Nokea
In assessing the client's chest, which position best shows chest expansion as well as its movements?
- A. Sitting
- B. Prone
- C. Sidelying
- D. Supine
Correct Answer: A
Rationale: The position that best shows chest expansion as well as its movements is when the client is sitting. When the client is seated, their chest is in an optimal position for observing the full range of chest expansion during breathing. This position allows for easy visualization of chest movements and expansion as the client breathes in and out, providing a comprehensive assessment of respiratory function. Choice B (Prone) and Choice D (Supine) involve positions where the chest's movements and expansion are less visible and may not provide an accurate representation of respiratory function. Choice C (Sidelying) can also limit the visibility of chest expansion compared to the sitting position.
You may also like to solve these questions
The system used at the division level and forward comprises six basic modules. Which module is composed of practical nurses, medical specialists, and equipment to provide medical support for minimal care patients?
- A. Treatment squad
- B. Patient Holding Squad
- C. Area Support Squad
- D. Surgical Squad
Correct Answer: B
Rationale: The Patient Holding Squad is the module that is composed of practical nurses, medical specialists, and equipment to provide medical support for minimal care patients. This squad focuses on providing necessary care for patients who require minimal attention. Choices A, C, and D are incorrect because they do not specifically cater to the needs of minimal care patients. The Treatment Squad may involve more intensive procedures, the Area Support Squad focuses on broader support functions, and the Surgical Squad is specialized for surgical interventions.
The unlicensed nursing assistant is applying elastic compression stockings to the client. Which action by the assistant warrants immediate intervention by the nurse?
- A. The assistant is putting the stockings on while the client is in the chair
- B. The assistant inserted two (2) fingers under the proximal end of the stocking
- C. The assistant elevated the feet while lying down to put on the stockings
- D. The assistant made sure the toes were warm after putting the stockings on
Correct Answer: A
Rationale: The correct answer is A. Compression stockings should be applied while the client is lying down to prevent pooling of blood in the legs, which can occur when the client is sitting or standing. Choice B is incorrect as inserting two fingers under the proximal end of the stocking helps ensure proper fit. Choice C is incorrect as elevating the feet while lying down is a correct technique for applying compression stockings. Choice D is incorrect as ensuring the toes are warm after putting the stockings on is a good practice for client comfort.
In patients with heart failure, which type of diet is most recommended?
- A. High-sodium
- B. Low-sodium
- C. High-fat
- D. Low-carbohydrate
Correct Answer: B
Rationale: In patients with heart failure, a low-sodium diet is most recommended. This type of diet helps manage fluid retention by reducing the amount of sodium in the body. Excess sodium can lead to fluid accumulation, putting additional strain on the heart. High-sodium diets can exacerbate symptoms of heart failure by causing fluid retention and increasing blood pressure. High-fat and low-carbohydrate diets are not specifically recommended for heart failure patients and may not address the underlying issues related to fluid balance and heart function.
The nurse has been assigned to train the unlicensed nursing assistant about prioritizing care. Which client should the nurse instruct the unlicensed nursing assistant to see first?
- A. The client who needs both sequential compression devices removed
- B. The elderly woman who needs assistance ambulating to the bathroom
- C. The surgical client who needs help changing the gown after bathing
- D. The male client who needs the intravenous fluid discontinued
Correct Answer: A
Rationale: The correct answer is A because removing sequential compression devices could increase the risk of thromboembolism, making it the priority. Choice B involves assisting with ambulation, which can be done after addressing the urgent need of the client in choice A. Choice C and D involve non-urgent tasks compared to the potential risks associated with not removing sequential compression devices promptly.
Which referral would be most appropriate for the client diagnosed with thoracic outlet syndrome?
- A. The physical therapist
- B. The thoracic surgeon
- C. The occupational therapist
- D. The social worker
Correct Answer: C
Rationale: The correct answer is C, the occupational therapist. An occupational therapist specializes in helping clients with conditions like thoracic outlet syndrome by providing exercises, adaptations, and strategies to improve function and reduce symptoms. Choice A, the physical therapist, may also be involved in treatment, but occupational therapists focus more on functional activities for daily living affected by the condition. Choices B and D are not the most appropriate referrals for thoracic outlet syndrome as they do not directly address the functional limitations associated with this condition.