Nokea
The most common cause of injury from a house fire is:
- A. explosion
- B. falls from second-story windows
- C. thermal damage to skin and body surfaces
- D. inhalation injury
Correct Answer: D
Rationale: Inhalation injury, due to smoke and toxic gases, is the most common cause of injury in house fires, often leading to respiratory distress or death before burns become critical.
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Which of the following foods might a client with a hypercholesterolemia need to decrease his or her intake of?
- A. broiled catfish
- B. hamburgers
- C. wheat bread
- D. fresh apples
Correct Answer: B
Rationale: Due to the high cholesterol content of red meats, such as hamburger, intake needs to be decreased. The other options do not have high cholesterol content, so they do not need to be decreased.
A Hispanic client brings her father to the clinic because he is becoming more forgetful. He is diagnosed with Alzheimer's disease. The woman tells the nurse that she wants to try ginkgo biloba for her father, before using prescription medications. Which of the following is an appropriate response by the nurse?
- A. It is wiser to start a prescription
- B. That herb won't do your father any good
- C. You can't expect an herb to treat Alzheimer's
- D. I will let the physician know of your wishes
Correct Answer: D
Rationale: The culturally sensitive response is to notify the physician of the family member's wishes and to determine whether it is feasible. Ginkgo biloba has been shown to be of some benefit in treating dementia. The other statements are not culturally sensitive.
A small amount of bubbling is seen in the water seal of a pleural drainage system when a client coughs. What should the nurse do?
- A. Consider it a normal finding.
- B. Check the system for leaks.
- C. Clamp the chest tube.
- D. Change the drainage system.
Correct Answer: A
Rationale: A small amount of bubbling is a normal finding in the water seal of a pleural drainage system when a client coughs. It is only a problem to find continuous, excessive bubbling in the water seal, which indicates a leak.
Which of the following is not a reason for pelvic ultrasonography?
- A. to measure uterine size
- B. to detect multiple pregnancies
- C. to measure renal size
- D. to detect foreign bodies
Correct Answer: C
Rationale: Pelvic ultrasonography assesses pelvic organs, not renal size, which is evaluated via abdominal or renal ultrasonography.
Several passengers aboard an airliner suddenly become weak and suffer breathing difficulty. The diagnosis is likely to be:
- A. outbreak of Asian flu.
- B. Chemical exposure.
- C. bacterial pneumonia.
- D. allergic reaction.
Correct Answer: B
Rationale: The most likely cause of groups of individuals suddenly experiencing similar signs of illness all at once is a chemical exposure.