Nokea
The nurse is preparing the client for a polysomnography to confirm sleep apnea. Which preprocedure instruction should the nurse include?
- A. The client should not eat or drink past midnight.
- B. The client will receive a sedative for relaxation.
- C. The client will sleep in a laboratory for evaluation.
- D. The client will wear a monitor at home for this test.
Correct Answer: C
Rationale: Polysomnography involves overnight monitoring in a sleep lab (C) to assess sleep patterns and confirm sleep apnea. Fasting (A) is unnecessary. Sedatives (B) are avoided to ensure natural sleep. Home monitors (D) are used for different tests, not polysomnography.
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The charge nurse on a surgical floor is making assignments. Which client should be assigned to the most experienced registered nurse (RN)?
- A. The 36-year-old client who has undergone an antral irrigation for sinusitis yesterday and has moderate pain.
- B. The six-(6)-year-old client scheduled for a tonsillectomy and adenoidectomy this morning who will not swallow medication.
- C. The 18-year-old client who had a Caldwell-Luc procedure three (3) days ago and has purulent drainage on the drip pad.
- D. The 45-year-old client diagnosed with a peritonsillar abscess who requires IVPB antibiotic therapy four (4) times a day.
Correct Answer: C
Rationale: Purulent drainage post-Caldwell-Luc (C) suggests infection, requiring experienced assessment. Antral irrigation (A), tonsillectomy refusal (B), and antibiotics (D) are less complex.
Which outcome is appropriate for the client problem 'ineffective gas exchange' for the client recently diagnosed with COPD?
- A. The client demonstrates the correct way to pursed-lip breathe.
- B. The client lists three (3) signs/symptoms to report to the HCP.
- C. The client will drink at least 2,500 mL of water daily.
- D. The client will be able to ambulate 100 feet with dyspnea.
Correct Answer: A
Rationale: Pursed-lip breathing (A) improves gas exchange by prolonging exhalation. Symptom reporting (B), hydration (C), and ambulation with dyspnea (D) are unrelated to gas exchange.
The client has had a total laryngectomy. Which referral is specific for this surgery?
- A. CanSurmount.
- B. Dialogue.
- C. Lost Chord Club.
- D. SmokEnders.
Correct Answer: C
Rationale: Lost Chord Club (C) supports laryngectomy patients with communication and adjustment. CanSurmount (A), Dialogue (B), and SmokEnders (D) are for cancer, CLL, and smoking cessation.
The clinic nurse is interviewing clients. Which information provided by a client warrants further investigation?
- A. The client uses Vicks VapoRub every night before bed.
- B. The client has had an appendectomy.
- C. The client takes a multiple vitamin pill every day.
- D. The client has been coughing up blood in the mornings.
Correct Answer: D
Rationale: Hemoptysis (D) suggests serious conditions (e.g., lung cancer, TB), requiring investigation. VapoRub (A), appendectomy (B), and vitamins (C) are benign.
Which statement by the client diagnosed with a pulmonary embolus indicates the discharge teaching is effective?
- A. I am going to use a regular-bristle toothbrush.
- B. I will take antibiotics prior to having my teeth cleaned.
- C. I can take enteric-coated aspirin for my headache.
- D. I will wear a Medic Alert band at all times.
Correct Answer: D
Rationale: A Medic Alert band (D) ensures emergency awareness of PE/anticoagulation. Multiple Choice toothbrushes (A) risk bleeding, antibiotics (B) are for endocarditis, and aspirin (C) increases bleeding.