Nokea
A primary nursing responsibility is the prevention of lung cancer by assisting patients in smoking/tobacco cessation. Which task would be appropriate to delegate to the LPN/LVN?
- A. Develop a 'quit plan'.
- B. Discuss strategies to avoid relapse.
- C. Explain the application of a nicotine patch.
- D. Suggest ways to deal with urges for tobacco.
Correct Answer: C
Rationale: Explaining the application of a nicotine patch is a technical task that LPNs/LVNs can perform, while developing plans or discussing strategies require more specialized knowledge.
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Which type of shock has the highest mortality rate?
- A. Neurogenic shock
- B. Anaphylactic shock
- C. Hypovolemic shock
- D. Septic shock
Correct Answer: D
Rationale: Septic shock has a high mortality rate due to systemic inflammation and multiorgan dysfunction.
A confirmatory laboratory test for HIV includes
- A. Western blot.
- B. Low WBC.
- C. Comprehensive metabolic panel.
- D. Enzyme-linked immunosorbent assay (ELISA).
Correct Answer: A
Rationale: Western blot is used to confirm HIV infection.
A nurse in the PACU is assessing a client who has an endotracheal tube (ET) in place and observes the absence of left-sided chest wall expansion upon respiration. Which of the following complications should the nurse suspect?
- A. Blockage of the ET tube by the client's tongue
- B. Passage of the ET tube into the esophagus
- C. Movement of the ET tube into the right main bronchus
- D. Infection of the vocal cords
Correct Answer: C
Rationale: The correct answer is C: Movement of the ET tube into the right main bronchus. When the nurse observes absence of left-sided chest wall expansion, it indicates that the ET tube may have moved into the right main bronchus. This can lead to inadequate ventilation of the left lung, causing unilateral chest wall expansion. The other choices are incorrect because: A) Blockage by the tongue would not result in unilateral chest wall expansion. B) Passage into the esophagus would lead to improper ventilation but not specifically affect one side of the chest. D) Infection of the vocal cords would not directly cause unilateral chest wall expansion.
A healthcare professional is monitoring a client following a thoracentesis. The healthcare professional should identify which of the following manifestations as a complication and contact the provider immediately?
- A. Serosanguineous drainage from the puncture site
- B. Discomfort at the puncture site
- C. Increased heart rate
- D. Decreased temperature
Correct Answer: C
Rationale: The correct answer is C, increased heart rate, as it indicates a potential complication such as hemorrhage or pneumothorax post-thoracentesis. An increased heart rate can signify hypovolemia or respiratory distress, requiring immediate provider notification. Serosanguineous drainage (A) is expected initially, discomfort (B) is common, and decreased temperature (D) is not typically a complication post-thoracentesis.
Which nutritional instruction is important for stress-prone clients?
- A. Provide individual and group counseling
- B. Provide books on psychobiologic illness
- C. Provide entertainment regularly
- D. Provide family counseling
Correct Answer: A
Rationale: Individual and group counseling can help clients develop healthy coping mechanisms and emotional support systems.