Nokea
To prevent airway obstruction in the postoperative patient who is unconscious or semiconscious, what will the nurse do?
- A. Encourage deep breathing
- B. Elevate the head of the bed
- C. Administer oxygen per mask
- D. Position the patient in a side-lying position
Correct Answer: D
Rationale: Side-lying position prevents tongue obstruction and facilitates drainage of secretions.
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A hospitalized Native American patient tells the nurse that later in the day a medicine man from his tribe is coming to perform a healing ceremony to return his world to balance. What should the nurse recognize about this situation?
- A. The patient does not adhere to an organized,formal religion.
- B. The patient’s spiritual needs may be met by traditional rituals.
- C. The patient’s spiritual needs may be met by traditional rituals.
- D. The patient may be putting his health in jeopardy by relying on rituals.
Correct Answer: B
Rationale: Traditional rituals such as those performed by a medicine man can meet the spiritual needs of Native American patients. This approach respects their cultural beliefs without undermining conventional medical treatment.
Which theorist discussed adaptive and maladaptive behaviors?
- A. F. Skinner
- B. Harry Stack Sullivan
- C. Erik Erikson
- D. Sigmund Freud
Correct Answer: A
Rationale: F. Skinner's behaviorist theory emphasizes how behaviors are learned through reinforcement and punishment.
Which of the following would have the highest priority in septic shock?
- A. Monitoring temperature.
- B. Monitoring pupillary reaction.
- C. Monitoring airway, breathing, circulation (ABC).
- D. Monitoring ANA and RF levels.
Correct Answer: C
Rationale: Maintaining ABCs is critical in septic shock.
Following chemotherapy, a patient is being closely monitored for tumor lysis syndrome. Which laboratory value requires particular attention?
- A. Platelet count.
- B. Electrolytes.
- C. Hemoglobin.
- D. Hematocrit.
Correct Answer: B
Rationale: Electrolyte imbalances, particularly hyperkalemia and hyperuricemia, are hallmark features of tumor lysis syndrome and must be closely monitored.
The nurse identifies the presence of age-associated memory impairment in the older adult who states
- A. I just can't seem to remember the name of my granddaughter.
- B. I make out lists to help me remember what I need to do but I can't seem to use them.
- C. I forgot that I went to the grocery store this morning and didn't realize it until I went again this afternoon.
- D. I forget movie stars' names more often now but I can remember them later after the conversation is off.
Correct Answer: C
Rationale: Age-associated memory impairment typically involves short-term memory lapses rather than complete forgetting. Forgetting actions like visiting the grocery store earlier in the day aligns with this type of impairment.