Nokea
What is a device that delivers a fine spray of medication into the airways?
- A. Nebulizer
- B. Inhaler
- C. Oxygen concentrator
- D. Peak flow meter
Correct Answer: A
Rationale: The correct answer is A: Nebulizer. A nebulizer is a device that delivers medication in the form of a fine spray into the airways, making it easier for the patient to inhale the medication and reach the lungs. It is commonly used for treating respiratory conditions such as asthma and COPD. Inhalers (B) deliver medication in a different format, through a measured dose of medication in aerosol form. Oxygen concentrators (C) provide supplemental oxygen and do not deliver medication. Peak flow meters (D) are used to measure the peak expiratory flow rate and are not used to deliver medication.
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This is a type of therapy that involves removing fluid from the lungs, typically through the use of diuretics.
- A. Diuretic therapy
- B. Oxygen therapy
- C. Inhaler therapy
- D. Antihistamine therapy
Correct Answer: A
Rationale: The correct answer is A: Diuretic therapy. This is because diuretics are medications used to remove excess fluid from the body, including the lungs. By increasing urine output, diuretics help reduce fluid buildup in the lungs, making it easier to breathe. Oxygen therapy (B) delivers oxygen to the lungs but does not involve removing fluid. Inhaler therapy (C) is used for respiratory conditions like asthma but does not remove fluid from the lungs. Antihistamine therapy (D) is used to treat allergies and does not address fluid buildup in the lungs. Thus, diuretic therapy is the most appropriate choice for removing fluid from the lungs.
Which of the following are the reasons a nurse discourages the consumption of alcohol for a client with mitral valve prolapse?
- A. Tachycardia
- B. Cinchonism
- C. Hypertension
- D. Cardiac stimulation
Correct Answer: D
Rationale: Alcohol can stimulate the heart, exacerbating symptoms in clients with mitral valve prolapse.
What is a condition where the heart's mitral valve does not close properly, causing blood to leak backward into the left atrium?
- A. Mitral valve prolapse
- B. Aortic stenosis
- C. Mitral stenosis
- D. Tricuspid regurgitation
Correct Answer: A
Rationale: Mitral valve prolapse is the correct answer because it is a condition where the mitral valve doesn't close properly, leading to blood leakage into the left atrium during the heart's contraction. This results in a characteristic systolic click on auscultation. Aortic stenosis (B) involves narrowing of the aortic valve, not the mitral valve. Mitral stenosis (C) refers to a narrowing of the mitral valve, not improper closure. Tricuspid regurgitation (D) is when the tricuspid valve doesn't close properly, causing blood to leak backward into the right atrium, not the left atrium.
What diagnostic procedure uses sound waves to create images of the heart and assess its structure and function?
- A. Echocardiogram
- B. MRI
- C. CT scan
- D. X-ray
Correct Answer: A
Rationale: The correct answer is A: Echocardiogram. An echocardiogram uses sound waves to create images of the heart, providing detailed information about its structure and function in real-time. This procedure is non-invasive, safe, and commonly used to diagnose heart conditions such as valve abnormalities, heart size, and blood flow. It allows visualization of the heart chambers, valves, and blood vessels. MRI (B) and CT scan (C) use different imaging techniques and are not specifically designed to assess the heart's structure and function. X-ray (D) provides limited information about the heart compared to an echocardiogram.
What test measures the electrical activity of the heart over a 24- or 48-hour period?
- A. Holter monitor
- B. Electrocardiogram
- C. Stress test
- D. Chest X-ray
Correct Answer: A
Rationale: The correct answer is A: Holter monitor. This device records the electrical activity of the heart over an extended period, typically 24-48 hours, providing a more comprehensive assessment compared to a standard ECG (choice B). A stress test (choice C) evaluates the heart's response to physical exertion, not prolonged monitoring. A chest X-ray (choice D) is used to visualize the heart and lungs, but does not measure electrical activity. Therefore, the Holter monitor is the most appropriate test for continuous monitoring of heart activity over an extended period.