Nokea
Josie is the mother of a healthy 19-year-old woman having surgery tomorrow. After the surgeon discusses the surgery, risks, and benefits with the patient and her mother, the mother wants to sign the consent form. The most appropriate response to this would be:
- A. Of course, she can sign the consent form; after all, the patient is her daughter.
- B. No, she cannot sign the form.
- C. While you appreciate her concern for her daughter, the patient is a consenting adult and legally needs to sign her own consent form.
- D. Encourage both the patient and her mother to sign the form.
Correct Answer: C
Rationale: A 19-year-old is considered a consenting adult and must sign their own consent form unless they are deemed legally incompetent. The mother's role is supportive but does not override the patient's legal rights.
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List and briefly describe the five dimensions of pain.
- A. Biological dimension: Physiological aspects of pain
- B. Behavioral dimension: Observable responses to pain
- C. Cognitive dimension: Thought processes related to pain
- D. Emotional dimension: Psychological reactions to pain
Correct Answer: A
Rationale: The correct answer includes all five dimensions: biological, behavioral, cognitive, emotional, and sociocultural.
A healthcare professional is preparing to administer albuterol syrup 1.6 mg PO tid. Available is albuterol 2 mg/5mL. How many mL should the healthcare professional administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- A. 4 mL
- B. 6 mL
- C. 10 mL
- D. 5.5 mL
Correct Answer: A
Rationale: To determine the mL per dose of albuterol syrup, we need to calculate how many mL contain 1.6 mg of albuterol. Given that 2 mg of albuterol is in 5 mL of syrup, we can set up a proportion:
2 mg / 5 mL = 1.6 mg / x mL
Cross-multiply to solve for x:
2 * x = 1.6 * 5
2x = 8
x = 4 mL
Therefore, the correct answer is A: 4 mL.
Choice B (6 mL) is incorrect because it does not match the calculated value. Choice C (10 mL) is incorrect as it is too high based on the calculation. Choice D (5.5 mL) is incorrect as it does not match the precise calculated value of 4 mL.
If the SpO2 level is above 90%, what can be assumed about the PaO2?
- A. Hypoxia
- B. Hypercapnia
- C. Acidosis
- D. Alkalosis
Correct Answer: C
Rationale: Acidosis occurs when blood pH drops below 7.35 due to an accumulation of hydrogen ions, commonly resulting from respiratory or metabolic imbalances.
For which nursing diagnoses or collaborative problems common in postoperative patients has ambulation been found to be an appropriate intervention (select all that apply)?
- A. Impaired skin integrity related to incision
- B. Impaired mobility related to decreased muscle strength
- C. Risk for aspiration related to decreased muscle strength
- D. Ineffective airway clearance related to decreased respiratory excursion
Correct Answer: D
Rationale: Ambulation addresses multiple postoperative issues, including mobility, respiratory function, constipation, and thromboembolism prevention.
A 55-year-old smoker who is normally in good health reports having had a bad cough for the past 3 weeks. He does not have crackles, rhonchi, or discolored blood-tinged sputum. What would you expect his physician to rule out?
- A. Asthma.
- B. Pneumonia.
- C. The flu.
- D. Lung cancer.
Correct Answer: D
Rationale: Persistent cough in smokers raises suspicion for lung cancer.