Nokea
List in order the steps that are required to perform this function.
- A. Obtain an order for a chest x-ray to document tube placement
- B. Secure the tube in place
- C. Auscultate the chest during assisted ventilation
- D. Confirm that the breath sounds are equal and bilateral
Correct Answer: B
Rationale: Securing the tube ensures it remains in place during further assessments.
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To determine if chilling is the result of an emerging complication or of infusing cold blood, what action is essential?
- A. Monitoring the client’s temperature before,during and after the transfusion.
- B. Documenting the client’s temperature after the transfusion.
- C. Documenting the temperature of the blood before the transfusion.
- D. Comparing the client’s temperature with the temperature of the blood.
Correct Answer: A
Rationale: The correct answer is A because monitoring the client’s temperature throughout the transfusion helps identify complications.
A patient has come to the health clinic with diarrhea of 3 days’ duration. He says the stools occur five or six times per day and are very watery. Every time he eats or drinks something, he has an urgent diarrhea stool. He denies being out of the country but did attend a large family reunion held at a campground in the mountains about a week ago.
- A. Timing
- B. Quality
- C. Severity
- D. Palliative
Correct Answer: C
Rationale: The correct answers are 'Timing,' 'Quality,' 'Severity,' and 'Precipitating.' These aspects help clarify the nature and cause of the diarrhea.
What do you tell patients is the most important risk factor for lung cancer when you are teaching about lung cancer prevention?
- A. Cigarette smoking.
- B. Exposure to environmental/occupational carcinogens.
- C. Exposure to environmental tobacco smoke (ETS).
- D. Pipe or cigar smoking.
Correct Answer: A
Rationale: Cigarette smoking is the leading cause of lung cancer, accounting for the majority of cases worldwide.
A client develops a pulmonary embolism. Which of the following interventions should the nurse implement first?
- A. Give morphine IV.
- B. Administer oxygen therapy.
- C. Start an IV infusion of lactated Ringer's.
- D. Initiate cardiac monitoring.
Correct Answer: B
Rationale: The correct answer is B: Administer oxygen therapy. Oxygen therapy is the priority intervention for a client with a pulmonary embolism to ensure adequate oxygenation and prevent hypoxia. This helps improve oxygen levels in the blood and supports vital organ function. Morphine IV (choice A) may be given for pain relief but is not the initial priority. Starting an IV infusion of lactated Ringer's (choice C) and initiating cardiac monitoring (choice D) may be necessary but do not address the immediate need for oxygenation in a pulmonary embolism.
Which traits are clients with anorexia nervosa noted to have?
- A. Low self-esteem
- B. High self-esteem
- C. Perfectionism
- D. Intense desire to displease others
Correct Answer: C
Rationale: Perfectionism is a common trait among individuals with anorexia nervosa, driving their pursuit of unrealistic body ideals.