Nokea
The nurse should teach the client with asthma that which of the following is one of the most common precipitating factors of an acute asthma attack?
- A. Occupational exposure to toxins.
- B. Viral respiratory infections.
- C. Exposure to cigarette smoke.
- D. Exercising in cold temperatures.
Correct Answer: B
Rationale: Viral respiratory infections are a leading trigger of acute asthma attacks due to airway inflammation. Toxins, smoke, and cold exercise are also triggers but less common.
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The physician has inserted a chest tube in a client with a pneumothorax. The nurse should evaluate the effectiveness of the chest tube:
- A. For administration of oxygen.
- B. To promote formation of lung scar tissue.
- C. To insert antibiotics into the pleural space.
- D. To remove air and fluid.
Correct Answer: D
Rationale: A chest tube in pneumothorax removes air and fluid from the pleural space, restoring lung expansion. It is not used for oxygen, scar tissue, or antibiotics.
A client with rheumatoid arthritis tells the nurse, 'I know it is important to exercise my joints so that I won't lose mobility, but my joints are so stiff and painful that exercising is difficult.' Which of the following responses by the nurse would be most appropriate?
- A. You are probably exercising too much. Decrease your exercise to every other day.'
- B. Tell the physician about your symptoms. Maybe your analgesic medication can be increased.'
- C. Stiffness and pain are part of the disease. Learn to cope by focusing on activities you enjoy.'
- D. Take a warm tub bath or shower before exercising. This may help with your discomfort.'
Correct Answer: D
Rationale: Warm baths or showers can reduce joint stiffness and pain, making exercise more tolerable and effective for maintaining mobility.
What should the nurse assess in a client receiving anticonvulsant therapy?
- A. Liver function.
- B. Blood pressure.
- C. Pain levels.
- D. Skin integrity.
Correct Answer: A
Rationale: Liver function is assessed due to the potential hepatotoxicity of anticonvulsant medications.
Which of the following is an assessment finding associated with internal bleeding with disseminated intravascular coagulation?
- A. Bradycardia.
- B. Hypertension.
- C. Increasing abdominal girth.
- D. Petechiae.
Correct Answer: C
Rationale: Internal bleeding in DIC can cause blood accumulation in the abdominal cavity, leading to increasing abdominal girth. Bradycardia and hypertension are not typical, and petechiae are associated with cutaneous bleeding.
As the nurse assists the postoperative client out of bed, the client reports having gas pains in the abdomen. Which of the following is the most effective nursing intervention to relieve this discomfort?
- A. Encourage the client to ambulate.
- B. Insert a rectal tube.
- C. Insert a nasogastric (NG) tube.
- D. Encourage the client to drink carbonated liquids.
Correct Answer: A
Rationale: Ambulation stimulates bowel motility, relieving gas pains effectively and safely.