Nokea
The nurse explains that the opening between the vocal cords is the ___.
Correct Answer: glottis
Rationale: The glottis is the opening between the vocal cords.
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A patient, age 69, has emphysema. On assessment, the nurse notes the presence of a 'barrel chest.' Which pathology causes this to occur?
- A. An increase in the lateromedial area from hypertrophy of mucous glands in the bronchi
- B. An increased anteroposterior diameter caused by overinflation of the alveoli
- C. A decrease in anteroposterior diameter caused by chronic dilation of the bronchi
- D. A widening of the sternocostal area secondary to chronic constriction of smooth muscles in the airways leading to bronchospasms
Correct Answer: B
Rationale: The patient will eventually appear barrel chested (an increased anteroposterior diameter caused by overinflation).
How should the newly diagnosed patient who has been prescribed isoniazid (INH) for the treatment of active tuberculosis (TB) be advised?
- A. Report redness and swelling of extremities.
- B. Be aware that the therapy is long term.
- C. Monitor renal function every several months.
- D. Rise slowly to avoid dizziness.
Correct Answer: B
Rationale: INH therapy is long term. The patient should be advised to get regular liver studies and report tingling and numbness of the extremities.
The nurse explains that the diagnostic test that can scan the chest and the abdomen in less than 30 seconds is the ___ CT scan.
Correct Answer: spiral
Rationale: The spiral or helical CT scan can scan the chest and the abdomen in less than 30 seconds. This test is faster and more accurate.
In which part of the pharynx is the superior portion of the pharynx located?
- A. Nasopharynx
- B. Posteriopharynx
- C. Oropharynx
- D. Laryngopharynx
Correct Answer: A
Rationale: The superior portion of the distal end of the pharynx is the nasopharynx.
The nurse caring for a patient who has a closed chest drainage system notes that there is fluctuation (tidaling) in the water seal chamber. Which action is appropriate based on this assessment?
- A. Document the tidaling.
- B. Elevate the head of the bed and notify charge nurse of malfunction of drainage system.
- C. Add more sterile water to the water seal chamber.
- D. Turn patient to the affected side.
Correct Answer: A
Rationale: Tidaling or fluctuation in the water seal drainage is an indicator that the negative pressure is preserved and the system is working normally. Document this normal finding.