Nokea
Joan asks you why she is being administered so many arterial blood gas tests. You respond by saying
- A. This test determines if your liver and kidneys are functioning properly.
- B. This test determines if you have sufficient WBC to fight infection.
- C. This test determines if you are hyperglycemic, which is a side effect of your medication.
- D. This test determines how well your tissues are oxygenated.
Correct Answer: D
Rationale: Arterial blood gas tests measure oxygenation and acid-base balance in the blood.
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In a Hispanic patient who claims to have empacho, what assessment findings would the nurse expect?
- A. Abdominal pain and cramping
- B. Anxiety,insomnia anorexia and social isolation
- C. Nightmares weakness and a sense of suffocation
- D. Headaches,stomach problems and loss of consciousness
Correct Answer: A
Rationale: Empacho is a folk illness commonly reported among Hispanic populations, characterized by abdominal pain and cramping due to perceived blockage in the digestive system.
Why are older adults more likely to develop hypovolemic shock?
- A. Low-activity lifestyle
- B. Altered cardiac function
- C. Decreased percentage of body water
- D. Decline in muscle strength and bone mass
Correct Answer: C
Rationale: Older adults have less total body water, making them more susceptible to fluid losses and hypovolemic shock.
Match the following data with the assessment technique used to obtain the information.
- A. Normal blood flow through arteries
- B. Abnormal blood flow in carotid artery
- C. Tympany of the abdomen
- D. Pitting edema
Correct Answer: D
Rationale: The correct match depends on the technique: Auscultation detects normal/abnormal blood flow, percussion reveals tympany, and palpation identifies pitting edema.
To attain the goal of ambulation for the patient who is hemiplegic, the initial care plan needs to be structured to first attain
- A. acceptance of his altered body image
- B. balance training
- C. adequate energy level
- D. ability to transfer from bed to chair
Correct Answer: D
Rationale: The ability to transfer from bed to chair is a critical first step in preparing a hemiplegic patient for ambulation. This foundational skill builds confidence and strength before progressing to balance training or walking.
A patient with a history of asthma is scheduled for an appendectomy. Because of her asthma, you would include as part of the preoperative teaching the need to perform postoperatively
- A. Coughing and deep breathing exercises.
- B. Leg exercises.
- C. Wound dressing changes.
- D. All of these.
Correct Answer: A
Rationale: Deep breathing exercises help prevent postoperative complications in asthmatic patients.