with COPD management strategies of smoking cessation, dietary modifications, and hydration to help with mucus clearance, respectively.
What is the initial management for a foreign body in the eye?
- A. Irrigation
- B. Surgical removal
- C. Topical antibiotics
- D. Observation
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
After a thoracentesis, a healthcare provider assesses a client. Which assessment finding warrants immediate action?
- A. The client rates pain as 5/10 at the site of the procedure.
- B. A small amount of drainage is noted from the site.
- C. Pulse oximetry reads 93% on 2 liters of oxygen.
- D. The trachea is deviated toward the opposite side of the neck.
Correct Answer: D
Rationale: The correct answer is D because tracheal deviation indicates a potential tension pneumothorax, a life-threatening emergency requiring immediate intervention. Tracheal deviation occurs when there is a significant shift in the mediastinum due to increased pressure in the pleural space. This can compromise respiratory function and lead to respiratory failure. Options A, B, and C are not as urgent as tracheal deviation. Pain at 5/10 is expected post-thoracentesis, a small amount of drainage is common, and a pulse oximetry reading of 93% on low oxygen is concerning but not immediately life-threatening.
The patient is complaining of insomnia. Which bedtime snack would be the best option for this patient?
- A. Hershey’s bar
- B. 8 oz hot chocolate
- C. 8 oz Dannon coffee yogurt
- D. 1 cup Ben & Jerry’s nonfat coffee fudge frozen yogurt
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which area of the ED is the most appropriate assignment for this nurse?
- A. Trauma team
- B. Triage
- C. Ambulatory or fast track clinic
- D. Pediatric medicine team
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.