Nokea
The most important laboratory value to monitor in a patient with heavy bleeding due to fibroids is:
- A. Hemoglobin
- B. Luteinizing hormone
- C. White blood cell count
- D. Potassium
Correct Answer: A
Rationale: Hemoglobin levels are critical to assess the severity of blood loss and anemia in patients with heavy bleeding.
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What should govern the nurse’s actions regarding Mr. West rubbing Mrs. West’s calf?
- A. Touch is an important method of communication
- B. It is important to involve family members in patient care
- C. Massage increases circulation, therefore reducing tenderness
- D. A thrombus becomes an embolus when dislodged
Correct Answer: D
Rationale: Massaging the leg could dislodge a clot, leading to complications.
What type of procedural information should be given to a patient in preparation for ambulatory surgery (select all that apply)?
- A. How pain will be controlled
- B. Any fluid and food restrictions
- C. Characteristics of monitoring equipment
- D. What odors and sensations may be experienced, Technique and practice of coughing and deep breathing, if appropriate
Correct Answer: D
Rationale: Providing comprehensive procedural information prepares the patient physically and mentally for surgery.
How should the nurse respond to Mrs. West’s statement, “Oh well, I have already lived my life anyway.”
- A. “Oh, you have nothing to worry about Mrs. West. We’re going to take good care of you.”
- B. “You feel that your life is ending, Mrs. West? Can you tell me more about your feelings?”
- C. “Your doctor is one of the best and our surgical staff is excellent.”
- D. “The x-rays indicate that your tumor is accessible and the surgery will cure your problem.”
Correct Answer: B
Rationale: Encouraging the patient to express feelings fosters trust and understanding.
Respiratory disease could best be prevented by avoiding
- A. Coal dust
- B. Spray cans
- C. Carbon monoxide emissions
- D. Cigarette smoking
Correct Answer: D
Rationale: Smoking cessation significantly reduces the risk of respiratory diseases.
When performing a physical examination, what approach is most important for the nurse to use?
- A. A head-to-toe approach to avoid missing an important area
- B. The same systematic, efficient sequence for all examinations
- C. A sequence that is least revealing and embarrassing for the patient
- D. An approach that allows time to collect the nursing history data while performing the examination
Correct Answer: B
Rationale: The correct answer is 'The same systematic, efficient sequence for all examinations.' Consistency ensures thoroughness and reduces the likelihood of missing critical details.