Nokea
Bob presents with emphysema. He has difficulty breathing and has a barrel chest. He asks why increasing oxygen therapy does not relieve his difficulty breathing. You respond by saying
- A. You must lie on your right side for oxygen therapy to work properly.
- B. Your barrel chest has decreased, causing your lungs to overly expand.
- C. You must take deeper breaths when receiving oxygen therapy.
- D. Your difficulty in breathing is due to air trapped in your lungs, reducing the lungs' ability to exchange oxygen and carbon dioxide. Increasing oxygen does not resolve the trapped air.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A common reason that a nurse may need extra time when preparing older adults for surgery is their
- A. ineffective coping.
- B. limited adaptation to stress.
- C. diminished vision and hearing.
- D. need to include caregivers in activities.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The role of the nurse on a multidisciplinary team is to
- A. Prescribe the treatment
- B. Arrange a posthospitalization rehabilitation program
- C. Determine the appropriate physical exercises
- D. Coordinate the actions of the other team members
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
It is estimated that the population of people aged 65 or older in United States will increase to:
- A. 13%
- B. 20%
- C. 25%
- D. 38%
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with chronic obstructive pulmonary disease (COPD) receives oxygen therapy. Which finding requires immediate intervention by the nurse?
- A. Oxygen saturation of 91%
- B. Respiratory rate of 10 breaths per minute
- C. Client reports shortness of breath
- D. Use of accessory muscles
Correct Answer: B
Rationale: The correct answer is B: Respiratory rate of 10 breaths per minute. In a client with COPD, a respiratory rate of 10 breaths per minute indicates severe respiratory depression and impending respiratory failure. Immediate intervention is necessary to prevent hypoxia and respiratory arrest. Oxygen saturation of 91% (choice A) is low but not as critical as a low respiratory rate. Shortness of breath (choice C) is expected in COPD but does not indicate immediate danger. Use of accessory muscles (choice D) is a sign of respiratory distress, but a low respiratory rate is more concerning for imminent respiratory failure.
A cheerful, elderly widow comes to the community clinic for her annual check-up. She is in reasonably good health, but she has a hearing loss of 40 dB. She confides, 'I don't get out much. I used to be really active, but the older I get, the more trouble I have hearing. It can be really embarrassing.' What is the priority nursing diagnosis?
- A. Social Interaction, Impaired related to perceived inability to interact
- B. Disturbed Sensory Perception related to progressive hearing loss
- C. Knowledge Deficit related to pathophysiological processes
- D. Coping, Ineffective related to change in sensory abilities
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.