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What is the correct sequence of examination techniques that should be used when assessing the patient’s abdomen?
- A. Inspection, palpation, auscultation, percussion
- B. Palpation, percussion, auscultation, inspection
- C. Auscultation, inspection, percussion, palpation
- D. Inspection, auscultation, percussion, palpation
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A client with chronic obstructive pulmonary disease (COPD) is being taught by a nurse. What nutrition information should the nurse include in the teaching?
- A. Avoid drinking fluids just before and during meals.
- B. Rest before meals if experiencing dyspnea.
- C. Consume about six small meals a day.
- D. Consume high-fiber foods to promote gastric emptying.
Correct Answer: D
Rationale: Correct Answer: D
Rationale:
1. High-fiber foods promote gastric emptying, reducing the risk of bloating and discomfort in COPD patients.
2. COPD patients may experience decreased appetite, and high-fiber foods can provide necessary nutrients without overeating.
3. Increased fiber intake can aid in managing constipation, a common issue in patients with COPD due to decreased physical activity.
Summary:
A: Avoiding fluids before meals is not directly related to COPD management.
B: Resting before meals may help with dyspnea but does not address nutritional needs.
C: Consuming six small meals a day may not be necessary for all COPD patients and is not as crucial as promoting gastric emptying with high-fiber foods.
A patient with lung cancer develops syndrome of inappropriate antidiuretic hormone secretion (SIADH). After reporting symptoms of weight gain, weakness, and nausea and vomiting to the physician, you would anticipate which initial order for the treatment of this patient?
- A. A fluid bolus as ordered.
- B. Fluid restrictions as ordered.
- C. Urinalysis as ordered.
- D. Sodium-restricted diet as ordered.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare professional assesses a client who is experiencing an acute asthma attack. Which assessment finding requires immediate intervention?
- A. Loud wheezing
- B. Increased respiratory rate
- C. Use of accessory muscles
- D. Silent chest
Correct Answer: D
Rationale: The correct answer is D: Silent chest. This finding indicates severe airway obstruction and impending respiratory failure, requiring immediate intervention to prevent respiratory arrest. Silent chest means minimal or absent breath sounds, suggesting no air movement, which is a critical emergency situation. Wheezing (A), increased respiratory rate (B), and use of accessory muscles (C) are common in asthma attacks but do not indicate as severe a condition as a silent chest. Monitoring and addressing a silent chest promptly is crucial in managing acute asthma exacerbations.
What medication would be expected for Mrs. West’s pain relief?
- A. Phenergan (promethazine)
- B. Valium (diazepam)
- C. Demerol (meperidine)
- D. Compazine (prochlorperazine)
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What statement best indicates patient understanding of postural drainage?
- A. ‘I should try to hold the proper position for 20 minutes.’
- B. ‘I should continue postural drainage even when my cough is nonproductive.’
- C. ‘The positions for postural drainage always remain the same.’
- D. ‘Postural drainage uses gravity to move the secretions.’
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.