Nokea
Pain medications given to the burn clients are best given via what route?
- A. IV C. Oral
- B. IM D. SQ
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Mr. CKK is unconscious and was brought to the E.R. Who among the following can give consent for CKK's operation?
- A. Doctor
- B. Nurse
- C. Next of Kin
- D. The Patient
Correct Answer: A
Rationale: In the scenario described, when a patient is unconscious and unable to provide consent, the responsibility usually falls on the physician to make decisions regarding the patient's treatment, including obtaining consent for an operation. While nurses play a crucial role in patient care, they typically do not have the authority to provide consent for a major procedure. The next of kin may be consulted for input, but the ultimate decision-making authority lies with the physician. The patient, being unconscious, is unable to provide consent in this situation.
The most significant factor that might affect the nurse¢â‚¬â„¢s care for the psychiatric patient is:
- A. Nurse¢â‚¬â„¢s own beliefs and attitude about the mentally ill
- B. Amount of experience he has with psychiatric clients
- C. Her abilities and skill to care for the psychiatric clients
- D. Her knowledge in dealing with the psychiatric clients
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The purpose of chest percussion and vibration is to loosen secretions in the lungs. The difference between the procedures is:
- A. Percussion uses only one hand, while vibration uses both hands
- B. Percussion delivers cushioned blows to the chest with cupped palms, while vibration gently shakes secretions loose
- C. In both percussion and vibration, the hands are not on top of each other, and hand action is not in tune with the client's breath
- D. Percussion slaps the chest to loosen secretions, while vibration shakes the secretions along with the inhalation
Correct Answer: D
Rationale: Chest percussion involves the use of rhythmic tapping to dislodge mucus from the lungs, facilitating its movement toward the larger airways where it can be expelled. This technique is particularly important in conditions where mucus retention is a significant risk factor for infection. The key difference between chest percussion and vibration is that percussion involves slapping the chest to loosen secretions, while vibration involves shaking the secretions along with the inhalation, aiding in moving the loosened secretions upwards for easier removal. Choices A, B, and C do not accurately describe the main difference between chest percussion and vibration, making them incorrect.
The client is discussing sources of carbohydrates with a nurse recently diagnosed with diabetes. Which food(s) identified by the client indicate understanding? (SATA)
- A. Starch
- B. Fiber
- C. Sugar
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D because starch, fiber, and sugar are all sources of carbohydrates. Starchy foods like bread, rice, and potatoes contain starch; fruits, vegetables, and whole grains provide fiber; and sugars are found in sweet foods like fruits, honey, and desserts. Fatty acids and amino acids are not sources of carbohydrates, so choices A, B, and C are correct while choices A and B are incorrect.
Mrs. Pichay who is for thoracentesis is assigned by the nurse to any of the following positions, EXCEPT:
- A. straddling a chair with arms and head resting on the back of the chair
- B. lying on the unaffected side with the bed elevated 30-40 degrees
- C. lying prone with the head of the bed lowered 15-30 degrees
- D. sitting on the edge of the bed with her feet supported and arms and head on a padded overhead table
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.