Nokea
The physician has ordered continuous positive airway pressure (CPAP) for a patient with serious obstructive sleep apnea. How will CPAP help the patient?
- A. Prevent airway occlusion by bringing the tongue forward
- B. Be easily tolerated by both the patient and the patient’s bed partner
- C. Provide enough positive pressure in the airway to prevent airway collapse
- D. Deliver a high inspiratory pressure and a low expiratory pressure to prevent airway collapse
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Suzette is having a minor surgical procedure performed in same-day surgical setting. Which type of anesthesia is most likely to be used?
- A. General.
- B. Epidural.
- C. Regional.
- D. Conscious sedation.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What information should you immediately report to the physician?
- A. The parent is unsure about the child's tetanus immunization status
- B. The child is upset and pulls out the IV
- C. The parent declines the IV conscious sedation
- D. The parent wants information about the IV conscious sedation
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Ramona Gunther, 18, was diagnosed with Stage II Hodgkins disease and is preparing to receive external radiation therapy. She tells the nurse she is scared 'about having to get radiation treatments all over my body.' Which of the following is the most appropriate response?
- A. The dose will be very low based on the disease staging.
- B. With Stage II, you'll only have radiation over half your body.
- C. I know it's scary, but it will help to decrease the potential of fractures.
- D. You know you don't have to worry about being radioactive.
Correct Answer: B
Rationale: The dose of radiation is not based on the staging of the disease alone, and there is not enough information to know that the dose will be low. With Stage II, the involved lymph nodes are all on the same side of the diaphragm, so the radiation will be given on that part of the body. The potential of fractures occurs because of the cancer, but the radiation is not given for that reason. She has not stated that she's afraid of being radioactive, so this answer does not address her concern.
Mrs. Brown asks about the difference between wide- and narrow-angle glaucoma. Which of the following responses would be most appropriate?
- A. With wide-angle glaucoma there is a minimal increase in ocular pressure.
- B. Wide-angle glaucoma is usually asymptomatic.
- C. Complications from narrow-angle glaucoma are less severe than those from wide-angle glaucoma.
- D. Narrow-angle glaucoma is usually asymptomatic.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
While assessing a client with a tracheostomy, a nurse notes that the tracheostomy tube is pulsing with the heartbeat during a pulse check. No other abnormal findings are noted. What action should the nurse take?
- A. Notify the operating room of a potential emergency case.
- B. No action is required at this time; this pulsation can be a normal finding in some clients.
- C. Remove the tracheostomy tube and ventilate the client using a bag-valve-mask.
- D. Stay with the client and ask someone else to contact the provider immediately.
Correct Answer: D
Rationale: The correct answer is D: Stay with the client and ask someone else to contact the provider immediately.
Rationale:
1. Pulsation of the tracheostomy tube with heartbeat indicates the tube is very close to a major blood vessel.
2. Immediate provider notification is crucial to prevent potential complications.
3. Removing the tube without professional guidance can lead to severe bleeding and airway compromise.
4. Contacting the provider promptly ensures timely intervention and appropriate next steps.
Summary:
A: Notifying the operating room is premature and unnecessary at this point.
B: Pulsation may not always be normal and warrants immediate action.
C: Removing the tube without professional guidance can be harmful to the client.