Nokea
Most of the danger associated with pneumoconioses is due to
- A. Unnecessary anxiety created by environmentalists
- B. The dark, wet mining environment
- C. Inhalation and retention of dust particles
- D. The fact that most miners also smoke cigarettes
Correct Answer: C
Rationale: Inhaling dust particles damages lung tissue, leading to fibrosis.
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On the first postoperative day following a bowel resection, the patient complains of abdominal and incisional pain rated 9 on a scale of 0 to 10. Postoperative orders include morphine, 4 mg IV q2 hr, for pain and may repeat morphine, 4 mg IV, for breakthrough pain. The nurse determines that it has been only 2 hours since the last dose of morphine and wants to wait a little longer. What effect does the nurse’s action have on the patient?
- A. Protects the patient from addiction and toxic effects of the drug
- B. Prevents hastening or causing a patient’s death from respiratory dysfunction
- C. Contributes to unnecessary suffering and physical and psychosocial dysfunction
- D. Indicates that the nurse understands the adage of “start low and go slow” in administering analgesics
Correct Answer: C
Rationale: The correct answer is C. Delaying pain relief contributes to unnecessary suffering and can negatively impact recovery.
Why should the nurse assess current weight status and recent weight fluctuations in a client with anxiety?
- A. Weight fluctuations indicate impaired kidney function in clients with anxiety
- B. All clients with anxiety lose weight rapidly
- C. Antianxiety drugs increase appetite
- D. Some clients may react to stress by overeating
Correct Answer: D
Rationale: Clients may overeat or lose appetite due to stress, affecting their weight and overall health.
How would the nurse describe the techniques used in energy medicine?
- A. Energy medicine involves manipulating energy fields through touch or intention.
- B. Energy medicine focuses on herbal supplements and probiotics.
- C. Energy medicine relies on mechanical devices for healing.
- D. Energy medicine is synonymous with allopathic medicine.
Correct Answer: A
Rationale: Energy medicine encompasses techniques like Reiki and acupuncture, targeting energy fields for healing purposes.
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.
14. A patient newly diagnosed with type 2 diabetes has been given a prescription to start on an oral hypoglycemic. The patient tells the nurse she would rather control her blood sugar with herbal therapy. Which action should the nurse take?
- A. Advise the patient to discuss using herbal therapy with her physician.
- B. Advise the patient that herbal therapy is not safe and should not be used.
- C. Advise the patient to give the prescriptive medication time to work before using herbal therapy.
- D. Advise the patient that if she takes herbal therapy, she will have to monitor her blood sugar more often.
Correct Answer: A
Rationale: Referring the patient to her physician (option A) ensures that any decision regarding herbal therapy is made collaboratively and safely.