Nokea
The main action of luteinizing hormone is:
- A. Beginning of menses
- B. Menopause
- C. Ovulation
- D. Pregnancy
Correct Answer: C
Rationale: Luteinizing hormone triggers ovulation, releasing the mature egg from the ovary.
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A healthcare professional is assessing a client who is recovering from a lung biopsy. Which assessment finding requires immediate action?
- A. Increased temperature
- B. Absent breath sounds
- C. Productive cough
- D. Incisional discomfort
Correct Answer: B
Rationale: The correct answer is B: Absent breath sounds. This finding requires immediate action because it could indicate a pneumothorax, which is a potentially life-threatening complication following a lung biopsy. Absent breath sounds suggest air trapped in the pleural space, leading to lung collapse. Immediate intervention is necessary to prevent respiratory distress.
A: Increased temperature is concerning but may indicate infection, which would require monitoring and possibly treatment, but it is not as urgent as addressing a potential pneumothorax.
C: Productive cough is common post-lung biopsy and may be managed symptomatically. It does not typically require immediate action.
D: Incisional discomfort is expected after a biopsy and can be managed with pain medication. It does not indicate a critical issue requiring immediate intervention.
Place the steps of the evidence-based practice (EBP) process in order (0 being the first step; 6 being the last step).
- A. Create a spirit of inquiry
- B. Ask a clinical question
- C. Critically analyze the evidence
- D. Make recommendations for practice or generate data
Correct Answer: B
Rationale: The EBP process begins with creating a spirit of inquiry, followed by asking a clinical question, finding and analyzing evidence, making recommendations, and evaluating outcomes.
Why is empathetic listening important during nurse-client communication?
- A. It helps in building trust and understanding.
- B. It ensures compliance with medical advice.
- C. It facilitates reaching the goals of a client.
- D. It avoids overwhelming a client with new information.
Correct Answer: A
Rationale: Empathetic listening allows the nurse to understand the client's concerns deeply, which strengthens the therapeutic relationship and improves care outcomes.
When caring for an older adult client with a pulmonary infection, what action should the nurse take first?
- A. Encourage the client to increase fluid intake.
- B. Assess the client's level of consciousness.
- C. Raise the head of the bed to at least 45 degrees.
- D. Provide the client with humidified oxygen.
Correct Answer: B
Rationale: The correct answer is B: Assess the client's level of consciousness. This is the priority because changes in consciousness can indicate deteriorating respiratory status or potential respiratory distress. Next steps would depend on the assessment findings.
A: Encouraging fluid intake is important but not the first priority.
C: Raising the head of the bed helps with breathing but doesn't address potential immediate respiratory distress.
D: Providing humidified oxygen may be necessary but assessing consciousness comes first to determine the urgency of oxygen therapy.
The nurse is caring for a client with benign prostatic hypertrophy. Which of the following assessments would the nurse anticipate finding?
- A. Large volume of urinary output with each voiding.
- B. Involuntary voiding with coughing and sneezing.
- C. Frequent urination.
- D. Urine is dark and concentrated.
Correct Answer: C
Rationale: Frequent urination is common due to urethral obstruction.