To clean a wound, it is best to use
- A. Hydrogen peroxide to bubble away the debris.
- B. Tap water.
- C. Saline.
- D. It is best not to disturb a healing wound.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which societal view of illness and disease identifies a cause-and-effect philosophy of human body functions?
- A. Biomedical or scientific perspective
- B. Naturalistic perspective
- C. Magico-religious perspective
- D. Holistic perspective
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
How is the initial information given to the PACU nurses about the surgical patient?
- A. A copy of the written operative report
- B. A verbal report from the circulating nurse
- C. A verbal report from the anesthesia care provider (ACP)
- D. An explanation of the surgical procedure from the surgeon
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is prescribed nicotine replacement therapy. Which statement should the nurse include in this client's teaching?
- A. Smoking while taking this medication will increase your risk of a stroke.
- B. Make a list of reasons why smoking is a bad habit.
- C. Stopping this medication suddenly increases your risk for a heart attack.
- D. Rise slowly when getting out of bed in the morning.
Correct Answer: A
Rationale: The correct answer is A because smoking while on nicotine replacement therapy can lead to nicotine overdose, increasing the risk of a stroke due to excessive nicotine intake. This statement emphasizes the importance of avoiding smoking during treatment.
Choice B is incorrect as it does not address the specific risk associated with smoking while on the medication. Choice C is incorrect as stopping the medication suddenly does not directly increase the risk for a heart attack. Choice D is irrelevant to nicotine replacement therapy and does not provide information related to the medication's use.
A client who received benzocaine spray before a recent bronchoscopy presents with continuous cyanosis despite oxygen therapy. What action should the nurse take next?
- A. Administer albuterol treatment.
- B. Notify Rapid Response Team.
- C. Assess the client's peripheral pulses.
- D. Obtain blood and sputum cultures.
Correct Answer: B
Rationale: The correct answer is B: Notify Rapid Response Team. Continuous cyanosis despite oxygen therapy after benzocaine spray indicates possible methemoglobinemia, a life-threatening condition. Rapid Response Team can provide immediate intervention and transfer to a higher level of care. Administering albuterol (A) is not indicated for methemoglobinemia. Assessing peripheral pulses (C) may not address the underlying issue. Obtaining blood and sputum cultures (D) is not the priority in this acute situation.
A nurse teaches a client with tuberculosis (TB) who is being discharged. Which statement by the client indicates a need for further teaching?
- A. I will take my medication as prescribed.
- B. I will need to have regular follow-up chest x-rays.
- C. I will be able to return to work immediately.
- D. I will use tissues to cover my mouth when I cough.
Correct Answer: C
Rationale: The correct answer is C because a client with TB should not return to work immediately due to the risk of spreading the infection. Taking medication as prescribed (A), having regular follow-up chest x-rays (B), and using tissues to cover the mouth when coughing (D) are all important aspects of managing TB and preventing its spread. Returning to work immediately can put coworkers at risk of contracting TB. Therefore, the client should understand the importance of taking precautions and following healthcare provider recommendations to ensure proper treatment and prevent transmission of the disease.