What is the primary treatment for retinal detachment?
- A. Laser photocoagulation
- B. Cryotherapy
- C. Surgery
- D. All of the above
Correct Answer: D
Rationale: Retinal detachment requires prompt surgical intervention to reattach the retina and preserve vision.
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Which type of intravenous fluid draws fluid into the intravascular compartment from the more dilute areas in the cells and interstitial spaces?
- A. Isotonic fluid
- B. Hypertonic fluid
- C. Hypotonic fluid
- D. Colloid fluid
Correct Answer: B
Rationale: The correct answer is B because hypertonic fluids draw water from cells into the bloodstream, increasing intravascular volume.
The primary nursing diagnosis for a client with congestive heart failure with pulmonary edema is:
- A. Pain.
- B. Impaired gas exchange.
- C. Decrease Cardiac output.
- D. Fluid volume excess.
Correct Answer: B
Rationale: Impaired gas exchange is the main issue in pulmonary edema.
Match the following data with the assessment technique used to obtain the information.
- A. Normal blood flow through arteries
- B. Abnormal blood flow in carotid artery
- C. Tympany of the abdomen
- D. Pitting edema
Correct Answer: D
Rationale: The correct match depends on the technique: Auscultation detects normal/abnormal blood flow, percussion reveals tympany, and palpation identifies pitting edema.
A patient is receiving a continuous infusion of morphine via an epidural catheter following major abdominal surgery. Which actions should the nurse include in the plan of care (select all that apply)?
- A. Label the catheter as an epidural access
- B. Assess the patient’s pain relief frequently
- C. Use sterile technique when caring for the catheter
- D. Monitor the patient’s level of consciousness (LOC)
Correct Answer: B
Rationale: The correct answers are B. All listed actions are essential for safe and effective care.
What is one reason that might apply to a client’s rationale for using alternative therapy?
- A. Desire to become more active in decision-making and self-care.
- B. Chronic incurable back condition.
- C. Difficulty meeting the rising costs of healthcare.
- D. Client does not share traditional American health beliefs and practices.
Correct Answer: A
Rationale: Clients often seek alternative therapies to take a more active role in their healthcare decisions and self-management.