Nokea
If the client has sinusitis in the maxillary sinuses, where will the client most likely report feeling pain?
- A. Near the eyebrows
- B. In the cheeks
- C. Above the ears
Correct Answer: B
Rationale: The maxillary sinuses are located in the cheek area, so pain from maxillary sinusitis is typically felt in the cheeks.
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The school nurse is presenting a class to students at a primary school on how to prevent the transmission of the common cold virus. Which information should the nurse discuss?
- A. Instruct the children to always keep a tissue or handkerchief with them.
- B. Explain that children current with immunizations will not get a cold.
- C. Tell the children they should go to the doctor if they get a cold.
- D. Demonstrate to the students how to wash hands correctly.
Correct Answer: D
Rationale: Handwashing (D) is the most effective way to prevent cold transmission. Tissues (A) are secondary, immunizations (B) don’t prevent colds, and doctor visits (C) are unnecessary for most colds.
Before suctioning, the nurse attaches a pulse oximeter to the client's finger. Which nursing actions are appropriate at this time? Select all that apply.
- A. Remove the client's fingernail polish.
- B. Place the sensor and receiver opposite to each other on the client's finger.
- C. Connect the cable to the oximeter.
- D. Set the SpO2 alarms between 95% and 100%.
- E. Notify the physician each time an alarm sounds.
- F. Relocate the spring-loaded sensor periodically.
Correct Answer: A, B, C, F
Rationale: Removing nail polish, positioning the sensor correctly, connecting the cable, and relocating the sensor periodically ensure accurate pulse oximetry readings.
Which is the best response from the nurse?
- A. Tell me more about how you are feeling.
- B. There are lots of things you can still do.
- C. You are just having a bad day today.
- D. What makes you say that?
Correct Answer: A
Rationale: Encouraging the client to express feelings fosters therapeutic communication and helps address emotional concerns related to COPD.
A patient is prescribed Warfarin (Coumadin) for the treatment of a blood clot. What is the therapeutic INR range for this medication?
- A. 2--3
- B. 3--1
- C. 8--4
- D. 0.5-2.5
Correct Answer: A
Rationale: The therapeutic INR range is 2-3. It may be slightly higher if a patient is at a high risk for clot formation (ex: up to 4.5)
Which of the following statements are incorrect about discharge teaching that you would provide to a patient with COPD? Select-all-that-apply:
- A. It is best to eat three large meals a day that are relatively low in calories.'
- B. Avoid going outside during extremely hot or cold days.'
- C. It is important to receive the Pneumovax vaccine annually.'
- D. Smoking cessation can help improve your symptoms.'
Correct Answer: A,C
Rationale: Eating small, frequent meals (not three large meals, A) prevents diaphragm compression, and Pneumovax is not annual but given once or as per guidelines. Avoiding extreme weather and smoking cessation are correct.