Nokea
Following a cocaine high, the user commonly experiences an extremely unpleasant feeling called:
- A. Craving.
- B. Crashing.
- C. Outward bound.
- D. Nodding out.
Correct Answer: B
Rationale: Crashing refers to the intense fatigue and depression following cocaine use.
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The nurse recognizes what as the most likely major determinant of this patient’s health?
- A. He is African American.
- B. He chose to smoke all of his adult life.
- C. His father died of lung cancer at about the same age.
- D. He has a limited ability to understand and act on health information.
Correct Answer: B
Rationale: Smoking is one of the leading causes of lung cancer. While genetics (C) and race (A) may play a role, smoking remains the primary risk factor for developing lung cancer.
What is the nurse’s evaluation of Mr. Singer not testing for proper placement of his nasogastric tube?
- A. Mr. Singer must be stopped before the instillation of the feeding
- B. There is no possibility that the tube will get into Mr. Singer’s trachea
- C. If Mr. Singer shows no breathing difficulties, he can proceed with his feeding
- D. The greatest danger for Mr. Singer is the aspiration of the feeding into his lung
Correct Answer: D
Rationale: Aspiration poses a serious risk if the tube is misplaced.
The trauma unit nurse has received a report on a client who has multiple injuries following a motor vehicle crash. Which of the following actions should the nurse plan to take first?
- A. Evaluate chest expansion.
- B. Check pupillary response to light.
- C. Assess the capillary refill.
- D. Check the client's response to questions about place and time.
Correct Answer: A
Rationale: The correct answer is A: Evaluate chest expansion. This is the priority action because it assesses the client's airway and breathing, which are critical for survival. Checking chest expansion helps to identify any potential respiratory compromise or underlying lung injuries. Assessing pupillary response (B) and capillary refill (C) are important, but they are secondary to ensuring adequate oxygenation. Checking the client's orientation to place and time (D) is important for neurological assessment but is not as critical as assessing airway and breathing in this scenario.
What is included in the routine assessment of the patient's cardiovascular function on admission to the PACU?
- A. Monitoring arterial blood gases
- B. Electrocardiographic (ECG) monitoring
- C. Determining fluid and electrolyte status
- D. Direct arterial blood pressure monitoring
Correct Answer: B
Rationale: ECG monitoring assesses cardiovascular function, detecting arrhythmias or ischemia.
Which statement by a patient demonstrates an accurate understanding about herbal supplements?
- A. Herbs may interact with prescribed medications but not other herbs.
- B. Most herbs have been tested and found to be safe and therapeutic.
- C. The Food and Drug Administration regulates herbs and allows advertising.
- D. There is no standardization among the manufacturers of herbs in this country.
Correct Answer: D
Rationale: Herbal supplements lack standardization and regulation in the U.S.