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For Mrs. Allen's weight reduction program to be successful, what should the nurse explain?
- A. An anorexiant should be used 4-6 weeks at the beginning
- B. An intestinal bypass is recommended if rapid weight loss is not achieved
- C. Personal eating habits must be assessed objectively
- D. Complete fasting for a week is necessary
Correct Answer: C
Rationale: Assessing personal eating habits objectively helps identify areas for improvement and fosters sustainable lifestyle changes.
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A client with COPD is developing a plan of care. Which of the following interventions should the nurse include in the plan?
- A. Restrict the client's fluid intake to less than 2 L/day
- B. Provide the client with a low-protein diet
- C. Have the client use the early-morning hours for exercise and activity
- D. Instruct the client to use pursed-lip breathing
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to use pursed-lip breathing. Pursed-lip breathing helps improve ventilation and decrease air trapping in clients with COPD, enhancing oxygenation and reducing shortness of breath. It also facilitates better gas exchange and can help the client manage their symptoms effectively.
A: Restricting fluid intake is not typically indicated for clients with COPD unless they have comorbid conditions that require fluid restriction.
B: Providing a low-protein diet is not a standard intervention for COPD management. Protein is important for muscle strength and repair in these clients.
C: While exercise and activity are beneficial for clients with COPD, instructing them to do so specifically in the early-morning hours is not a priority intervention compared to pursed-lip breathing.
What should the conversation focus on regarding Mr. Puff’s concern about sexual intercourse?
- A. Improving his self-esteem
- B. The role that his wife plays as a supportive partner
- C. Avoiding further pulmonary damage
- D. Alternative positions for intercourse
Correct Answer: D
Rationale: Modifying positions reduces exertion and breathlessness.
When transporting an inpatient to the surgical department, which area is a nurse from another area of the hospital able to access?
- A. Clean core
- B. Holding area
- C. Corridors of surgical suite
- D. Unprepared operating room
Correct Answer: B
Rationale: The holding area is accessible for nurses transporting patients, ensuring proper preparation before entering restricted zones.
One risk factor that increases a woman's chances of getting breast cancer includes:
- A. Family history
- B. Young age at first birth
- C. Multiple births
- D. Underwire bras
Correct Answer: A
Rationale: Family history is a significant risk factor for breast cancer, indicating genetic predisposition.
A postoperative 68-year-old opioid-naive patient is receiving morphine by patient-controlled analgesia (PCA) for postoperative pain. What is the rationale for not initiating the PCA analgesic with a basal dose of analgesic as well?
- A. Opioid overdose
- B. Nausea and itching
- C. Adverse respiratory outcomes
- D. Lack of pain control
Correct Answer: C
Rationale: The correct answer is C. Basal doses increase the risk of adverse respiratory outcomes.