Nokea
Joan is a data-entry specialist who types most of the day. She has an increased risk for
- A. Osteomyelitis.
- B. Osteoporosis.
- C. Fracture of the overused area.
- D. Carpal tunnel syndrome.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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An 83-year-old woman is being discharged from the hospital following stabilization of her international normalized ratio (INR) levels (used to assess effectiveness of warfarin therapy). She has chronic atrial fibrillation and has been on warfarin (Coumadin) for several years. Discharge instructions include returning to the clinic weekly for INR testing. Which statement by the patient indicates that she may be unable to have the testing done?
- A. When I have the energy
- B. I have taken the bus to get this test done.
- C. I will need to ask my son to bring me into town every week for the test.
- D. Should I just keep taking the same pill every day until I can get a ride to town?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is experiencing an acute exacerbation of asthma. Which medication should the nurse administer first?
- A. Albuterol (Proventil)
- B. Ipratropium (Atrovent)
- C. Salmeterol (Serevent)
- D. Fluticasone (Flovent)
Correct Answer: A
Rationale: The correct answer is A: Albuterol (Proventil). Albuterol is a short-acting beta agonist bronchodilator that provides quick relief during an asthma exacerbation by relaxing the smooth muscles in the airways. This helps to rapidly open up the airways and improve breathing. Administering albuterol first is crucial in managing acute asthma symptoms.
Summary of other choices:
B: Ipratropium (Atrovent) is an anticholinergic bronchodilator that is often used in combination with albuterol for asthma exacerbations, but albuterol is preferred for initial rapid relief.
C: Salmeterol (Serevent) is a long-acting beta agonist used for maintenance treatment of asthma, not for acute exacerbations.
D: Fluticasone (Flovent) is an inhaled corticosteroid used for long-term control of asthma symptoms and prevention of exacerbations
While assessing a client with a tracheostomy, a nurse notes that the tracheostomy tube is pulsing with the heartbeat during a pulse check. No other abnormal findings are noted. What action should the nurse take?
- A. Notify the operating room of a potential emergency case.
- B. No action is required at this time; this pulsation can be a normal finding in some clients.
- C. Remove the tracheostomy tube and ventilate the client using a bag-valve-mask.
- D. Stay with the client and ask someone else to contact the provider immediately.
Correct Answer: D
Rationale: The correct answer is D: Stay with the client and ask someone else to contact the provider immediately.
Rationale:
1. Pulsation of the tracheostomy tube with heartbeat indicates the tube is very close to a major blood vessel.
2. Immediate provider notification is crucial to prevent potential complications.
3. Removing the tube without professional guidance can lead to severe bleeding and airway compromise.
4. Contacting the provider promptly ensures timely intervention and appropriate next steps.
Summary:
A: Notifying the operating room is premature and unnecessary at this point.
B: Pulsation may not always be normal and warrants immediate action.
C: Removing the tube without professional guidance can be harmful to the client.
Which word(s) in the question identify(ies) the C part of the PICOT format?
- A. Restraint
- B. Or medication
- C. During a seizure
- D. Adult seizure patients
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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.