Nokea
What is the most common cause of optic neuritis?
- A. Multiple sclerosis
- B. Infections
- C. Trauma
- D. All of the above
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is caring for a client 2 hours after a right lower lobectomy. During the evaluation of the water-seal chest drainage system, it is noted that the fluid level bubbles constantly in the water seal chamber. On inspection of the chest dressing and tubing, the nurse does not find any air leaks in the system. The next best action for the nurse is to:
- A. Check for subcutaneous emphysema in the upper torso.
- B. Reposition the client to a position of comfort.
- C. Call the health care provider as soon as possible.
- D. Check for any increase in the amount of thoracic drainage.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is scheduled to have a tracheostomy placed in an hour. What action by the nurse is the priority?
- A. Administer prescribed anxiolytic medication.
- B. Ensure informed consent is on the chart.
- C. Reinforce any teaching done previously.
- D. Start the preoperative antibiotic infusion.
Correct Answer: B
Rationale: The correct answer is B: Ensure informed consent is on the chart. This is the priority because obtaining informed consent is essential to ensure the client understands the procedure, risks, benefits, and alternatives. It protects the client's autonomy and ensures legal and ethical standards are met. Administering anxiolytic medication may help with anxiety but does not address the crucial issue of consent. Reinforcing teaching and starting antibiotics are important but secondary to obtaining informed consent.
This patient should be prioritized into which category?
- A. High urgent
- B. Urgent
- C. Non-urgent
- D. Emergent
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Although acute pain is severe, why does a client with acute pain cope better with the discomfort in the later stages?
- A. Because the pain is negligible in the later stages.
- B. Because an increased dosage of analgesics is used in the later stages.
- C. Because the client’s perception of pain minimizes in the later stages.
- D. Because there is a reinforcing belief that the pain will resolve in time.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following should qualify as an abnormal result in a Romberg test?
- A. Hypotension
- B. Sneezing and wheezing
- C. Swaying, losing balance or arm drifting
- D. Excessive cerumen in the outer ear
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.