Nokea
What is the primary advantage of the use of midazolam (Versed) as an adjunct to general anesthesia?
- A. Amnestic effect
- B. Analgesic effect
- C. Prolonged action
- D. Antiemetic effect
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The client is prescribed a long-acting beta2 agonist and expresses concerns about the cost, stating they only use the inhaler during asthma attacks. How should the nurse respond?
- A. Explain the importance of using the inhaler daily to prevent asthma attacks.
- B. Suggest identifying community services to help with the cost and encourage daily use of the inhaler.
- C. Explore the client's fears regarding breathlessness.
- D. Emphasize the necessity of using this inhaler daily and discuss potential community services for financial assistance.
Correct Answer: B
Rationale: Step 1: The nurse must acknowledge the client's concern about the cost of the inhaler.
Step 2: Suggesting community services shows empathy and addresses the financial aspect.
Step 3: Encouraging daily use aligns with the standard treatment guidelines.
Step 4: By addressing both cost and importance of daily use, the nurse promotes adherence and support.
Summary of other choices:
A: Incorrect. This option doesn't address the client's financial concerns.
C: Incorrect. Focusing on fears of breathlessness doesn't directly address the client's cost concern.
D: Incorrect. While discussing daily use is important, not directly addressing the cost concern may lead to non-adherence.
A client with chronic obstructive pulmonary disease (COPD) is being assessed by a nurse. Which finding does the nurse expect?
- A. Increased anteroposterior (AP) chest diameter
- B. Decreased respiratory rate
- C. Weight gain
- D. Productive cough with yellow sputum
Correct Answer: A
Rationale: The correct answer is A: Increased anteroposterior (AP) chest diameter. In COPD, the chronic obstruction of airflow leads to air trapping in the lungs, causing the chest to expand more front-to-back (increased AP diameter). This is known as "barrel chest" and is a characteristic finding in COPD due to hyperinflation of the lungs.
Incorrect choices:
B: Decreased respiratory rate is not expected in COPD as patients may have increased respiratory rate due to difficulty breathing.
C: Weight gain is not a typical finding in COPD as patients often experience weight loss due to increased energy expenditure and decreased appetite.
D: Productive cough with yellow sputum is common in COPD, but it is not the most specific finding for this condition.
17. Which spice may be used to treat the nausea and vomiting related to pregnancy?
- A. Aloe
- B. Ginger
- C. Cranberry
- D. Evening primrose
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Ramona Gunther, 18, was diagnosed with Stage II Hodgkins disease and is preparing to receive external radiation therapy. She tells the nurse she is scared 'about having to get radiation treatments all over my body.' Which of the following is the most appropriate response?
- A. The dose will be very low based on the disease staging.
- B. With Stage II, you'll only have radiation over half your body.
- C. I know it's scary, but it will help to decrease the potential of fractures.
- D. You know you don't have to worry about being radioactive.
Correct Answer: B
Rationale: The dose of radiation is not based on the staging of the disease alone, and there is not enough information to know that the dose will be low. With Stage II, the involved lymph nodes are all on the same side of the diaphragm, so the radiation will be given on that part of the body. The potential of fractures occurs because of the cancer, but the radiation is not given for that reason. She has not stated that she's afraid of being radioactive, so this answer does not address her concern.
What factors lead to decreased urine output during shock?
- A. Dehydration
- B. Overhydration
- C. Electrolyte imbalance
- D. Hypertension
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.