Nokea
The nurse is preparing a client for a scheduled surgical procedure. What client statement should the nurse report to the healthcare provider?
- A. I am very anxious about the surgery.
- B. I drank a glass of juice after midnight.
- C. I have an allergy to latex.
- D. I had nausea after my last surgery.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A client with hyperthyroidism is receiving radioactive iodine therapy. Which statement by the client indicates a need for further teaching?
- A. I should avoid close contact with pregnant women and children for a few days.
- B. I may experience dry mouth and taste changes for a few days.
- C. I may experience some neck swelling.
- D. I may experience some neck swelling.
Correct Answer: D
Rationale: The correct answer is 'D.' The client stating 'I may experience some neck swelling' does not indicate a need for further teaching since neck swelling is an expected side effect of radioactive iodine therapy. Choices A and B are correct statements as the client should avoid close contact with pregnant women and children for a few days due to radiation exposure, and dry mouth and taste changes are common side effects. Choice C is redundant with choice D, making D the correct answer.
The nurse is teaching a group of new mothers about infant care. Which topic should the nurse prioritize?
- A. signs of infant dehydration
- B. proper diaper changing techniques
- C. immunization schedule
- D. breastfeeding positions
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A female client is admitted with a tentative diagnosis of Guillain-Barre syndrome. Which finding is most important for the nurse to report to the healthcare provider?
- A. Facial weakness and difficulty speaking.
- B. Decreased deep tendon reflexes in the legs.
- C. Inability to move the eyes.
- D. Respiratory distress and cyanosis.
Correct Answer: B
Rationale: In Guillain-Barre syndrome, decreased deep tendon reflexes are a critical finding that may indicate impending respiratory failure. This is due to the involvement of the peripheral nervous system affecting the muscles, including those involved in breathing. Reporting decreased deep tendon reflexes promptly is essential to prevent respiratory compromise. Facial weakness, difficulty speaking, and inability to move the eyes are common manifestations of Guillain-Barre syndrome but are not as immediately concerning as respiratory distress and impending respiratory failure.
The nurse is planning an immunization campaign targeting the children of migrant farm workers in the community. Which data should the nurse review before exploring solution options when developing this program plan?
- A. uncertain risks
- B. potential outcomes
- C. priority of solutions
- D. target population data -
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with a history of atrial fibrillation is receiving warfarin (Coumadin) therapy. Which laboratory result indicates that the therapy is effective?
- A. International normalized ratio (INR) of 1.0.
- B. Prothrombin time (PT) of 12 seconds.
- C. Partial thromboplastin time (PTT) of 60 seconds.
- D. International normalized ratio (INR) of 2.5.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.