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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.
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Tom presents with sudden difficulty breathing, tachypnea, tachycardia, and localized chest pain. The physician suspects a pulmonary embolism and would order what test?
- A. EKG.
- B. Helical CT scan.
- C. ECC.
- D. Vital capacity.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
It is important to teach a patient who is receiving immunosuppressive therapy for a bone marrow transplant to
- A. Avoid other people with signs of infection.
- B. Report signs of infection, such as sore throat or fever.
- C. Take the medications as directed.
- D. All of the above.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The charge nurse on the eating disorder unit instructs a new staff member to weigh each client in his or her hospital gown only. What is the rationale for this nursing intervention?
- A. To reduce the risk of the client feeling cold due to decreased fat and subcutaneous tissue.
- B. To cover the bony prominence and areas where there is skin breakdown.
- C. So the client knows what type of clothing to wear when weighed.
- D. To reduce the tendency of the client to hide objects under his or her clothing.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A student is practicing suctioning a tracheostomy in the skills laboratory. What action by the student demonstrates that more teaching is needed?
- A. Applying suction while withdrawing the catheter
- B. Preoxygenating the client before suctioning
- C. Suctioning up to three times if necessary
- D. Suctioning for a duration of 10 to 15 seconds each time
Correct Answer: A
Rationale: The correct answer is A. When suctioning a tracheostomy, the student should not apply suction while withdrawing the catheter to prevent mucosal damage. The correct technique involves inserting the catheter without applying suction, then withdrawing it while applying suction. This helps to clear secretions effectively without causing trauma. Choices B, C, and D are incorrect. Preoxygenating the client is a recommended practice to prevent hypoxemia during suctioning. Suctioning up to three times if necessary and suctioning for 10-15 seconds each time are appropriate techniques to clear secretions effectively without causing harm.
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.