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In which circumstance should a nurse avoid using midline and midclavicular sites for IV therapy?
- A. To administer solutions with a pH greater than 5 and less than 9.
- B. To administer antineoplastic chemotherapy.
- C. To administer slow,low-volume infusions.
- D. To administer solutions with an osmolality less than 500 mOsm/L.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
What factors lead to decreased urine output during shock?
- A. Dehydration
- B. Overhydration
- C. Electrolyte imbalance
- D. Hypertension
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A father asks you how to prevent another asthmatic attack in his son. You respond by
- A. Saying asthmatic attacks cannot be prevented.
- B. Asking his son's physician to change his medication.
- C. Instructing him to move his family immediately to a dry climate.
- D. Helping him identify triggers that cause asthmatic attacks and showing him how to avoid them.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with chronic obstructive pulmonary disease (COPD) is being taught by a nurse. What nutrition information should the nurse include in the teaching?
- A. Avoid drinking fluids just before and during meals.
- B. Rest before meals if experiencing dyspnea.
- C. Consume about six small meals a day.
- D. Consume high-fiber foods to promote gastric emptying.
Correct Answer: D
Rationale: Correct Answer: D
Rationale:
1. High-fiber foods promote gastric emptying, reducing the risk of bloating and discomfort in COPD patients.
2. COPD patients may experience decreased appetite, and high-fiber foods can provide necessary nutrients without overeating.
3. Increased fiber intake can aid in managing constipation, a common issue in patients with COPD due to decreased physical activity.
Summary:
A: Avoiding fluids before meals is not directly related to COPD management.
B: Resting before meals may help with dyspnea but does not address nutritional needs.
C: Consuming six small meals a day may not be necessary for all COPD patients and is not as crucial as promoting gastric emptying with high-fiber foods.
You are caring for a patient with an infected wound. You would expect
- A. To prepare for sutures to close the wound.
- B. To use steri strips to hold the edges together.
- C. To leave the wound open.
- D. To cover the wound with a loose, fluffy dressing.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A student is practicing suctioning a tracheostomy in the skills laboratory. What action by the student demonstrates that more teaching is needed?
- A. Applying suction while withdrawing the catheter
- B. Preoxygenating the client before suctioning
- C. Suctioning up to three times if necessary
- D. Suctioning for a duration of 10 to 15 seconds each time
Correct Answer: A
Rationale: The correct answer is A. When suctioning a tracheostomy, the student should not apply suction while withdrawing the catheter to prevent mucosal damage. The correct technique involves inserting the catheter without applying suction, then withdrawing it while applying suction. This helps to clear secretions effectively without causing trauma. Choices B, C, and D are incorrect. Preoxygenating the client is a recommended practice to prevent hypoxemia during suctioning. Suctioning up to three times if necessary and suctioning for 10-15 seconds each time are appropriate techniques to clear secretions effectively without causing harm.