What is the correct term for a fear of having panic attacks in public places?
- A. Social phobia
- B. Acrophobia
- C. Nyctophobia
- D. Agoraphobia
Correct Answer: D
Rationale: Agoraphobia specifically refers to the fear of being in public spaces or situations where escape might be difficult.
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A client with a chest tube connected to a closed drainage system needs to be transported to the x-ray department. Which of the following actions should the nurse take?
- A. Clamp the chest tube prior to transferring the client to a wheelchair.
- B. Disconnect the chest tube from the drainage system during transport.
- C. Keep the drainage system below the level of the client's chest at all times.
- D. Empty the collection chamber prior to transport.
Correct Answer: C
Rationale: The correct answer is C: Keep the drainage system below the level of the client's chest at all times. This is important to prevent backflow of air or fluid into the client's chest, which can lead to complications such as a pneumothorax or hemothorax. Gravity ensures that the drainage system functions properly and prevents any potential harm to the client.
A: Clamping the chest tube prior to transferring the client is incorrect as it can cause a dangerous buildup of pressure in the chest.
B: Disconnecting the chest tube from the drainage system can also lead to complications and disrupt the drainage process.
D: Emptying the collection chamber is important but not the priority during transport; keeping the drainage system below the chest level is crucial for the client's safety.
What is the most common cause of amblyopia?
- A. Strabismus
- B. Cataracts
- C. Astigmatism
- D. Glaucoma
Correct Answer: A
Rationale: Strabismus, or misalignment of the eyes, is the leading cause of amblyopia in children.
A client with emphysema is being cared for by a nurse. Which of the following findings should the nurse not expect to assess in this client?
- A. Dyspnea
- B. Bradycardia
- C. Barrel chest
- D. Clubbing of the fingers
Correct Answer: B
Rationale: Step 1: Emphysema causes impaired gas exchange, leading to dyspnea (A) due to difficulty breathing.
Step 2: Emphysema results in hyperinflation of the lungs, causing a barrel chest (C) due to increased chest diameter.
Step 3: Clubbing of the fingers (D) is a sign of chronic hypoxia, commonly seen in emphysema.
Step 4: Bradycardia (B) is not typically associated with emphysema; tachycardia is more common due to the body compensating for hypoxia.
An inflammatory bowel disorder in which the patient develops abdominal pain, bloody diarrhea, tenesmus (feeling of incomplete defecation), and weight loss is
- A. Crohn's disease.
- B. Diverticulitis.
- C. Ulcerative colitis.
- D. Appendicitis.
Correct Answer: C
Rationale: Ulcerative colitis typically presents with these symptoms.
A client develops volume overload from an IV that has infused too rapidly. What assessment would the nurse expect to find?
- A. S3 heart sound.
- B. Thready pulse.
- C. Flattened neck veins.
- D. Hypoventilation.
Correct Answer: A
Rationale: An S3 heart sound indicates volume overload.