Nokea
Denise is recovering from an open cholecystectomy. You know that because of the location of the surgery, she has an increased risk of postoperative:
- A. Myocardial infarction.
- B. Respiratory complications.
- C. Deep vein thrombosis.
- D. Wound infection.
Correct Answer: B
Rationale: Open cholecystectomy involves abdominal surgery, which can impair respiratory function due to pain and reduced mobility. This increases the risk of respiratory complications such as atelectasis or pneumonia.
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Which risk is more prone to clients who administer carbamazepine for bipolar disorder?
- A. Risk for injury
- B. Risk for self-directed violence
- C. Risk for imbalanced nutrition
- D. Risk for infection
Correct Answer: D
Rationale: Carbamazepine can suppress the immune system, increasing the risk of infections.
What might have been the precipitating cause of Wendy’s asthmatic attack?
- A. Breaking up with her boyfriend
- B. Personal history of allergies
- C. Restless sleeping pattern
- D. Smoking five cigarettes daily
Correct Answer: B
Rationale: Allergies are common triggers for asthma exacerbations.
Which action occurs primarily during the evaluation phase of the nursing process?
- A. Data collection.
- B. Decision-making and judgment.
- C. Priority-setting and expected outcomes.
- D. Reassessment and audit.
Correct Answer: B
Rationale: Evaluation involves assessing whether goals were met and making judgments about care effectiveness.
What cell ingests invading or foreign cells?
- A. Macrophage.
- B. T cell.
- C. B cell.
- D. Erythrocyte.
Correct Answer: A
Rationale: Macrophages engulf and destroy pathogens.
Describe assessment data for the suicidal client.
- A. Increased alertness
- B. Lower immune response
- C. Faster metabolism
- D. Enhanced digestion
Correct Answer: D
Rationale: The correct answer is D because it is the most appropriate response based on physiological and medical principles.