Nokea
Mr. Woodring has had a stapedectomy. On his first postoperative day, he tells the nurse he is dizzy and has ringing in his ears. Your assessment would be that these symptoms are
- A. normal
- B. indicative of postoperative complications
- C. probably related to rapid head movement
- D. probably related to antibiotic therapy
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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During an acute asthma attack, a healthcare provider assesses a client. Which assessment finding indicates that the client's condition is worsening?
- A. Loud wheezing
- B. Increased respiratory rate
- C. Decreased breath sounds
- D. Productive cough
Correct Answer: C
Rationale: The correct answer is C: Decreased breath sounds. This finding indicates worsening asthma as it signifies decreased airflow to the lungs, which can lead to inadequate oxygenation. Loud wheezing (A) is common in asthma but does not necessarily indicate worsening. Increased respiratory rate (B) is a compensatory mechanism to improve oxygenation. Productive cough (D) may indicate clearing of mucus and is not necessarily associated with worsening asthma.
A client with asthma presents with bilateral wheezing, decreased pulse oxygen saturation, and suprasternal retraction on inhalation. Which actions should the nurse take? (SATA)
- A. Administer prescribed salmeterol (Serevent) inhaler.
- B. Assess the client for a tracheal deviation.
- C. Administer oxygen to maintain saturations above 94%.
- D. Perform peak expiratory flow measurements.
Correct Answer: C
Rationale: The correct answer is C. Administer oxygen to maintain saturations above 94%. In asthma exacerbation, maintaining oxygen saturation is crucial to prevent hypoxia. Oxygen therapy helps improve oxygen delivery to tissues and organs. Administering salmeterol (choice A) may help with long-term management but is not an immediate priority. Tracheal deviation assessment (choice B) is not relevant to asthma exacerbation. Performing peak expiratory flow measurements (choice D) may be helpful for monitoring asthma severity but is not the priority in this acute situation.
In planning Mr. Jones’ discharge teaching, what is important to emphasize?
- A. He should not leave his home without wearing a mask
- B. Medications must be taken as ordered
- C. All visitors to his home should wear masks
- D. He is cured of tuberculosis
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
5. Which statement accurately describes the use of complementary and alternative medicine (CAM)?
- A. CAM therapy incorporates only the emotional and spiritual realms of the patient.
- B. The increase in the use of CAM therapies is due to an increase in cost of conventional therapy.
- C. Research and education in CAM therapies are financially supported by the American Holistic Nurses Association.
- D. Practices that are considered complementary and alternative in one culture or time might be considered conventional in another culture or time.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the first action that you should direct the caller to perform?
- A. Call 911
- B. Remove the stinger by scraping
- C. Apply a cool compress
- D. Take an oral antihistamine
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.