Nokea
During an acute asthma attack, a healthcare provider assesses a client. Which assessment finding indicates that the client's condition is worsening?
- A. Loud wheezing
- B. Increased respiratory rate
- C. Decreased breath sounds
- D. Productive cough
Correct Answer: C
Rationale: The correct answer is C: Decreased breath sounds. This finding indicates worsening asthma as it signifies decreased airflow to the lungs, which can lead to inadequate oxygenation. Loud wheezing (A) is common in asthma but does not necessarily indicate worsening. Increased respiratory rate (B) is a compensatory mechanism to improve oxygenation. Productive cough (D) may indicate clearing of mucus and is not necessarily associated with worsening asthma.
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A client has a tracheostomy tube in place. When the nurse suctions the client, food particles are noted. What action by the nurse is best?
- A. Elevate the head of the client's bed.
- B. Measure and compare cuff pressures.
- C. Place the client on NPO status.
- D. Request a swallow study for the client.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. Tracheostomy cuff should be inflated to prevent aspiration.
2. Food particles indicate cuff leakage.
3. Measuring cuff pressure ensures proper sealing.
4. Prevents aspiration and respiratory complications.
Summary:
A: Elevating the head is beneficial but doesn't address cuff leakage.
C: NPO status is extreme and unnecessary without confirmation of aspiration risk.
D: Swallow study is for assessing swallowing function, not related to cuff pressure.
What educational information related to nutrition would you provide to a client with anxiety?
- A. High blood pressure
- B. Increased heart rate
- C. Decreased oxygen supply
- D. Muscle relaxation
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.
The nurse is caring for a client 2 hours after a right lower lobectomy. During the evaluation of the water-seal chest drainage system, it is noted that the fluid level bubbles constantly in the water seal chamber. On inspection of the chest dressing and tubing, the nurse does not find any air leaks in the system. The next best action for the nurse is to:
- A. Check for subcutaneous emphysema in the upper torso.
- B. Reposition the client to a position of comfort.
- C. Call the health care provider as soon as possible.
- D. Check for any increase in the amount of thoracic drainage.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
According to the World Health Organization, identify the specific goals of palliative care (select all that apply).
- A. Regard dying as a normal process.
- B. Minimize the financial burden on the family.
- C. Provide relief from symptoms
- D. including pain.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.