Nokea
What activity would be most difficult for Mr. Singer to modify?
- A. Cover mouth when coughing and sneezing
- B. Take the prescribed medication with meals
- C. Wear the Medic Alert bracelet
- D. Keep the stoma covered
Correct Answer: D
Rationale: Stoma care is essential to prevent infection and ensure proper breathing.
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A client with acute respiratory failure (ARF) is being cared for by a nurse. The nurse should monitor the client for which of the following manifestations of this condition?
- A. Severe dyspnea
- B. Nausea
- C. Decreased level of consciousness
- D. Headache
Correct Answer: B
Rationale: The correct answer is B: Nausea. In acute respiratory failure (ARF), the body may compensate by increasing respiratory rate, leading to respiratory alkalosis. This can cause nausea due to the altered pH levels affecting the chemoreceptors in the brain. Severe dyspnea (choice A) is a common symptom of ARF but does not specifically relate to nausea. Decreased level of consciousness (choice C) may indicate severe hypoxemia but is not a direct manifestation of ARF. Headache (choice D) is more commonly associated with conditions like hypoxia, hypercapnia, or respiratory acidosis in ARF.
Why should the nurse assess current weight status and recent weight fluctuations in a client with anxiety?
- A. Weight fluctuations indicate impaired kidney function in clients with anxiety
- B. All clients with anxiety lose weight rapidly
- C. Antianxiety drugs increase appetite
- D. Some clients may react to stress by overeating
Correct Answer: D
Rationale: Clients may overeat or lose appetite due to stress, affecting their weight and overall health.
A client has burns to his face, ears, and eyelids. What is the priority finding for the nurse to report to the provider?
- A. Urinary output of 25 mL/hr
- B. Difficulty swallowing
- C. Heart rate of 122/min
- D. Pain level of 6 on a scale of 0 to 10
Correct Answer: B
Rationale: The correct answer is B: Difficulty swallowing. This is the priority finding to report because burns to the face, ears, and eyelids can lead to swelling, which can compromise the airway and cause difficulty swallowing or breathing. This finding indicates a potential airway obstruction, which requires immediate intervention to ensure the client's airway remains patent.
Incorrect choices:
A: Urinary output of 25 mL/hr - While monitoring urinary output is important, it is not the priority in this situation.
C: Heart rate of 122/min - An elevated heart rate can be a response to pain and stress, but it is not the priority over airway concerns.
D: Pain level of 6 on a scale of 0 to 10 - Pain management is important but not as critical as ensuring airway patency in this scenario.
What interventions can the nurse use to decrease the client's anxiety?
- A. Increase protein intake
- B. Reduce carbohydrate consumption
- C. Drink more water
- D. Take vitamin supplements
Correct Answer: B
Rationale: The correct answer is B because it is the most appropriate response based on physiological and medical principles.
Which group of learners were born between 1961 and 1981 and have different learning needs due to technology and imposed independence?
- A. Generation Y
- B. Generation Net
- C. Generation X
- D. Baby Boomers
Correct Answer: C
Rationale: Generation X learners value independence and practical application due to technological advancements during their formative years.