Nokea
The nurse is assessing the client with COPD. Which health promotion information is most important for the nurse to obtain?
- A. Number of years the client has smoked.
- B. Risk factors for complications.
- C. Ability to administer inhaled medication.
- D. Willingness to modify lifestyle.
Correct Answer: C
Rationale: Correct inhaler use (C) ensures effective COPD management, a priority for health promotion. Smoking history (A), risk factors (B), and lifestyle (D) are important but secondary.
You may also like to solve these questions
An adult man has a tracheostomy tube in place. Which of the following actions is most appropriate for the nurse to take when suctioning the tracheostomy?
- A. Use a sterile tube each time and suction for 30 seconds
- B. Use sterile technique and turn the suction off as the catheter is introduced
- C. Use clean technique and suction for 10 seconds
- D. Discard the catheter at the end of every shift
Correct Answer: B
Rationale: Suctioning should use sterile technique, with suction off during insertion and applied intermittently for no more than 10 seconds to prevent hypoxia and trauma.
A patient has exercise-induced asthma. Which of the following actions can the patient perform to help prevent an attack during exercise. Select all that apply:
- A. Avoid warming up before exercise.
- B. Administer a short-acting beta agonist before exercise.
- C. Administer a short-acting beta agonist after exercise.
- D. Avoid exercising when experiencing a respiratory illness.
Correct Answer: B,D
Rationale: Using a short-acting beta agonist before exercise and avoiding exercise during respiratory illness help prevent exercise-induced asthma attacks. Warming up is beneficial, and post-exercise beta agonists are not preventive.
A patient with active tuberculosis is taking Ethambutol. As the nurse you make it priority to assess the patient's?
- A. hearing
- B. mental status
- C. vitamin B6 level
- D. vision
Correct Answer: D
Rationale: Ethambutol can cause optic neuritis, leading to vision changes. The nurse must prioritize assessing the patient's vision to detect this side effect early.
Which nursing action is essential before suctioning the client with a tracheostomy tube?
- A. Preoxygenating the client
- B. Maintaining the head in a flexed position
- C. Cleaning around the stoma
- D. Removing the inner cannula
Correct Answer: A
Rationale: Preoxygenating the client prevents hypoxia during suctioning, which can temporarily reduce oxygen intake.
The HCP has recommended a total laryngectomy for a male client diagnosed with cancer of the larynx but the client refuses. Which intervention by the nurse illustrates the ethical principle of nonmalfeasance?
- A. The nurse listens to the client explain why he is refusing surgery.
- B. The nurse and significant other insist that the client have the surgery.
- C. The nurse refers the client to a counselor for help with the decision.
- D. The nurse asks a cancer survivor to come and discuss the surgery with the client.
Correct Answer: A
Rationale: Listening to the client’s reasons (A) respects autonomy and avoids harm (nonmalfeasance). Insisting (B), counseling (C), and survivor talks (D) may pressure or influence unduly.