Nokea
What high-priority nursing diagnoses and interventions would you identify for a client diagnosed with anxiety?
- A. High blood pressure
- B. Increased heart rate
- C. Decreased oxygen supply
- D. Muscle relaxation
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Mrs. Brown asks about the difference between wide- and narrow-angle glaucoma. Which of the following responses would be most appropriate?
- A. With wide-angle glaucoma there is a minimal increase in ocular pressure.
- B. Wide-angle glaucoma is usually asymptomatic.
- C. Complications from narrow-angle glaucoma are less severe than those from wide-angle glaucoma.
- D. Narrow-angle glaucoma is usually asymptomatic.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with emphysema is being assessed by a nurse. Which clinical manifestation should the nurse expect?
- A. Decreased chest expansion
- B. Cyanosis
- C. Pursed-lip breathing
- D. Bradypnea
Correct Answer: C
Rationale: The correct answer is C: Pursed-lip breathing. In emphysema, air becomes trapped in the lungs due to damaged air sacs, making it difficult to exhale. Pursed-lip breathing helps to prolong exhalation, preventing air trapping. Decreased chest expansion (A) is more indicative of conditions like pleural effusion. Cyanosis (B) is a sign of inadequate oxygenation, which is not a primary manifestation of emphysema. Bradypnea (D) refers to slow breathing rate, which is not typically associated with emphysema. Pursed-lip breathing is a characteristic and effective coping mechanism seen in clients with emphysema.
The start of the luteal phase of the menstrual cycle is marked by:
- A. Menstruation
- B. Pelvic pain
- C. Ovulation
- D. Cramping
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client learns about pursed-lip breathing. Which statement by the client indicates teaching has been effective?
- A. I will breathe in quickly through my mouth and out through my nose.
- B. I will breathe in slowly through my nose and out through pursed lips.
- C. I will hold my breath for 10 seconds before exhaling.
- D. I will breathe in and out through pursed lips.
Correct Answer: B
Rationale: The correct answer is B because pursed-lip breathing involves inhaling slowly through the nose and exhaling slowly through pursed lips, which helps improve lung function and relaxes the client. Choice A is incorrect because breathing in quickly through the mouth is not part of pursed-lip breathing technique. Choice C is incorrect as holding breath before exhaling is not recommended in pursed-lip breathing. Choice D is partially correct but lacks the emphasis on inhaling slowly through the nose. Therefore, the most effective statement indicating correct teaching is choice B.
11. A patient who is receiving radiation therapy for breast cancer tells the nurse that she cannot verbalize her fears about her treatment. Which complementary or alternative therapy would be most beneficial for the nurse to teach this patient about at this time?
- A. Journaling
- B. Yoga therapy
- C. Herbal therapy
- D. Chiropractic therapy
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.