Nokea
Mr. Jones has a scleral buckling procedure for repair of his retinal detachment. He states that he can see quite well now and wants to know if his vision will continue to improve. Which reply by the nurse would be most appropriate?
- A. It will be important to monitor your progress over the next 2 months.'
- B. Your eye should be fine provided that you do everything your doctor has told you.'
- C. There is no way of predicting whether or not this will recur.'
- D. You seem worried that this condition may recur.'
Correct Answer: A
Rationale: Monitoring progress over time is essential after retinal surgery, as visual improvement varies and requires ongoing assessment to ensure optimal outcomes.
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A clinical polysomnography (PSG) may be performed on a patient with signs and symptoms of a sleep disorder. What measures and observations does this study include (select all that apply)?
- A. Heart rate monitoring
- B. Noninvasive oxygen saturation (SpO2)
- C. Surface body temperature fluctuations
- D. Blood pressure monitoring (noninvasive)
Correct Answer: A
Rationale: The correct answers are A, B, E, F, G, H, and I. PSG includes heart rate, SpO2, airflow, muscle tone, respiratory effort, eye movements, and brain activity. Surface body temperature (C) and actigraphy (J) are not typically part of PSG.
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.
After listening to her, which statement would be included as part of a motivational interview?
- A. Why not?
- B. If you go to therapy, I’ll give you a back rub when you get back.
- C. I know you are tired but look how much easier walking was today than it was last week.
- D. Well, with that attitude, you will have trouble. The doctor ordered therapy because he thought it would help.
Correct Answer: C
Rationale: The correct answer is 'I know you are tired but look how much easier walking was today than it was last week.' This approach acknowledges the patient's feelings while highlighting progress, fostering motivation.
A client who is receiving mechanical ventilation and has an ideal weight of 60 kg should have the tidal volume set at which of the following?
- A. 300 mL
- B. 480 mL
- C. 800 mL
- D. 950 mL
Correct Answer: B
Rationale: The correct answer is B: 480 mL. For a client with an ideal weight of 60 kg, the tidal volume should be set at 6-8 mL/kg of ideal body weight. Therefore, for a 60 kg individual, the tidal volume should be between 360-480 mL. B falls within this range and is the most appropriate choice.
A: 300 mL is too low and would not provide adequate ventilation for a client of this weight.
C: 800 mL is too high and could lead to overventilation and potential lung injury.
D: 950 mL is also too high and poses the same risks as option C.
In summary, B is the correct choice as it falls within the appropriate tidal volume range based on the client's ideal weight, while the other options are either too low or too high.
During assessment, a healthcare provider is evaluating a client with chronic bronchitis. Which of the following percussion sounds should the healthcare provider expect?
- A. Dullness
- B. Resonance
- C. Tympany
- D. Flatness
Correct Answer: B
Rationale: The correct answer is B: Resonance. When assessing a client with chronic bronchitis, the healthcare provider should expect to hear resonant percussion sounds. This is because chronic bronchitis is characterized by inflammation and excess mucus production in the bronchial tubes, leading to airway obstruction. Resonance indicates normal lung tissue and air-filled spaces. Dullness (A) may suggest consolidation or fluid in the lungs, which is not typically associated with chronic bronchitis. Tympany (C) is a drum-like sound that can be heard over air-filled structures like the stomach, not typically expected in a lung assessment. Flatness (D) is heard over solid structures like the liver and would not be expected in a lung assessment for chronic bronchitis.