Nokea
What is the first action that you should direct the caller to perform?
- A. Call 911
- B. Remove the stinger by scraping
- C. Apply a cool compress
- D. Take an oral antihistamine
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A very obese female client returns to her room after abdominal surgery. The client is drowsy, but oriented; her abdominal dressing is dry and intact; and her vital signs are T 98.4, P 87, R 18, and BP 146/72. An appropriate postoperative nursing diagnosis would be:
- A. that airway clearance is ineffective.
- B. noncompliance.
- C. altered nutrition, less than her body requirements.
- D. alteration in comfort, abdominal pain.
Correct Answer: D
Rationale: The assessment information provided does not suggest a postoperative airway problem or a problem with compliance. The assessment information provided does not suggest a problem with compliance or a postoperative airway problem. While the client is obese and has altered nutrition, the nutritional problem is more than her body requirements, not less. Pain is a common phenomenon in clients who have had surgery. Postoperative pain is related to the manipulation of and the injury to tissues during the surgical procedure.
According to the World Health Organization, identify the specific goals of palliative care (select all that apply).
- A. Regard dying as a normal process.
- B. Minimize the financial burden on the family.
- C. Provide relief from symptoms
- D. including pain.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Describe the physiologic stress response.
- A. Eat a balanced diet
- B. Exercise regularly
- C. Sleep for at least 8 hours
- D. Reduce stress levels
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which area of the ED is the most appropriate assignment for this nurse?
- A. Trauma team
- B. Triage
- C. Ambulatory or fast track clinic
- D. Pediatric medicine team
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is wearing a Venturi mask to receive oxygen, and the dinner tray has arrived. What action by the nurse is best?
- A. Assess the client's oxygen saturation and, if normal, turn off the oxygen.
- B. Determine if the client can switch to a nasal cannula during the meal.
- C. Have the client lift the mask off the face when taking bites of food.
- D. Turn off the oxygen while the client eats the meal and then restart it.
Correct Answer: B
Rationale: The correct answer is B: Determine if the client can switch to a nasal cannula during the meal. This is the best action because the client can maintain oxygen therapy while eating without the obstruction of the Venturi mask. Switching to a nasal cannula allows for continued oxygen delivery during meals.
A: Assessing the client's oxygen saturation and turning off the oxygen if normal is incorrect because the client still needs oxygen support during meals.
C: Having the client lift the mask off the face when taking bites of food is incorrect as it disrupts continuous oxygen therapy.
D: Turning off the oxygen while the client eats the meal and then restarting it is incorrect as it interrupts oxygen therapy, which should be continuous for clients requiring oxygen support.