Nokea
For the patient described in Question 1, the data will lead the night shift nurse to complete a focused nursing assessment of which body part(s)?
- A. Abdomen
- B. Head and neck
- C. Arms and legs
- D. Anterior and posterior chest
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The client is prescribed a long-acting beta2 agonist and expresses concerns about the cost, stating they only use the inhaler during asthma attacks. How should the nurse respond?
- A. Explain the importance of using the inhaler daily to prevent asthma attacks.
- B. Suggest identifying community services to help with the cost and encourage daily use of the inhaler.
- C. Explore the client's fears regarding breathlessness.
- D. Emphasize the necessity of using this inhaler daily and discuss potential community services for financial assistance.
Correct Answer: B
Rationale: Step 1: The nurse must acknowledge the client's concern about the cost of the inhaler.
Step 2: Suggesting community services shows empathy and addresses the financial aspect.
Step 3: Encouraging daily use aligns with the standard treatment guidelines.
Step 4: By addressing both cost and importance of daily use, the nurse promotes adherence and support.
Summary of other choices:
A: Incorrect. This option doesn't address the client's financial concerns.
C: Incorrect. Focusing on fears of breathlessness doesn't directly address the client's cost concern.
D: Incorrect. While discussing daily use is important, not directly addressing the cost concern may lead to non-adherence.
Which nursing actions are in response to the National Patient Safety Goals (select all that apply)?
- A. Use restraints to prevent patient falls
- B. Administer all medications ordered by physicians
- C. Wash hands before and after every patient contact
- D. Evaluate the initial existence of pressure ulcers before patient dismissal
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with chronic obstructive pulmonary disease (COPD) is being assessed by a nurse. Which finding does the nurse expect?
- A. Increased anteroposterior (AP) chest diameter
- B. Decreased respiratory rate
- C. Weight gain
- D. Productive cough with yellow sputum
Correct Answer: A
Rationale: The correct answer is A: Increased anteroposterior (AP) chest diameter. In COPD, the chronic obstruction of airflow leads to air trapping in the lungs, causing the chest to expand more front-to-back (increased AP diameter). This is known as "barrel chest" and is a characteristic finding in COPD due to hyperinflation of the lungs.
Incorrect choices:
B: Decreased respiratory rate is not expected in COPD as patients may have increased respiratory rate due to difficulty breathing.
C: Weight gain is not a typical finding in COPD as patients often experience weight loss due to increased energy expenditure and decreased appetite.
D: Productive cough with yellow sputum is common in COPD, but it is not the most specific finding for this condition.
Which BMI is associated with overeating syndromes?
- A. Increase protein intake
- B. Reduce carbohydrate consumption
- C. Drink more water
- D. Take vitamin supplements
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Describe the physiologic stress response.
- A. Eat a balanced diet
- B. Exercise regularly
- C. Sleep for at least 8 hours
- D. Reduce stress levels
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.