Nokea
What factor would be most important to include in Wendy’s discharge teaching plan?
- A. Effective breathing and coughing techniques
- B. Scheduling of return follow-up visits
- C. Program of recommended and contraindicated activities
- D. Individualized measures to prevent future attacks
Correct Answer: D
Rationale: Preventive measures reduce the likelihood of recurrent attacks.
You may also like to solve these questions
Which nursing diagnosis is appropriate for a client on a fluid restriction?
- A. Excess fluid volume related to intake that exceeds fluid loss
- B. Altered comfort: dry mouth and thirst related to restricted oral fluid
- C. Risk for impaired skin integrity related to compromised circulation secondary to edema
- D. Fluid volume deficit secondary to dehydration
Correct Answer: B
Rationale: A fluid restriction often leads to dry mouth and thirst, making 'Altered comfort' the most relevant nursing diagnosis.
What is your most appropriate response to Mr. Brown suspecting tuberculosis?
- A. Unless you have symptoms you could not have tuberculosis
- B. Have you ever had a skin test for tuberculosis?
- C. A routine chest x-ray will determine if you have tuberculosis
- D. Your neighbor could not infect you if he has been following his treatment regimen
Correct Answer: B
Rationale: A tuberculin skin test detects latent TB infection, even without symptoms.
What is the priority nursing diagnosis?
- A. Risk for Injury related to seizures
- B. Risk for Other-Directed Violence related to hallucinations
- C. Risk for Situational Low Self-esteem related to police custody
- D. Risk for Nutritional Deficit related to chronic alcohol abuse
Correct Answer: A
Rationale: Seizures pose an immediate risk to the patient's safety.
Prior to a thoracentesis, what intervention should the nurse complete?
- A. Measure oxygen saturation before and after the procedure.
- B. Verify that the client has given informed consent.
- C. Explain the procedure briefly to the client and their family.
- D. Ensure informed consent has been obtained from the client.
Correct Answer: D
Rationale: The correct answer is D because ensuring informed consent is crucial before any invasive procedure to protect the client's autonomy and rights. This involves confirming the client's understanding of the procedure, risks, benefits, and alternatives. Option B is correct as it directly relates to the ethical and legal aspect of the procedure. Option A is incorrect as it focuses solely on monitoring oxygen saturation, which is important but not the priority before thoracentesis. Option C is incorrect as simply explaining the procedure does not ensure the client's understanding or consent.
Why would older Asian adults agree with a nurse even though they do not understand each other?
- A. Because they consider it shameful to express that they did not understand each other.
- B. Because they consider it disrespectful to disagree with the nurse.
- C. Because they believe that disagreeing with the nurse would harm their spirit.
- D. Because they believe that listening to the nurse nonjudgmentally is polite.
Correct Answer: B
Rationale: In many Asian cultures, disagreement with authority figures is seen as disrespectful, affecting communication dynamics.