Nokea
Sam is diagnosed with having a myocardial infarction after experiencing chest pain and pain radiating to his arms, jaw, and back. He asks what a myocardial infarction is. You respond by saying
- A. You had a heart attack.
- B. Your aortic valve was malformed at birth, causing a disruption in blood flow.
- C. All patients who are as overweight as you will have a heart attack
- D. One or more arteries that supply blood to your heart are blocked, thereby preventing blood from flowing to your cardiac muscles.
Correct Answer: D
Rationale: A myocardial infarction occurs when blood flow to the heart is obstructed.
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Mrs. Blakely's postoperative course is otherwise uneventful, and she is fitted with corrective glasses. For Mrs. Blakely to adjust to wearing her new eyeglasses, it would be most important to teach her that
- A. the color of objects seen with the operated eye is much brighter
- B. her new glasses will be much heavier
- C. she will have binocular vision
- D. she will have considerable distortion in vision
Correct Answer: A
Rationale: After cataract surgery, colors may appear brighter due to the removal of the cloudy lens, which previously muted perception of certain wavelengths.
For your patient with a CD4 count, less than 200, the most important nursing assessment would include
- A. Bowel movements.
- B. Urinary output.
- C. Fever.
- D. Blood pressure.
Correct Answer: C
Rationale: Fever can indicate opportunistic infections in immunocompromised patients.
Mary is diagnosed with gastroesophageal reflux disease. You need to teach Mary to
- A. Avoid coffee, tea, and other caffeine-containing beverages.
- B. Take histamine 2 blockers, such as ranitidine, as directed.
- C. Avoid acidic foods such as citrus or tomato.
- D. All of the above.
Correct Answer: D
Rationale: Lifestyle modifications and medications are key in managing GERD.
What are the responsibilities of a circulating nurse?
- A. Obtaining and opening wrapped sterile equipment.
- B. Preparing sutures.
- C. Handing instruments to the surgeon and assistants.
- D. Assisting with putting the client to sleep.
Correct Answer: A
Rationale: The correct answer is A because the circulating nurse ensures all necessary sterile equipment is available and prepared.
List in order the steps that are required to perform this function.
- A. Obtain an order for a chest x-ray to document tube placement
- B. Secure the tube in place
- C. Auscultate the chest during assisted ventilation
- D. Confirm that the breath sounds are equal and bilateral
Correct Answer: B
Rationale: Securing the tube ensures it remains in place during further assessments.