Nokea
What condition should the nurse anticipate that might occur during epidural and spinal anesthesia?
- A. Spinal headache
- B. Hypotension and bradycardia
- C. Loss of consciousness and seizures
- D. Downward extension of nerve block
Correct Answer: B
Rationale: Epidural and spinal anesthesia commonly cause hypotension and bradycardia due to sympathetic blockade.
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What is included in the routine assessment of the patient's cardiovascular function on admission to the PACU?
- A. Monitoring arterial blood gases
- B. Electrocardiographic (ECG) monitoring
- C. Determining fluid and electrolyte status
- D. Direct arterial blood pressure monitoring
Correct Answer: B
Rationale: ECG monitoring assesses cardiovascular function, detecting arrhythmias or ischemia.
During a family meeting, the patient's father called his son a bum because of his drug use and running afoul of the law. What is the best response?
- A. Anyone can become physiologically and psychologically dependent on drugs, which can result in drug-seeking behaviors that can lead to health, financial, family, and legal problems.
- B. Your son realizes his problem and is trying to change.
- C. Have you thought about going to family therapy?
- D. Have you heard about Nar-Anon or Al-Anon?
Correct Answer: A
Rationale: Educating the family about addiction reduces stigma and promotes understanding.
Priority treatment of a fracture is
- A. Surgical reduction of the fracture.
- B. Immobilization of the area.
- C. Insertion of an internal fixation device.
- D. Reduction of the fracture.
Correct Answer: B
Rationale: Immobilization prevents further injury and promotes healing.
A client has a disposable three-chamber chest tube in place. Which of the following findings should indicate to the nurse that the client is experiencing a complication?
- A. Continuous bubbling in the water-seal chamber
- B. Occasional bubbling in the water-seal chamber
- C. Constant bubbling in the suction-control chamber
- D. Fluctuations in the fluid level in the water-seal chamber
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Continuous bubbling in the water-seal chamber indicates air leaks, which can lead to pneumothorax.
2. Occasional bubbling in the water-seal chamber is normal as air exits the pleural space.
3. Constant bubbling in the suction-control chamber indicates high suction pressure, not a complication.
4. Fluctuations in the fluid level in the water-seal chamber are expected during normal respiration.
What does using random weights help to prevent when weighing a client diagnosed with binge eating?
- A. Dehydration
- B. Lying about weight
- C. Water loading
- D. Denial of weight loss
Correct Answer: B
Rationale: Random weights reduce opportunities for clients to manipulate or lie about their actual weight.