Nokea
If a client is receiving a blood transfusion and has the universal donor blood type, which blood type does the client have?
- A. B
- B. A
- C. O
- D. AB
Correct Answer: C
Rationale: The correct answer is C because type O blood is considered the universal donor.
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For each of the following body systems, identify three physical manifestations that the nurse would expect to see in a patient approaching death.
- A. Respiratory: Cheyne-Stokes respirations
- B. Skin: Mottling
- C. Gastrointestinal: Loss of appetite
- D. Musculoskeletal: Weakness
Correct Answer:
Rationale:
A client has developed atelectasis postoperatively. Which of the following findings should the nurse expect?
- A. Facial flushing
- B. Increasing dyspnea
- C. Decreasing respiratory rate
- D. Friction rub
Correct Answer: B
Rationale: The correct answer is B: Increasing dyspnea. Atelectasis is a condition where the lung tissue collapses, leading to decreased oxygen exchange and resulting in symptoms like dyspnea (difficulty breathing). This occurs because the collapsed lung tissue reduces the surface area available for gas exchange, leading to decreased oxygen saturation and increased work of breathing.
Facial flushing (choice A) is not typically associated with atelectasis. Decreasing respiratory rate (choice C) may not be a reliable indicator as the body may compensate by increasing respiratory rate to maintain oxygenation. Friction rub (choice D) is more commonly associated with conditions like pleurisy or pneumonia, not atelectasis.
A community health center is preparing a presentation on the prevention and detection of cancer. Which health care professional (RN, LPN/LVN, nurse practitioner, nutritionist) should be assigned to address the following topics?
- A. Explain screening exams and diagnostic testing for common cancers.
- B. How to plan a balanced diet and reduce fats and preservatives.
- C. Prepare a poster on the seven warning signs of cancer.
- D. How to practice breast or testicular self-examinations.
Correct Answer: A
Rationale: RNs are best suited to explain complex medical procedures like screening exams and diagnostic tests, while other topics may involve collaboration with nutritionists or nurse practitioners.
Which term describes a nurse’s inability to differentiate between the beliefs of clients in the same culture?
- A. Generalization
- B. Stereotyping
- C. Ethnocentrism
- D. Cultural imposition
Correct Answer: B
Rationale: Stereotyping involves oversimplifying and applying generalized beliefs to individuals within a culture, hindering effective care.
Which statement by a patient demonstrates an accurate understanding about herbal supplements?
- A. Herbs may interact with prescribed medications but not other herbs.
- B. Most herbs have been tested and found to be safe and therapeutic.
- C. The Food and Drug Administration regulates herbs and allows advertising.
- D. There is no standardization among the manufacturers of herbs in this country.
Correct Answer: D
Rationale: Herbal supplements lack standardization and regulation in the U.S.