Nokea
Bob reports chest pains when performing strenuous work. The pain goes away when he sits. What is he likely to be experiencing?
- A. Indigestion.
- B. Stable angina.
- C. Unstable angina.
- D. Prinzmetal's angina.
Correct Answer: B
Rationale: Stable angina occurs during physical exertion and resolves with rest.
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What are the priority nursing interventions for a client in shock?
- A. Hypoxia
- B. Hypercapnia
- C. Acidosis
- D. Alkalosis
Correct Answer: C
Rationale: Acidosis occurs when blood pH drops below 7.35 due to an accumulation of hydrogen ions, commonly resulting from respiratory or metabolic imbalances.
When should nurses view rehabilitation as a process?
- A. Occurs in the last stage of the patient’s hospitalization
- B. Encompasses all nursing practice goals and activities
- C. Occurs primarily in a specialized unit of the hospital
- D. May not be achieved for all patients
Correct Answer: B
Rationale: Rehabilitation is an integral part of nursing practice that spans all stages of care, focusing on restoring function and independence.
What is the rationale for using preoperative checklists on the day of surgery?
- A. The patient is correctly identified.
- B. All preoperative orders and procedures have been carried out and records are complete.
- C. Patients' families have been informed as to where they can accompany and wait for patients.
- D. Preoperative medications are the last procedure before the patient is transported to the operating room.
Correct Answer: B
Rationale: Checklists ensure all necessary steps are completed, enhancing patient safety.
What is the priority nursing diagnosis?
- A. Risk for Injury related to seizures
- B. Risk for Other-Directed Violence related to hallucinations
- C. Risk for Situational Low Self-esteem related to police custody
- D. Risk for Nutritional Deficit related to chronic alcohol abuse
Correct Answer: A
Rationale: Seizures pose an immediate risk to the patient's safety.
During a preoperative review of systems, the patient reveals a history of renal disease. This finding suggests the need for which preoperative diagnostic tests?
- A. ECG and chest x-ray
- B. Serum glucose and CBC
- C. ABGs and coagulation tests
- D. BUN, serum creatinine, and electrolytes
Correct Answer: D
Rationale: Renal disease necessitates evaluating kidney function through tests like BUN, serum creatinine, and electrolytes.