Nokea
The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about energy conservation. Which of the following strategies should the nurse recommend?
- A. Perform all activities in the morning when energy is highest.
- B. Use a shower chair when bathing.
- C. Avoid using a pursed-lip breathing technique.
- D. Walk quickly to complete tasks efficiently.
Correct Answer: B
Rationale: Using a shower chair conserves energy by reducing exertion during bathing, a taxing activity for COPD patients. Morning activity (A) may not suit all, pursed-lip breathing (C) aids respiration, and quick walking (D) increases oxygen demand.
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When teaching a mother about communicable diseases
When teaching a mother about communicable diseases, the nurse informs her that chickenpox is:
- A. Still communicable until all the vesicles have dried.
- B. Still communicable even when just dried scabs remain.
- C. No longer communicable after a high fever has subsided.
- D. Not communicable as long as the vesicles are intact and surrounded by a red areola.
Correct Answer: A
Rationale: Chickenpox is communicable until all vesicles have crusted over.
A client on warfarin therapy following coronary artery stent placement calls the clinic to ask if he can take Alka-Seltzer for an upset stomach. What is the best response by the nurse?
- A. Avoid Alka-Seltzer because it contains aspirin
- B. Take Alka-Seltzer at a different time of day than the warfarin
- C. Select an antacid that does not interact with warfarin
- D. Use one-half the recommended dose of Alka-Seltzer
Correct Answer: A
Rationale: Avoid Alka-Seltzer because it contains aspirin. Alka-Seltzer is an over-the-counter aspirin-antacid combination. Aspirin, an antiplatelet drug, will potentiate the anticoagulant effect of warfarin, which may result in excess bleeding.
A diet rich in calcium over a lifetime will decrease the risk of
Heart disease
- A. Osteoporosis
- B. Gout
- C. Rheumatoid Arthritis
Correct Answer: B
Rationale: A diet rich in calcium over a lifetime will decrease the risk of osteoporosis by strengthening bones.
A client who had a total thyroidectomy this morning is to be admitted to the surgical floor. What should the nurse have readily available when the client arrives?
- A. Tracheostomy set
- B. Catheterization tray
- C. Sterile dressing set
- D. Ventilator
Correct Answer: A
Rationale: Thyroidectomy risks airway obstruction from swelling or hematoma; a tracheostomy set is essential for emergency airway management.
Which statement describes factors that help build personal power in an organization?
- A. Longevity in an organization, social ties to people in power, and a history as someone who does not back down in conflict ends with success
- B. Goals are met with the use of networking, mentoring, and coalition building
- C. High visibility and formal power are maintained with a confrontational style
- D. Credibility to one's position is enhanced when professional dress and demeanor are employed
Correct Answer: B
Rationale: Networking, mentoring, and coalition building are positive uses of personal power to meet goals.