Nokea
What complication can result from tracheal suctioning?
- A. Acute hypoxemia
- B. Gastric dilatation
- C. Hypervolemic shock
- D. Epiglottitis
Correct Answer: A
Rationale: Suctioning temporarily reduces oxygen levels, necessitating careful monitoring.
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The patient asks when she should take bisphosphonate medications for treatment of osteoporosis. You tell her
- A. On a full stomach.
- B. Just before getting into bed.
- C. First thing in the morning on an empty stomach with a full glass of water, 30 to 60 minutes before eating, and without lying down.
- D. With an acidic liquid such as orange juice.
Correct Answer: C
Rationale: Bisphosphonates require specific administration guidelines to enhance absorption.
What type of shock is the client experiencing if there is no urine return after inserting a Foley catheter?
- A. Decreased blood pressure
- B. Increased heart rate
- C. Fluid retention
- D. Muscle cramps
Correct Answer: A
Rationale: Decreased blood pressure is a primary symptom in fluid imbalance as a result of inadequate circulating volume, leading to hypotension and possible shock.
Which test involves providing quick responses to words like 'mother...', 'work...', et ?
- A. Minnesota Multiphasic Personality Inventory
- B. Word Association Test
- C. Rorschach Test
- D. Beck Depression Inventory
Correct Answer: B
Rationale: The Word Association Test requires clients to quickly respond to words, revealing unconscious thoughts and emotions through their responses.
What precaution should a nurse take to minimize the risk of death when using potassium chloride to flush a lock or central venous catheter?
- A. Use a dilute form of potassium chloride before flushing locks.
- B. Warm the potassium chloride before flushing locks.
- C. Document on the client’s chart.
- D. Ask the client to implement the instruction.
Correct Answer: A
Rationale: The correct answer is A because concentrated potassium chloride can cause cardiac arrest if injected rapidly.
How would you respond to a family member experiencing anticipatory grieving who emotionally withdraws from the client?
- A. Encourage continued engagement and communication.
- B. Allow space while offering support and reassurance.
- C. Advise them to focus solely on practical matters.
- D. Recommend avoiding the client until after their passing.
Correct Answer: B
Rationale: Offering support while respecting emotional withdrawal helps family members process grief at their own pace.