Nokea
What is the primary goal of treating hyperopia?
- A. Improve near vision
- B. Improve distance vision
- C. Correct astigmatism
- D. None of the above
Correct Answer: A
Rationale: Hyperopia primarily affects near vision, so treatment focuses on improving it.
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A client has a disposable three-chamber chest tube in place. Which of the following findings should indicate to the nurse that the client is experiencing a complication?
- A. Continuous bubbling in the water-seal chamber
- B. Occasional bubbling in the water-seal chamber
- C. Constant bubbling in the suction-control chamber
- D. Fluctuations in the fluid level in the water-seal chamber
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Continuous bubbling in the water-seal chamber indicates air leaks, which can lead to pneumothorax.
2. Occasional bubbling in the water-seal chamber is normal as air exits the pleural space.
3. Constant bubbling in the suction-control chamber indicates high suction pressure, not a complication.
4. Fluctuations in the fluid level in the water-seal chamber are expected during normal respiration.
19. Which herb may relieve anxiety but can cause hepatotoxicity?
- A. Kava
- B. Ginseng
- C. Milk thistle
- D. Ginkgo biloba
Correct Answer: A
Rationale: Kava (option A) is known for its anxiolytic properties but carries a risk of hepatotoxicity if misused.
What is the nurse’s evaluation of Mr. Singer not testing for proper placement of his nasogastric tube?
- A. Mr. Singer must be stopped before the instillation of the feeding
- B. There is no possibility that the tube will get into Mr. Singer’s trachea
- C. If Mr. Singer shows no breathing difficulties, he can proceed with his feeding
- D. The greatest danger for Mr. Singer is the aspiration of the feeding into his lung
Correct Answer: D
Rationale: Aspiration poses a serious risk if the tube is misplaced.
What should be included in Mr. Dean’s teaching plan for respiratory isolation?
- A. Using disposable tissues for his respiratory secretions
- B. Reporting any allergies to the staff
- C. Asking family and friends not to visit
- D. Getting the patient out of bed frequently
Correct Answer: A
Rationale: Disposable tissues prevent the spread of pathogens.
Where was the mistake made in the nursing process with this patient?
- A. Planning
- B. Diagnosis
- C. Evaluation
- D. Assessment
Correct Answer: B
Rationale: The initial diagnosis of ineffective self-health management overlooked the financial barrier, which is a root cause rather than lack of knowledge.