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How should the nurse respond to Mrs. West’s statement, “Oh well, I have already lived my life anyway.”
- A. “Oh, you have nothing to worry about Mrs. West. We’re going to take good care of you.”
- B. “You feel that your life is ending, Mrs. West? Can you tell me more about your feelings?”
- C. “Your doctor is one of the best and our surgical staff is excellent.”
- D. “The x-rays indicate that your tumor is accessible and the surgery will cure your problem.”
Correct Answer: B
Rationale: Encouraging the patient to express feelings fosters trust and understanding.
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Which client(s) would be best to assign to an experienced nurse in an ambulatory eye surgery center? (Choose all that apply.)
- A. A client who needs post-operative instructions for cataract surgery.
- B. A client who needs an eye-pad and a metal shield applied.
- C. A client who needs home health referral for dressing changes and eye drops.
- D. A client who needs teaching about self-administration of eye drops.
Correct Answer: A
Rationale: Clients requiring complex post-operative instructions, such as those for cataract surgery, benefit most from the expertise of an experienced nurse.
Sixty-five-year-old Dominic is being transferred into the postanesthesia care unit (PACU) from the OR. Once there, initial assessment will focus on
- A. Airway, breathing, circulation, and wound site.
- B. Intake, output, and intravenous access.
- C. Abdominal sounds, oxygen level, and level of consciousness.
- D. Pulse oximetry, pupil responses, and deep tendon reflexes.
Correct Answer: A
Rationale: ABCs are prioritized in the immediate postoperative period.
12. When discussing herbal therapy with a patient, what should the nurse advise the patient?
- A. Preparations should be purchased only from reputable manufacturers.
- B. Herbs rarely cause harm or side effects because they are natural plants.
- C. Herbs are safe and there are no known contraindications to the use of herbal therapy.
- D. Most herbal preparations have been clinically tested for safety and efficacy before marketing.
Correct Answer: A
Rationale: Option A emphasizes the importance of purchasing herbal preparations from reputable sources to ensure quality and safety, which is crucial advice for patients.
Which verbal and nonverbal communication techniques are effective with most American clients?
- A. Maintaining eye contact and using clear language.
- B. Using technical jargon and formal language.
- C. Avoiding physical proximity altogether.
- D. Speaking loudly and using gestures.
Correct Answer: A
Rationale: Maintaining eye contact and using clear, concise language aligns with cultural norms in America, enhancing communication effectiveness.
To improve Mr. Puff’s breathing pattern, the nurse can
- A. Encourage coughing and deep breathing
- B. Provide nasal O₂ at 6 L/min
- C. Sit him in a chair
- D. Teach him pursed-lip breathing
Correct Answer: D
Rationale: Pursed-lip breathing improves oxygenation and reduces shortness of breath.