Nokea
How are pulse rate, volume, and rhythm used to identify the severity of shock and estimate the approximate reduction in blood volume?
- A. Decreased blood pressure
- B. Increased heart rate
- C. Fluid retention
- D. Muscle cramps
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is caring for a post-op colostomy client. The client begins to cry saying, 'I'll never be attractive again with this ugly red thing.' What should be the first action by the nurse?
- A. Arrange a consultation with a sex therapist.
- B. Suggest sexual positions that hide the colostomy.
- C. Invite the partner to participate in colostomy care.
- D. Determine the client's understanding of her colostomy.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
On the first encounter with the patient, the nurse will complete a general survey. Which features are included (select all that apply)?
- A. Mental state and behavior
- B. Lung sounds and bowel tones
- C. Body temperature and pulses
- D. Speech and body movements
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A cheerful, elderly widow comes to the community clinic for her annual check-up. She is in reasonably good health, but she has a hearing loss of 40 dB. She confides, 'I don't get out much. I used to be really active, but the older I get, the more trouble I have hearing. It can be really embarrassing.' What is the priority nursing diagnosis?
- A. Social Interaction, Impaired related to perceived inability to interact
- B. Disturbed Sensory Perception related to progressive hearing loss
- C. Knowledge Deficit related to pathophysiological processes
- D. Coping, Ineffective related to change in sensory abilities
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What high-priority nursing diagnoses and interventions will you implement for a client in a manic phase of bipolar disorder?
- 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.
What is the best example of documentation of patient teaching regarding wound care?
- A. The patient was instructed about care of wound and dressing changes.
- B. The patient demonstrated correct technique of wound care following instruction.
- C. The patient and caregiver verbalize that they understand the purposes of wound care.
- D. Written instructions regarding wound care and dressing changes were given to the patient.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.