Nokea
Mrs. Brown asks about the difference between wide- and narrow-angle glaucoma. Which of the following responses would be most appropriate?
- A. With wide-angle glaucoma there is a minimal increase in ocular pressure.
- B. Wide-angle glaucoma is usually asymptomatic.
- C. Complications from narrow-angle glaucoma are less severe than those from wide-angle glaucoma.
- D. Narrow-angle glaucoma is usually asymptomatic.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The disease progress of cancers, such as cervical or Hodgkin’s, can be classified according to a clinical staging system. Place the description of stages 0-IV in the correct order.
- A. Metastasis.
- B. Limited local spread.
- C. Cancer in situ.
- D. Tumor limited to tissue of origin.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient's family does not know the patient's end-of-life care preferences, but assumes that they know what is best for the patient under the circumstances. This assumption reflects
- A. justice.
- B. paternalism.
- C. pragmatism.
- D. veracity.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nursing assistant reports to you that a client seems very anxious and that vital signs included a respiratory rate of 38 per minute. Which acid-base imbalance should you suspect?
- A. Respiratory acidosis
- B. Respiratory alkalosis
- C. Metabolic acidosis
- D. Metabolic alkalosis
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The first step in applying the quality improvement process to an activity in a clinical setting is to
- A. assemble a team to review and revise the activity.
- B. collect data to measure the status of the activity.
- C. identify a problem for improvement.
- D. set a measurable standard for the activity.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with chronic obstructive pulmonary disease (COPD) receives oxygen therapy. Which finding requires immediate intervention by the nurse?
- A. Oxygen saturation of 91%
- B. Respiratory rate of 10 breaths per minute
- C. Client reports shortness of breath
- D. Use of accessory muscles
Correct Answer: B
Rationale: The correct answer is B: Respiratory rate of 10 breaths per minute. In a client with COPD, a respiratory rate of 10 breaths per minute indicates severe respiratory depression and impending respiratory failure. Immediate intervention is necessary to prevent hypoxia and respiratory arrest. Oxygen saturation of 91% (choice A) is low but not as critical as a low respiratory rate. Shortness of breath (choice C) is expected in COPD but does not indicate immediate danger. Use of accessory muscles (choice D) is a sign of respiratory distress, but a low respiratory rate is more concerning for imminent respiratory failure.