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An 83-year-old woman is being discharged from the hospital following stabilization of her international normalized ratio (INR) levels (used to assess effectiveness of warfarin therapy). She has chronic atrial fibrillation and has been on warfarin (Coumadin) for several years. Discharge instructions include returning to the clinic weekly for INR testing. Which statement by the patient indicates that she may be unable to have the testing done?
- A. When I have the energy
- B. I have taken the bus to get this test done.
- C. I will need to ask my son to bring me into town every week for the test.
- D. Should I just keep taking the same pill every day until I can get a ride to town?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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What aspect should a nurse pay particular attention to when assessing a client with a potential or actual infection?
- A. The client’s age and sex
- B. The client’s lifestyle and drinking habits
- C. The client’s recent travel to a foreign country
- D. The client’s diet and preference for meat
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The physician has ordered continuous positive airway pressure (CPAP) for a patient with serious obstructive sleep apnea. How will CPAP help the patient?
- A. Prevent airway occlusion by bringing the tongue forward
- B. Be easily tolerated by both the patient and the patient’s bed partner
- C. Provide enough positive pressure in the airway to prevent airway collapse
- D. Deliver a high inspiratory pressure and a low expiratory pressure to prevent airway collapse
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The disease progress of cancers, such as cervical or Hodgkin’s, can be classified according to a clinical staging system. Place the description of stages 0-IV in the correct order.
- A. Metastasis.
- B. Limited local spread.
- C. Cancer in situ.
- D. Tumor limited to tissue of origin.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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.
5. Which statement accurately describes the use of complementary and alternative medicine (CAM)?
- A. CAM therapy incorporates only the emotional and spiritual realms of the patient.
- B. The increase in the use of CAM therapies is due to an increase in cost of conventional therapy.
- C. Research and education in CAM therapies are financially supported by the American Holistic Nurses Association.
- D. Practices that are considered complementary and alternative in one culture or time might be considered conventional in another culture or time.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.