Nokea
Although acute pain is severe, why does a client with acute pain cope better with the discomfort in the later stages?
- A. Because the pain is negligible in the later stages.
- B. Because an increased dosage of analgesics is used in the later stages.
- C. Because the client’s perception of pain minimizes in the later stages.
- D. Because there is a reinforcing belief that the pain will resolve in time.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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11. A patient who is receiving radiation therapy for breast cancer tells the nurse that she cannot verbalize her fears about her treatment. Which complementary or alternative therapy would be most beneficial for the nurse to teach this patient about at this time?
- A. Journaling
- B. Yoga therapy
- C. Herbal therapy
- D. Chiropractic therapy
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Ramona Gunther, 18, was diagnosed with Stage II Hodgkins disease and is preparing to receive external radiation therapy. She tells the nurse she is scared 'about having to get radiation treatments all over my body.' Which of the following is the most appropriate response?
- A. The dose will be very low based on the disease staging.
- B. With Stage II, you'll only have radiation over half your body.
- C. I know it's scary, but it will help to decrease the potential of fractures.
- D. You know you don't have to worry about being radioactive.
Correct Answer: B
Rationale: The dose of radiation is not based on the staging of the disease alone, and there is not enough information to know that the dose will be low. With Stage II, the involved lymph nodes are all on the same side of the diaphragm, so the radiation will be given on that part of the body. The potential of fractures occurs because of the cancer, but the radiation is not given for that reason. She has not stated that she's afraid of being radioactive, so this answer does not address her concern.
Mrs. Smith splashed some toilet bowl cleaner into her eye, and now her eye is burning. Mrs. Smith's eye should be irrigated with
- A. an acid solution
- B. a basic solution
- C. her head turned toward the affected eye
- D. her head turned toward the unaffected eye
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare professional assesses a client who is experiencing an acute asthma attack. Which assessment finding requires immediate intervention?
- A. Loud wheezing
- B. Increased respiratory rate
- C. Use of accessory muscles
- D. Silent chest
Correct Answer: D
Rationale: The correct answer is D: Silent chest. This finding indicates severe airway obstruction and impending respiratory failure, requiring immediate intervention to prevent respiratory arrest. Silent chest means minimal or absent breath sounds, suggesting no air movement, which is a critical emergency situation. Wheezing (A), increased respiratory rate (B), and use of accessory muscles (C) are common in asthma attacks but do not indicate as severe a condition as a silent chest. Monitoring and addressing a silent chest promptly is crucial in managing acute asthma exacerbations.
How does client and family care differ for a client with an acute terminal illness versus a chronic terminal illness?
- A. Acute terminal illness requires immediate interventions,while chronic terminal illness focuses on long-term symptom management.
- B. Acute terminal illness involves less family involvement,while chronic terminal illness requires extensive support.
- C. No difference exists.
- D. Care depends solely on the client’s preferences.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.