Nokea
To prepare Mr. Singer for esophageal speech, the nurse can be most helpful by assisting him to
- A. Take air into the esophagus
- B. Develop abdominal breathing
- C. Take deep breaths
- D. Regulate coughing
Correct Answer: A
Rationale: Esophageal speech requires learning to trap and expel air from the esophagus.
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Which type of intravenous fluid draws fluid into the intravascular compartment from the more dilute areas in the cells and interstitial spaces?
- A. Isotonic fluid
- B. Hypertonic fluid
- C. Hypotonic fluid
- D. Colloid fluid
Correct Answer: B
Rationale: The correct answer is B because hypertonic fluids draw water from cells into the bloodstream, increasing intravascular volume.
A student asks the faculty to explain best practices when communicating with a person from the LGBTQ community. What answer by the faculty is most accurate?
- A. Avoid embarrassing the individual by asking questions.
- B. Don't make assumptions about their health needs.
- C. Most LGBTQ individuals do not want to share information.
- D. No differences exist in communicating with this group.
Correct Answer: B
Rationale: The correct answer is B: Don't make assumptions about their health needs.
Rationale:
1. LGBTQ individuals have diverse health needs.
2. Making assumptions can lead to inappropriate or inadequate care.
3. By not assuming, you show respect and promote open communication.
4. This approach fosters trust and ensures individualized care.
Other choices:
A: Avoiding questions can hinder understanding and communication.
C: Generalizing that most LGBTQ individuals do not share information is inaccurate.
D: Differences exist in the LGBTQ community that should be acknowledged for effective communication.
When caring for a client with acute pancreatitis, what intervention is most appropriate?
- A. Encourage a high-protein diet.
- B. Administer pain medication as needed.
- C. Provide small, frequent meals.
- D. Increase oral fluid intake.
Correct Answer: B
Rationale: The correct answer is B: Administer pain medication as needed. In acute pancreatitis, pain management is crucial to provide comfort and improve outcomes. Pain medication helps alleviate the severe abdominal pain associated with pancreatitis. It is essential to treat pain promptly to prevent complications and improve the client's quality of life. Encouraging a high-protein diet (A) is not recommended as it may exacerbate pancreatitis symptoms. Providing small, frequent meals (C) may help reduce the workload on the pancreas, but pain management takes precedence. Increasing oral fluid intake (D) is important for hydration but does not address the primary concern of pain relief in acute pancreatitis.
Sue is having a minor procedure performed. Which type of anesthesia is most likely to be used?
- A. General.
- B. Epidural.
- C. Regional.
- D. Conscious sedation.
Correct Answer: D
Rationale: Conscious sedation is often used for minor procedures.
What is the rationale for using preoperative checklists on the day of surgery?
- A. The patient is correctly identified.
- B. All preoperative orders and procedures have been carried out and records are complete.
- C. Patients' families have been informed as to where they can accompany and wait for patients.
- D. Preoperative medications are the last procedure before the patient is transported to the operating room.
Correct Answer: B
Rationale: Checklists ensure all necessary steps are completed, enhancing patient safety.