Nokea
What are the responsibilities of a circulating nurse?
- A. Obtaining and opening wrapped sterile equipment.
- B. Preparing sutures.
- C. Handing instruments to the surgeon and assistants.
- D. Assisting with putting the client to sleep.
Correct Answer: A
Rationale: The correct answer is A because the circulating nurse ensures all necessary sterile equipment is available and prepared.
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A client with COPD is developing a plan of care. Which of the following interventions should the nurse include in the plan?
- A. Restrict the client's fluid intake to less than 2 L/day
- B. Provide the client with a low-protein diet
- C. Have the client use the early-morning hours for exercise and activity
- D. Instruct the client to use pursed-lip breathing
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to use pursed-lip breathing. Pursed-lip breathing helps improve ventilation and decrease air trapping in clients with COPD, enhancing oxygenation and reducing shortness of breath. It also facilitates better gas exchange and can help the client manage their symptoms effectively.
A: Restricting fluid intake is not typically indicated for clients with COPD unless they have comorbid conditions that require fluid restriction.
B: Providing a low-protein diet is not a standard intervention for COPD management. Protein is important for muscle strength and repair in these clients.
C: While exercise and activity are beneficial for clients with COPD, instructing them to do so specifically in the early-morning hours is not a priority intervention compared to pursed-lip breathing.
The following are the monometer measurements of four clients. Which of them has normal intraocular pressure (IOP)?
- A. 8 mm Hg
- B. 11 mm Hg
- C. 25 mm Hg
- D. 28 mm Hg
Correct Answer: B
Rationale: Normal intraocular pressure ranges from 10 to 21 mm Hg. Therefore, 11 mm Hg is within the normal range.
With what are the postoperative respiratory complications of atelectasis and aspiration of gastric contents associated?
- A. Hypoxemia
- B. Hypercapnia
- C. Hypoventilation
- D. Airway obstruction
Correct Answer: A
Rationale: Hypoxemia results from impaired gas exchange due to atelectasis or aspiration.
Patients with rheumatoid arthritis typically have pain
- A. With activity.
- B. Only upon awakening.
- C. Late in the evening.
- D. All day without remission.
Correct Answer: A
Rationale: RA pain worsens with activity due to joint inflammation.
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.