Nokea
To prevent the client with a head cold from developing a secondary ear infection, which recommendation is most appropriate?
- A. Sleeping with the head elevated
- B. Blaving the nose very gently
- C. Inserting cotton into the ears
- D. Massaging the area behind the ears
Correct Answer: B
Rationale: Blowing the nose gently prevents excessive pressure in the Eustachian tubes, which can lead to fluid buildup and secondary ear infections.
You may also like to solve these questions
Which specimen collection technique should the nurse use to correctly obtain the throat culture from the client?
- A. The nurse asks the client to expectorate sputum into a paper cup.
- B. The nurse wipes the inner mouth and tongue with gauze.
- C. The nurse swabs the throat with a sterile cotton applicator.
- D. The nurse collects saliva in a sterile culture cup.
Correct Answer: C
Rationale: A throat culture requires swabbing the pharynx with a sterile cotton applicator to collect a sample from the area most likely to harbor pathogens.
The nurse is completing the admission assessment on a 13-year-old client diagnosed with an acute exacerbation of asthma. Which signs and symptoms would the nurse expect to find?
- A. Fever and crepitus.
- B. Rales and hives.
- C. Dyspnea and wheezing.
- D. Normal chest shape and eupnea.
Correct Answer: C
Rationale: Asthma exacerbation causes dyspnea and wheezing (C) from bronchoconstriction. Fever/crepitus (A), rales/hives (B), and normal breathing (D) are unrelated or incorrect.
A patient with COPD is reporting depression and thoughts of suicide. The patient states, 'I just feel like ending it all.' You assess the patient's health history and note that the patient was recently started on which medication that could cause this side effect:
- A. Atrovent
- B. Prednisone
- C. Roflumilast
- D. Theophylline
Correct Answer: C
Rationale: Roflumilast is associated with psychiatric side effects, including depression and suicidal thoughts. Other medications (A, B, D) are less commonly linked to these effects.
The client is diagnosed with cancer of the larynx and is to have radiation therapy to the area. Which prophylactic procedure will the nurse prepare the client for?
- A. Removal of the client's teeth and fitting for dentures.
- B. Take antiemetic medications every four (4) hours.
- C. Wear sunscreen on the area at all times.
- D. Placement of a nasogastric feeding tube.
Correct Answer: A
Rationale: Dental extraction (A) prevents radiation-induced tooth decay. Antiemetics (B), sunscreen (C), and NG tubes (D) are not prophylactic for laryngeal radiation.
The nurse is applying oxygen via nasal cannula to a client diagnosed with chronic obstructive pulmonary disease (COPD). The client complains of extreme shortness of breath. At which rate should the nurse set the flowmeter?
- A. 2 LPM.
- B. 4 LPM.
- C. 6 LPM.
- D. 10 LPM.
Correct Answer: A
Rationale: COPD clients require low-flow oxygen (2 LPM, A) to avoid CO2 retention. Higher rates (B, C, D) risk respiratory drive suppression.