Nokea
What nursing measure would be most helpful in soliciting Mr. Ross’s cooperation with arm and shoulder exercises?
- A. Inform Mr. Ross that these exercises must be done before each meal and at bedtime
- B. Give Mr. Ross a booklet which diagrams the exercises
- C. Teach Mrs. Ross how to do these exercises
- D. Ask Mr. Ross which times are most convenient for him to exercise
Correct Answer: D
Rationale: Tailoring exercise schedules to patient preferences enhances adherence.
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Which statement by a patient demonstrates an accurate understanding about herbal supplements?
- A. Herbs may interact with prescribed medications but not other herbs.
- B. Most herbs have been tested and found to be safe and therapeutic.
- C. The Food and Drug Administration regulates herbs and allows advertising.
- D. There is no standardization among the manufacturers of herbs in this country.
Correct Answer: D
Rationale: Herbal supplements lack standardization and regulation in the U.S.
What term is used to describe a decreased effect of a substance following repeated exposure?
- A. Relapse
- B. Tolerance
- C. Abstinence
- D. Withdrawal.
Correct Answer: B
Rationale: Tolerance develops when repeated exposure to a substance diminishes its effects, requiring higher doses to achieve the same impact.
What findings indicate tension pneumothorax causing mediastinal shift?
- A. Diminished breath sounds on left side; trachea deviated to right; decreasing blood pressure, increasing pulse rate
- B. Rapid, shallow respirations; trachea deviated to left; slow pulse; collapsed neck veins
- C. Dyspnea; hyperresonance on right; widened pulse pressure; rapid, bounding pulse
- D. Chest pain; cyanosis; collapsed neck veins; decreasing pulse rate
Correct Answer: A
Rationale: Tension pneumothorax causes unilateral lung collapse, mediastinal shift, hypotension, and tachycardia.
Which preoperative medications cause a decrease in respiratory tract secretions, dry mucous membranes, and interrupt vagal stimulation?
- A. Histamine z-receptor antagonists
- B. Antianxiety drugs
- C. Anticholinergics
- D. Sedatives
Correct Answer: C
Rationale: The correct answer is C because anticholinergics reduce secretions and block vagal activity.
Mary, who is diagnosed with osteomyelitis, may not heal properly unless she has
- A. Debridement and drainage of the area.
- B. Immobilization of the area.
- C. Ice packs alternating with moist heat, applied externally.
- D. Internal fixation device inserted.
Correct Answer: A
Rationale: Debridement and drainage are necessary to remove infected tissue and promote healing.