Nokea
For a patient who is receiving chemotherapy, which laboratory result is of particular importance?
- A. WBC.
- B. PT and PTT.
- C. Electrolytes.
- D. BUN.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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When staging a pressure ulcer, you correctly recognize a stage II ulcer as
- A. Redness, with no break in the skin.
- B. Shallow ulcer with red base.
- C. Dermis involvement with eschar.
- D. Bone visible with no drainage.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In which clients is electroconvulsive therapy (ECT) usually contraindicated?
- A. Clients with cardiac or neurovascular diseases
- B. Clients who have not responded to drug therapy
- C. Clients who are intolerant of the side effects of antidepressant medications
- D. Clients who are extremely suicidal
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When teaching a client with chronic obstructive pulmonary disease (COPD) about nutrition, what information should be included? (Select all that apply)
- A. Avoid drinking fluids just before and during meals.
- B. Rest before meals if experiencing dyspnea.
- C. Have about six small meals a day.
- D. Eat high-fiber foods to promote gastric emptying.
Correct Answer: D
Rationale: The correct answer is D: Eat high-fiber foods to promote gastric emptying. In COPD, patients may experience slow gastric emptying due to decreased lung function. High-fiber foods can help with digestion and prevent constipation.
A: Avoid drinking fluids just before and during meals - Incorrect. Hydration is important for COPD patients, but timing of fluid intake is not directly related to nutrition in this context.
B: Rest before meals if experiencing dyspnea - Incorrect. While resting before meals can help with dyspnea, it is not directly related to nutrition education.
C: Have about six small meals a day - Incorrect. While small frequent meals may be beneficial for some COPD patients, this is not a universal recommendation for all individuals with COPD in terms of nutrition.
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.
The patient is complaining of insomnia. Which bedtime snack would be the best option for this patient?
- A. Hershey’s bar
- B. 8 oz hot chocolate
- C. 8 oz Dannon coffee yogurt
- D. 1 cup Ben & Jerry’s nonfat coffee fudge frozen yogurt
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.