A terminally ill man tells the nurse, “I have never believed there is a God or an afterlife, but now it is too terrible to imagine that I will not exist. Why was I here in the first place?” What does this comment help the nurse recognize about the patient’s needs?
- A. He is experiencing spiritual distress.
- B. This man most likely will not have a peaceful death.
- C. He needs to be reassured that his feelings are normal.
- D. This patient should be referred to a clergyman for a discussion of his beliefs.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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What is your evaluation of the nursing action regarding continuous bubbling in the water-seal chamber?
- A. Incorrect, chest tubes should never be clamped because of the risk of tension pneumothorax
- B. Correct, clamping the chest tubes demonstrated that the system was intact; the leak was in the patient
- C. Partially correct, since clamping the chest tubes corrected the pattern, the nurse should have left them clamped until the physician checked the patient
- D. Partially correct, the nurse should have increased the external suction while waiting for the physician to come
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 78-year-old patient is scheduled for transition to home after treatment for heart disease. The patient's spouse, who has chronic obstructive pulmonary disease, plans to care for the patient at home. The spouse says that their grown children, who live nearby, will help. The best approach to discharge planning is to
- A. arrange nursing home placement for the couple.
- B. consult the spouse's healthcare provider about the spouse's ability to care for the patient.
- C. contact the children to ascertain their commitment to help.
- D. discuss community resources with the spouse and offer to make referrals.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the most common cause of acute angle-closure glaucoma?
- A. Pupil block
- B. Lens dislocation
- C. Trauma
- D. Infection
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Why should a nurse practice caution when changing the wound dressings of a client who underwent surgery?
- A. To avoid damaging new tissue.
- B. To avoid causing pain to the client.
- C. To fasten the wound healing.
- D. To avoid wound infection.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Ken Thom needs instruction on the medications he is taking for his hypothyroidism. You would include which of the following in a teaching plan?
- A. Take medications with meals or with food.
- B. Take medications in the evening or at bedtime.
- C. Report excess weight loss and leg cramps.
- D. Increase the use of iodized salt and spinach.
Correct Answer: C
Rationale: Thyroid medications will be absorbed better if taken on an empty stomach. Thyroid medications would best be taken in the morning, as they may cause difficulty in sleeping when taken at night. Weight loss should occur, but the patient should be taught to report an excessive loss. Leg cramps may indicate a calcium disturbance that needs correction. Iodine is an antithyroid, decreasing thyroid function. Increasing intake of thyroid would effectively act as an antidote to the thyroid medications Mr. Thom is taking.