Nokea
To prevent agitation during the patient's recovery from anesthesia, when should the nurse begin orientation explanations?
- A. When the patient is awake
- B. When the patient first arrives in the PACU
- C. When the patient becomes agitated or frightened
- D. When the patient can be aroused and recognizes where he or she is
Correct Answer: B
Rationale: Early orientation helps prevent confusion and agitation as the patient recovers from anesthesia.
You may also like to solve these questions
What goal assumes the highest priority for Ms. Weeze with an acute asthmatic attack?
- A. Preventing future attacks
- B. Maintaining quiet, restful environment
- C. Observing for signs of drug toxicity
- D. Relieving bronchial spasm
Correct Answer: D
Rationale: Relieving bronchospasm is critical to restore adequate airflow.
Mary is diagnosed with a brain tumor and is unable to speak. Where is the tumor probably located?
- A. Occipital lobe.
- B. Cerebellum.
- C. Frontal lobe.
- D. Parietal lobe.
Correct Answer: C
Rationale: The frontal lobe controls speech and language functions.
A client with emphysema is being cared for by a nurse. Which of the following findings should the nurse not expect to assess in this client?
- A. Dyspnea
- B. Bradycardia
- C. Barrel chest
- D. Clubbing of the fingers
Correct Answer: B
Rationale: Step 1: Emphysema causes impaired gas exchange, leading to dyspnea (A) due to difficulty breathing.
Step 2: Emphysema results in hyperinflation of the lungs, causing a barrel chest (C) due to increased chest diameter.
Step 3: Clubbing of the fingers (D) is a sign of chronic hypoxia, commonly seen in emphysema.
Step 4: Bradycardia (B) is not typically associated with emphysema; tachycardia is more common due to the body compensating for hypoxia.
What is the priority intervention for a patient admitted to your unit diagnosed with advanced amyotrophic lateral sclerosis (ALS)?
- A. Develop a method of communication.
- B. Provide six small meals high in protein and assist with feeding.
- C. Do not involve the patient in decisions about his healthcare because he is not in the mental state to respond.
- D. Provide six normal meals high in protein and assist with feeding.
Correct Answer: A
Rationale: Communication becomes critical as ALS progresses and affects motor functions.
Which BMI is typically associated with anorexia nervosa?
- A. Increase protein intake
- B. Reduce carbohydrate consumption
- C. Drink more water
- D. Take vitamin supplements
Correct Answer: C
Rationale: The correct answer is C because it is the most appropriate response based on physiological and medical principles.