Nokea
What assessment data will the nurse gather when caring for a client with anxiety?
- A. High blood pressure
- B. Increased heart rate
- C. Decreased oxygen supply
- D. Muscle relaxation
Correct Answer: B
Rationale: The correct answer is B because it is the most appropriate response based on physiological and medical principles.
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Which of the following tasks is most appropriate to delegate to the nursing assistant?
- A. Escort the family to a place of privacy
- B. Go with the organ donor specialist to talk to the family
- C. Assist with postmortem care
- D. Assist the family to collect belongings
Correct Answer: C
Rationale: Postmortem care involves basic hygiene and positioning, which can be performed by a nursing assistant.
In an emergency department, a healthcare provider is preparing to care for a client with multiple system trauma following a motor vehicle crash. What should be the priority focus of care?
- A. Airway protection
- B. Decreasing intracranial pressure
- C. Stabilizing cardiac arrhythmias
- D. Preventing musculoskeletal disability
Correct Answer: A
Rationale: The correct answer is A: Airway protection. The priority focus of care in a client with multiple system trauma is to ensure a patent airway to maintain oxygenation and ventilation. Without a clear airway, the client can rapidly deteriorate. Airway management takes precedence over other interventions to prevent hypoxia and respiratory failure. Decreasing intracranial pressure (B) and stabilizing cardiac arrhythmias (C) are important but secondary to ensuring adequate oxygenation. Preventing musculoskeletal disability (D) is not the immediate concern in this critical situation.
What is the role of corticosteroids in treating uveitis?
- A. Reduce inflammation
- B. Prevent infection
- C. Correct refractive errors
- D. None of the above
Correct Answer: A
Rationale: Corticosteroids are used to reduce inflammation in uveitis, preserving vision.
A healthcare professional is monitoring a client following a thoracentesis. The healthcare professional should identify which of the following manifestations as a complication and contact the provider immediately?
- A. Serosanguineous drainage from the puncture site
- B. Discomfort at the puncture site
- C. Increased heart rate
- D. Decreased temperature
Correct Answer: C
Rationale: The correct answer is C, increased heart rate, as it indicates a potential complication such as hemorrhage or pneumothorax post-thoracentesis. An increased heart rate can signify hypovolemia or respiratory distress, requiring immediate provider notification. Serosanguineous drainage (A) is expected initially, discomfort (B) is common, and decreased temperature (D) is not typically a complication post-thoracentesis.
What term reflects the principles used in teaching adult learners?
- A. Pedagogy
- B. Gerogogy
- C. Cybertexting
- D. Androgogy
Correct Answer: D
Rationale: Androgogy emphasizes learner-centered approaches, aligning with adult learning principles such as relevance and experience.