Nokea
What is the term that describes a type of therapy or medicine used in conjunction with conventional medicine?
- A. Integrative medicine
- B. Alternative therapy
- C. Allopathic medicine
- D. Complementary therapy
Correct Answer: D
Rationale: Complementary therapy works alongside conventional medicine to enhance overall care.
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Which factor may promote anxiety for a client undergoing a surgical procedure?
- A. Decreased mobility
- B. Unfamiliar environment
- C. Unclear expectations
- D. Decreased alertness
Correct Answer: C
Rationale: The correct answer is C because unclear expectations can increase anxiety in clients facing surgery.
On assessing Mr. Puff, what would you expect to find?
- A. ‘Blue bloater’ appearance
- B. Copious amount of thin sputum
- C. Increased anteroposterior chest diameter
- D. Prolonged inspiratory time
Correct Answer: C
Rationale: The correct answer is C: Increased anteroposterior chest diameter. In patients with chronic obstructive pulmonary disease (COPD), like Mr. Puff, there is often air trapping leading to hyperinflation of the lungs. This results in an increased anteroposterior chest diameter, known as a "barrel chest" appearance. Option A (‘Blue bloater’ appearance) is associated with chronic bronchitis, not necessarily COPD. Option B (Copious amount of thin sputum) is more indicative of bronchiectasis. Option D (Prolonged inspiratory time) is a nonspecific finding and not typically associated with COPD.
A client with asthma is taking fluticasone. The nurse should monitor the client for which of the following adverse effects?
- A. Hypoglycemia
- B. Hypertension
- C. Polyuria
- D. Oral candidiasis
Correct Answer: D
Rationale: The correct answer is D: Oral candidiasis. Fluticasone is a corticosteroid inhaler that can cause oral candidiasis as a common adverse effect due to its immunosuppressive properties. The step-by-step rationale is: 1. Fluticasone is a corticosteroid. 2. Corticosteroids can suppress the immune system. 3. Immunosuppression can lead to oral candidiasis. Other choices are incorrect because: A: Hypoglycemia is not a common adverse effect of fluticasone. B: Hypertension is not typically associated with fluticasone use. C: Polyuria is not a common side effect of fluticasone.
What physical manifestations would cue you that your client is experiencing an escalating level of anxiety?
- A. High blood pressure
- B. Increased heart rate
- C. Decreased oxygen supply
- D. Muscle relaxation
Correct Answer: D
Rationale: The correct answer is D because it is the most appropriate response based on physiological and medical principles.
The following data are organized according to Gordon’s functional health patterns.
- A. 78-year-old woman
- B. Married, three grown children who all live out of town
- C. Cares for invalid husband in home with help of daily homemaker
- D. Vision corrected with glasses; hearing normal
Correct Answer: A
Rationale: N/A