Nokea
Symptoms indicative of cervical cancer include:
- A. Irregular vaginal bleeding
- B. Bloating
- C. Weight gain and nausea
- D. Dyspareunia
Correct Answer: A
Rationale: Irregular vaginal bleeding is a hallmark symptom of cervical cancer, often occurring between periods or after intercourse.
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A nurse is caring for a client who is postoperative following surgical repair of a mandibular fracture with fixed
occlusion of the jaws in a closed position. Which of the following statements is the priority for the nurse to make?
- A. "We can teach you some relaxation techniques to minimize your pain."
- B. "Keep wire cutters with you at all times."
- C. "Use a water pick device to keep your teeth clean."
- D. "Consume a high-protein, liquid diet."
Correct Answer: B
Rationale: The correct answer is B: "Keep wire cutters with you at all times." This is the priority statement because in the event of an emergency, such as airway obstruction or trauma, quick access to wire cutters is crucial to ensure timely removal of the jaw fixation wires. Without immediate access to wire cutters, the client may suffer serious complications.
Incorrect choices:
A: "We can teach you some relaxation techniques to minimize your pain." - While pain management is important, it is not the priority in this situation where the immediate risk is airway compromise.
C: "Use a water pick device to keep your teeth clean." - Oral hygiene is important but not as critical as ensuring access to wire cutters for emergency situations.
D: "Consume a high-protein, liquid diet." - Nutrition is important for healing but is not as time-sensitive as having wire cutters readily available in case of an emergency.
What is the most appropriate response to Harold Smith asking what he can do to prevent black lung disease?
- A. Suggest he seek symptomatic medical treatment
- B. Reassure him that black lung is a disease of the past
- C. Encourage him to change jobs
- D. Recommend psychologic counseling
Correct Answer: C
Rationale: Changing jobs eliminates exposure to coal dust, preventing black lung.
Priority Decision: While the nurse is obtaining a health history the patient tells the nurse, "I am so tired I can hardly function." What is the nurse’s best action at this time?
- A. Stop the interview and leave the patient alone to be able to rest.
- B. Arrange another time with the patient to complete the interview.
- C. Question the patient further about the characteristics of the symptoms.
- D. Reassure the patient that the symptoms will improve when treatment has had time to be effective.
Correct Answer: C
Rationale: The correct answer is 'Question the patient further about the characteristics of the symptoms.' Fatigue could indicate underlying health issues such as anemia, infection, or chronic illness. Further questioning helps identify potential causes and prioritize care.
Pain has been defined as “whatever the person experiencing the pain says it is, existing whenever the patient says it does.” This definition is problematic for the nurse when caring for which type of patient?
- A. A patient placed on a ventilator
- B. A patient with a history of opioid addiction
- C. A patient with decreased cognitive function
- D. A patient with pain resulting from severe trauma
Correct Answer: C
Rationale: The correct answer is C. Patients with decreased cognitive function may have difficulty communicating their pain, making this definition challenging.
What does using random weights help to prevent when weighing a client diagnosed with binge eating?
- A. Dehydration
- B. Lying about weight
- C. Water loading
- D. Denial of weight loss
Correct Answer: B
Rationale: Random weights reduce opportunities for clients to manipulate or lie about their actual weight.