Nokea
Bernadette’s morning laboratory results have just come in. Her serum potassium level is currently 5.4 mEq/L. The physician recognizes this as:
- A. Hypokalemia.
- B. Hyperkalemia.
- C. Hypocalcemia.
- D. Hypercalcemia.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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While discussing factors causing emphysema with Mr. Puff, what major factor is he already aware of?
- A. Air pollution
- B. Repeated bronchial infections
- C. Cigarette smoking
- D. Hereditary
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is having a left pneumonectomy. In planning this client's postoperative care, nursing interventions for a postoperative left pneumonectomy would include:
- A. monitoring the chest tubes.
- B. positioning the client on the right side.
- C. positioning the client in the semi-Fowler's position with a pillow under the shoulder and back.
- D. monitoring the right lung for an increase in rales.
Correct Answer: D
Rationale: Chest tubes are not usually necessary in a pneumonectomy, because there is no lung to re-expand on the operative side. The pneumonectomy client should be positioned on the back or operated side, because the sutured bronchial stump may open, which would allow fluid to drain into the unoperated side and drown the client. The client should not have a pillow under the shoulder and back, because of the subscapular incision. Rales are commonly heard over the base of the remaining lung. An increase could indicate circulatory overload. Rales should be closely monitored.
Tim presents with an acute episode of gout. You expect the physician to prescribe
- A. Nonsteroidal anti-inflammatory medications and colchicine.
- B. Allopurinol and aspirin.
- C. Antibiotics and acetaminophen.
- D. Bisphosphonates and calcium.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
For the patient described in Question 1, the data will lead the night shift nurse to complete a focused nursing assessment of which body part(s)?
- A. Abdomen
- B. Head and neck
- C. Arms and legs
- D. Anterior and posterior chest
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Proper body alignment of the hemiplegic patient with the use of a footboard, trochanter rolls, and pillows will minimize the development of
- A. plantar extension
- B. shoulder abduction
- C. internal hip rotation
- D. external hip rotation
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.