Nokea
In which clients is electroconvulsive therapy (ECT) usually contraindicated?
- A. Clients with cardiac or neurovascular diseases
- B. Clients who have not responded to drug therapy
- C. Clients who are intolerant of the side effects of antidepressant medications
- D. Clients who are extremely suicidal
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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What statement best indicates patient understanding of postural drainage?
- A. ‘I should try to hold the proper position for 20 minutes.’
- B. ‘I should continue postural drainage even when my cough is nonproductive.’
- C. ‘The positions for postural drainage always remain the same.’
- D. ‘Postural drainage uses gravity to move the secretions.’
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the leading cause of death in the United States?
- A. Cancer
- B. Diabetes mellitus
- C. Coronary artery disease
- D. Cerebrovascular accident
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with a tracheostomy experienced a coughing spell during a meal that was being fed by an unlicensed assistive personnel (UAP). What action by the nurse takes priority?
- A. Assess the client's lung sounds.
- B. Assign a different UAP to the client.
- C. Report the UAP to the manager.
- D. Request thicker liquids for meals.
Correct Answer: A
Rationale: The correct answer is A: Assess the client's lung sounds. This action takes priority because the client experienced a coughing spell, indicating a potential aspiration risk. Assessing lung sounds can help determine if there is any respiratory distress or compromised airway.
B: Assigning a different UAP does not address the immediate concern of the client's respiratory status.
C: Reporting the UAP to the manager may be necessary but is not the immediate priority when the client's health is at risk.
D: Requesting thicker liquids for meals does not address the client's current condition and may not be appropriate without proper assessment.
Bob presents with emphysema. He has difficulty breathing and has a barrel chest. He asks why increasing oxygen therapy does not relieve his difficulty breathing. You respond by saying
- A. You must lie on your right side for oxygen therapy to work properly.
- B. Your barrel chest has decreased, causing your lungs to overly expand.
- C. You must take deeper breaths when receiving oxygen therapy.
- D. Your difficulty in breathing is due to air trapped in your lungs, reducing the lungs' ability to exchange oxygen and carbon dioxide. Increasing oxygen does not resolve the trapped air.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nursing assistant reports to you that a client seems very anxious and that vital signs included a respiratory rate of 38 per minute. Which acid-base imbalance should you suspect?
- A. Respiratory acidosis
- B. Respiratory alkalosis
- C. Metabolic acidosis
- D. Metabolic alkalosis
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.