Nokea
The patient experiences sudden pain in his right calf while sitting at home. He is diagnosed with deep vein thrombosis (DVT). The first intervention is to
- A. Apply ice packs to the affected area every 4 to 6 hours.
- B. Increase dietary intake of foods rich in vitamin K.
- C. Monitor platelet counts daily.
- D. Use intermittent warm soaks of the affected area.
Correct Answer: C
Rationale: Monitoring platelets is crucial when anticoagulants are administered.
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A client has undergone the Snellen eye chart and has 20/40 vision. Which of the following is true for this client?
- A. The client sees letters at 20 feet that others can read at 40 feet
- B. The client sees letters at 40 feet that others can read at 20 feet
- C. The client sees colors at 20 feet that others can see at 40 feet
- D. The client sees colors at 40 feet that others can see at 20 feet
Correct Answer: A
Rationale: 20/40 vision means the client can see at 20 feet what a person with normal vision can see at 40 feet.
While caring for a client receiving positive-pressure mechanical ventilation, which intervention should the nurse NOT implement to prevent complications?
- A. Elevate the head of the bed to at least 30°.
- B. Verify the prescribed ventilator settings daily.
- C. Administer pantoprazole as prescribed.
- D. Reposition the endotracheal tube to the opposite side of the mouth daily.
Correct Answer: D
Rationale: The correct answer is D. Repositioning the endotracheal tube to the opposite side of the mouth daily is not necessary and could potentially lead to complications such as accidental extubation or damage to the airway. A: Elevating the head of the bed helps prevent aspiration. B: Verifying ventilator settings daily ensures proper functioning. C: Administering pantoprazole helps prevent stress ulcers. In summary, D is incorrect because it is unnecessary and poses risks, while A, B, and C are important interventions to prevent complications associated with positive-pressure mechanical ventilation.
Which biologically based practice involves the use of scents to alter emotions and biologic processes?
- A. Herbal supplements
- B. Apitherapy
- C. Probiotics
- D. Aromatherapy
Correct Answer: D
Rationale: Aromatherapy utilizes essential oils to influence mood and biological responses.
Mr. Jones is being discharged today. Which of the following statements by Mr. Jones would indicate that he understands his postoperative regimen?
- A. I'm taking my nephew to the amusement park next week and we are going to ride the roller-coasters.'
- B. My brother will be coming over every day to help me with my bath and to shave me.'
- C. I think I'll watch the baseball games on TV this week rather than driving to the stadium.'
- D. I guess I'll have to take an early retirement since my job as an accountant requires me to use my eyes a lot.'
Correct Answer: C
Rationale: Avoiding strenuous activities like driving or riding roller coasters demonstrates understanding of activity restrictions necessary during recovery from retinal surgery.
What is the best method of controlling exposure to illness in any occupational environment?
- A. Use of masks
- B. Developing prevention programs
- C. Early diagnosis of illness
- D. Developing rehabilitation programs
Correct Answer: B
Rationale: Prevention programs address root causes, minimizing exposure risks.