Mary asks how the pulmonary function test ordered by her physician is performed. You respond by saying
- A. You breathe into a spirometer to measure your lung capacity.
- B. You breathe through a mouthpiece into a spirometer until all air in your lungs is expelled; then you take a deep breath through the mouthpiece. This is done three times and a computer calculates the capacity of your lungs.
- C. A computer is used to measure your volume and vital capacity.
- D. A tube is inserted into your lungs while you are asleep to expand your lungs to their full capacity.
Correct Answer: B
Rationale: Pulmonary function tests measure lung capacity using spirometry.
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What intervention should a nurse use when the client is unable to cough and raise secretions?
- A. Give the client water to drink.
- B. Pat the client on the back.
- C. Gently suction the client.
- D. Give the client cough syrup.
Correct Answer: C
Rationale: Gentle suctioning effectively removes secretions, preventing respiratory complications.
If a client denies having a hearing impairment, which question would encourage them to respond?
- A. Do you always ask people to repeat questions? If so, do you think that you have a hearing problem?
- B. Are you cupping your ear for a reason? Do you have trouble hearing?
- C. Both A and B
- D. Neither A nor B
Correct Answer: C
Rationale: Asking open-ended questions increases the likelihood of acknowledgment and discussion of the issue.
What is the term that describes a type of therapy or medicine used in conjunction with conventional medicine?
- A. Integrative medicine
- B. Alternative therapy
- C. Allopathic medicine
- D. Complementary therapy
Correct Answer: D
Rationale: Complementary therapy works alongside conventional medicine to enhance overall care.
You are preparing to discharge a client whose calcium level was low but is now just slightly within the normal range (9-10.5 mg/dL). Which statement by the client indicates the need for additional teaching?
- A. “I will call my doctor if I experience muscle twitching or seizures.”
- B. “I will make sure to take my vitamin D with my calcium each day.”
- C. “I will take my calcium pill every morning before breakfast.”
- D. “I will avoid dairy products,broccoli and spinach when I eat.”
Correct Answer: C
Rationale: The correct answer is C. Taking calcium supplements on an empty stomach can reduce their absorption. Calcium pills should be taken with food for optimal absorption. Options A, B, and D demonstrate good understanding of calcium management. Option A shows awareness of symptoms of hypocalcemia, B indicates proper supplementation, and D reflects knowledge of foods high in calcium that can interfere with supplement absorption.
A client in the late stage of inhalation anthrax requires a plan of care. What is appropriate to include in the plan of care?
- A. Provide respiratory support.
- B. Place the client in droplet isolation.
- C. Administer antihypertensive medications.
- D. Monitor ascites.
Correct Answer: A
Rationale: Step 1: Inhalation anthrax causes severe respiratory distress.
Step 2: Providing respiratory support helps maintain oxygenation.
Step 3: Oxygen therapy or mechanical ventilation may be needed.
Step 4: This choice directly addresses the critical needs of the client.
Summary:
- B: Droplet isolation is not needed as anthrax is not transmitted person-to-person.
- C: Antihypertensive medications are irrelevant to inhalation anthrax treatment.
- D: Ascites monitoring is not a priority in late-stage inhalation anthrax.