Nokea
What drugs might a client have taken in the past that would have affected their hearing?
- A. Salicylates
- B. Penicillin
- C. Spironolactone
- D. Ceclor
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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What is the leading cause of death in the United States?
- A. Cancer
- B. Diabetes mellitus
- C. Coronary artery disease
- D. Cerebrovascular accident
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When teaching a client with chronic obstructive pulmonary disease (COPD) about nutrition, what information should be included? (Select all that apply)
- A. Avoid drinking fluids just before and during meals.
- B. Rest before meals if experiencing dyspnea.
- C. Have about six small meals a day.
- D. Eat high-fiber foods to promote gastric emptying.
Correct Answer: D
Rationale: The correct answer is D: Eat high-fiber foods to promote gastric emptying. In COPD, patients may experience slow gastric emptying due to decreased lung function. High-fiber foods can help with digestion and prevent constipation.
A: Avoid drinking fluids just before and during meals - Incorrect. Hydration is important for COPD patients, but timing of fluid intake is not directly related to nutrition in this context.
B: Rest before meals if experiencing dyspnea - Incorrect. While resting before meals can help with dyspnea, it is not directly related to nutrition education.
C: Have about six small meals a day - Incorrect. While small frequent meals may be beneficial for some COPD patients, this is not a universal recommendation for all individuals with COPD in terms of nutrition.
Alex is a 78-year-old married man with sudden onset of confusion and disorientation; he is exhibiting combative behavior. He has no previous psychiatric history. A psychiatric consultation has been called. You suspect Alex has
- A. Delirium.
- B. Psychosis.
- C. Depression.
- D. Panic disorder.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What instruction should be included when teaching a client with asthma about using a metered-dose inhaler (MDI)?
- A. Shake the inhaler well before use.
- B. Inhale rapidly while administering the medication.
- C. Administer the medication while lying down.
- D. Hold the inhaler 2 inches away from the mouth while inhaling.
Correct Answer: A
Rationale: Rationale for Correct Answer A:
1. Shaking the inhaler well before use helps ensure proper mixing of the medication.
2. This action helps to distribute the medication evenly for effective delivery.
3. It prevents clogging and ensures the client receives the correct dose.
4. Shake-and-use approach is essential for optimal therapeutic benefits.
Summary of Incorrect Choices:
B: Inhaling rapidly may lead to improper medication delivery and increase the risk of side effects.
C: Administering medication while lying down may not allow the client to inhale the medication effectively.
D: Holding the inhaler too far away can result in decreased medication intake and reduced efficacy.
A client with asthma presents with bilateral wheezing, decreased pulse oxygen saturation, and suprasternal retraction on inhalation. Which actions should the nurse take? (SATA)
- A. Administer prescribed salmeterol (Serevent) inhaler.
- B. Assess the client for a tracheal deviation.
- C. Administer oxygen to maintain saturations above 94%.
- D. Perform peak expiratory flow measurements.
Correct Answer: C
Rationale: The correct answer is C. Administer oxygen to maintain saturations above 94%. In asthma exacerbation, maintaining oxygen saturation is crucial to prevent hypoxia. Oxygen therapy helps improve oxygen delivery to tissues and organs. Administering salmeterol (choice A) may help with long-term management but is not an immediate priority. Tracheal deviation assessment (choice B) is not relevant to asthma exacerbation. Performing peak expiratory flow measurements (choice D) may be helpful for monitoring asthma severity but is not the priority in this acute situation.