Nokea
John presents with bronchitis. He thinks that he might have chronic bronchitis and asks you to explain the difference between them. You respond by saying
- A. Acute bronchitis lasts for 3 consecutive months and is reversible.
- B. Acute bronchitis lasts 7 to 10 days.
- C. Chronic bronchitis lasts 3 consecutive months in 2 consecutive years. This results in a blockage of the airways which cannot be reversed. Acute bronchitis is caused by a viral or bacterial infection and lasts about 10 days. Blockage of the airways is reversible in acute bronchitis.
- D. I will ask your physician to explain the differences during his rounds.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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While caring for a client using O2 in the hospital, what assessment finding indicates that goals for a priority diagnosis are being met?
- A. 100% of meals being eaten by the client
- B. Intact skin behind the ears
- C. The client understanding the need for oxygen
- D. Unchanged weight for the past 3 days
Correct Answer: B
Rationale: The correct answer is B because intact skin behind the ears indicates proper oxygen delivery, ensuring the client's respiratory needs are being met. This assessment finding shows that the oxygen therapy is effective in improving oxygenation.
A: This choice is incorrect as the client's meal intake does not directly reflect the effectiveness of oxygen therapy.
C: Although important, the client's understanding of the need for oxygen does not directly indicate the success of the oxygen therapy.
D: Unchanged weight is not a direct indicator of the effectiveness of oxygen therapy in this situation.
Ramona Gunther, 18, was diagnosed with Stage II Hodgkins disease and is preparing to receive external radiation therapy. She tells the nurse she is scared 'about having to get radiation treatments all over my body.' Which of the following is the most appropriate response?
- A. The dose will be very low based on the disease staging.
- B. With Stage II, you'll only have radiation over half your body.
- C. I know it's scary, but it will help to decrease the potential of fractures.
- D. You know you don't have to worry about being radioactive.
Correct Answer: B
Rationale: The dose of radiation is not based on the staging of the disease alone, and there is not enough information to know that the dose will be low. With Stage II, the involved lymph nodes are all on the same side of the diaphragm, so the radiation will be given on that part of the body. The potential of fractures occurs because of the cancer, but the radiation is not given for that reason. She has not stated that she's afraid of being radioactive, so this answer does not address her concern.
What would be most helpful for the nurse to discuss with Mr. Singer before his total laryngectomy?
- A. The importance of fluid intake
- B. The problem of constipation
- C. The possible radiation therapy
- D. The method of communication
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Steps to prevent a pressure ulcer may include
- A. Not disturbing the patient.
- B. Changing the position of a bedbound patient every 4 hours.
- C. Vigorously rubbing the skin with alcohol.
- D. Avoiding pressure on the heels of a bedbound patient.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Describe the physiologic stress response.
- A. Eat a balanced diet
- B. Exercise regularly
- C. Sleep for at least 8 hours
- D. Reduce stress levels
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.