Nokea
One risk factor that increases a woman's chances of getting breast cancer includes:
- A. Family history
- B. Young age at first birth
- C. Multiple births
- D. Underwire bras
Correct Answer: A
Rationale: Family history is a significant risk factor for breast cancer, indicating genetic predisposition.
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The nurse has been assigned to these clients in the emergency room. Which client would the nurse go check first?
- A. Viral pneumonia with atelectasis.
- B. Spontaneous pneumothorax with a respiratory rate of 38.
- C. Tension pneumothorax with slight tracheal deviation to the right.
- D. Acute asthma with episodes of bronchospasm.
Correct Answer: C
Rationale: Tension pneumothorax is a life-threatening condition requiring immediate attention.
Identify the areas of symptom investigation using PQRST that still need to be addressed to provide additional important information (select all that apply).
- A. Timing
- B. Quality
- C. Severity
- D. Palliative
Correct Answer: B
Rationale: The correct answers are 'Timing,' 'Quality,' 'Severity,' and 'Precipitating.' Using the PQRST framework ensures comprehensive evaluation of symptoms. Timing refers to onset and duration; Quality describes the nature of the symptom; Severity quantifies intensity; and Precipitating factors explore triggers.
Patients with rheumatoid arthritis typically have pain
- A. With activity.
- B. Only upon awakening.
- C. Late in the evening.
- D. All day without remission.
Correct Answer: A
Rationale: RA pain worsens with activity due to joint inflammation.
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.
A preoperative patient reveals that an uncle died during surgery because of a fever and cardiac arrest. Knowing the patient is at risk for malignant hyperthermia, the perioperative nurse alerts the surgical team. What is likely to happen next?
- A. The surgery will have to be cancelled.
- B. Specific precautions can be taken to safely anesthetize the patient.
- C. Dantrolene (Dantrium) must be given to prevent hyperthermia during surgery.
- D. The patient should be placed on a cooling blanket during the surgical procedure.
Correct Answer: B
Rationale: With awareness of malignant hyperthermia risk, specific precautions ensure safe anesthesia administration.