Nokea
What is the typical weight gain in the year after smoking cessation?
- A. Deep breathing exercises
- B. Avoid social interactions
- C. Ignore stressors
- D. Increase workload
Correct Answer: C
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 healthcare professional auscultates a harsh hollow sound over a client's trachea & larynx. Which action should the healthcare professional take first?
- A. Document findings.
- B. Administer O2 therapy.
- C. Position client in high-Fowler's position.
- D. Administer prescribed albuterol.
Correct Answer: A
Rationale: The correct answer is A: Document findings. This is important because the harsh hollow sound over the trachea and larynx could indicate a potential emergency or serious condition like an airway obstruction or laryngeal edema. Documenting findings helps in providing clear communication to other healthcare professionals and ensures proper follow-up care. Administering O2 therapy (B) or albuterol (D) without a clear understanding of the underlying issue could be harmful. Positioning the client in high-Fowler's position (C) may not directly address the potential emergency at hand.
A nurse is interested in providing community education and screening on hypertension. In order to reach a priority population, to what target audience should the nurse provide this service?
- A. African American churches
- B. Asian American groceries
- C. High school sports camps
- D. Women's health clinics
Correct Answer: A
Rationale: The correct answer is A: African American churches. This target audience is appropriate because African Americans have a higher prevalence of hypertension compared to other ethnic groups. By providing education and screening at African American churches, the nurse can reach a population that is at higher risk for hypertension. Churches are also community hubs where individuals gather regularly, making it an effective platform for health promotion.
Choice B: Asian American groceries is incorrect as it does not specifically target a population with a high prevalence of hypertension.
Choice C: High school sports camps may not be an ideal target audience for hypertension education as the focus is typically on physical fitness rather than chronic disease management.
Choice D: Women's health clinics may not reach the priority population of African Americans who have a higher prevalence of hypertension.
A client learns about pursed-lip breathing. Which statement by the client indicates teaching has been effective?
- A. I will breathe in quickly through my mouth and out through my nose.
- B. I will breathe in slowly through my nose and out through pursed lips.
- C. I will hold my breath for 10 seconds before exhaling.
- D. I will breathe in and out through pursed lips.
Correct Answer: B
Rationale: The correct answer is B because pursed-lip breathing involves inhaling slowly through the nose and exhaling slowly through pursed lips, which helps improve lung function and relaxes the client. Choice A is incorrect because breathing in quickly through the mouth is not part of pursed-lip breathing technique. Choice C is incorrect as holding breath before exhaling is not recommended in pursed-lip breathing. Choice D is partially correct but lacks the emphasis on inhaling slowly through the nose. Therefore, the most effective statement indicating correct teaching is choice B.
A client has been diagnosed with hypertension but does not take the antihypertensive medications because of a lack of symptoms. What response by the nurse is best?
- A. Do you have trouble affording your medications?
- B. Most people with hypertension do not have symptoms.
- C. You are lucky; most people get severe morning headaches.
- D. You need to take your medicine or you will get kidney failure.
Correct Answer: B
Rationale: Step-by-step rationale:
1. Choice B is correct because it educates the client that hypertension often presents without symptoms.
2. Lack of symptoms does not mean the condition is not serious.
3. This response promotes understanding and adherence to medication.
4. Choices A, C, and D are incorrect as they do not address the main issue of hypertension being asymptomatic.