Nokea
Clients with mitral stenosis would likely manifest findings associated with congestion in the:
- A. Pulmonary circulation.
- B. Descending aorta.
- C. Superior vena cava.
- D. Bundle of His.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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John presents with bronchitis. He thinks that he might have chronic bronchitis and asks you to explain the difference between them. You respond by saying
- A. Acute bronchitis lasts for 3 consecutive months and is reversible.
- B. Acute bronchitis lasts 7 to 10 days.
- C. Chronic bronchitis lasts 3 consecutive months in 2 consecutive years. This results in a blockage of the airways which cannot be reversed. Acute bronchitis is caused by a viral or bacterial infection and lasts about 10 days. Blockage of the airways is reversible in acute bronchitis.
- D. I will ask your physician to explain the differences during his rounds.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the first symptom a client with dry macular degeneration may report?
- A. Blurred vision
- B. Loss of eyelashes
- C. Affected peripheral field
- D. Distortion of direct vision
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When caring for a client exposed to cyanide, which antidote is an inhalant to convert cyanide into a nontoxic substance?
- A. Methemoglobin
- B. Sodium nitrite
- C. Amyl nitrite
- D. Sodium thiosulfate
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What information should you immediately report to the physician?
- A. The parent is unsure about the child's tetanus immunization status
- B. The child is upset and pulls out the IV
- C. The parent declines the IV conscious sedation
- D. The parent wants information about the IV conscious sedation
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a tracheostomy that is 3 days old. Upon assessment, the nurse notes the client's face is puffy, and the eyelids are swollen. What action by the nurse takes priority?
- A. Assess the client's oxygen saturation.
- B. Notify the Rapid Response Team.
- C. Oxygenate the client with a bag-valve-mask.
- D. Palpate the skin of the upper chest.
Correct Answer: A
Rationale: The correct answer is A: Assess the client's oxygen saturation. This is the priority because the client's puffy face and swollen eyelids may indicate airway obstruction or respiratory distress, common complications in tracheostomy patients. Assessing oxygen saturation helps determine if the client is getting enough oxygen. Option B (Notify the Rapid Response Team) is not the immediate action unless the client's condition deteriorates rapidly. Option C (Oxygenate the client with a bag-valve-mask) may be necessary but should come after assessing oxygen saturation. Option D (Palpate the skin of the upper chest) is irrelevant to the client's current symptoms.