Chronic hepatitis C may be treated with
- A. Sulfasalazine.
- B. Interferon and ribavirin.
- C. Metronidazole or ciprofloxacin.
- D. Acetaminophen.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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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.
Which of the following should be immediately reported to the physician?
- A. Change in color vision
- B. Crusty yellow drainage on eyelashes
- C. Increased lacrimation
- D. Curtain-like shadow across visual field
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are caring for a patient with an infected wound. You would expect
- A. To prepare for sutures to close the wound.
- B. To use steri strips to hold the edges together.
- C. To leave the wound open.
- D. To cover the wound with a loose, fluffy dressing.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A deathly ill patient from a culture different than the nurse’s is admitted. Which question is appropriate to help the nurse provide culturally competent care?
- A. “If you die
- B. will you want an autopsy?”
- C. “Are you interested in learning about palliative or hospice care?”
- D. “Do you have any preferences for what happens if you are dying?”
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.