Nokea
What outcome criterion would be most appropriate based on Mr. Stout’s nursing diagnosis of sleep pattern disturbance?
- A. Demonstrate abdominal and pursed-lip breathing
- B. Explain rationale for use of sleeping medication
- C. Explain basic pathology of chronic bronchitis
- D. List food and fluid requirements and plans for meeting them
Correct Answer: A
Rationale: Breathing techniques improve oxygenation and reduce nocturnal awakenings.
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What is the treatment for viral conjunctivitis?
- A. Antibiotic drops
- B. Steroid drops
- C. Supportive care
- D. Surgical intervention
Correct Answer: C
Rationale: Viral conjunctivitis typically resolves with supportive care, such as artificial tears and cold compresses.
Mrs. Blakely's postoperative course is otherwise uneventful, and she is fitted with corrective glasses. For Mrs. Blakely to adjust to wearing her new eyeglasses, it would be most important to teach her that
- A. the color of objects seen with the operated eye is much brighter
- B. her new glasses will be much heavier
- C. she will have binocular vision
- D. she will have considerable distortion in vision
Correct Answer: A
Rationale: After cataract surgery, colors may appear brighter due to the removal of the cloudy lens, which previously muted perception of certain wavelengths.
Allison Lynn, 20, is a student in a health sciences class and asks you to further explain the reason for lack of insulin in Type I Diabetes. You state that the most accepted theory is that:
- A. the insulin produced is not effective at the tissue level.
- B. not enough insulin is made to manage the metabolic needs.
- C. inflammation of the pancreas causes irregular release of insulin.
- D. the body's immune system destroyed the cells that make insulin.
Correct Answer: D
Rationale: Type I diabetes is the definition of that disease process that occurs when no insulin is produced, so there is no insulin to get to the cell level. Some Type II diabetes occurs because of insulin resistance. No insulin is being produced. This is one pathophysiological cause of Type II diabetes. Pancreatitis does cause irregular release of insulin, but not all people with pancreatitis develop Type I diabetes An autoimmune process is the most accepted theory of the root cause of Type I diabetes. The body produces an antibody which attacks and destroys the beta cells, leading to a lack of insulin.
List the order for the actions that you must perform.
- A. Perform the chin lift or jaw thrust maneuver
- B. Establish unresponsiveness
- C. Initiate cardiopulmonary resuscitation (CPR)
- D. Call for help and activate the code team
Correct Answer: B
Rationale: Establishing unresponsiveness is the first step in assessing the patient's condition.
The following are the monometer measurements of four clients. Which of them has normal intraocular pressure (IOP)?
- A. 8 mm Hg
- B. 11 mm Hg
- C. 25 mm Hg
- D. 28 mm Hg
Correct Answer: B
Rationale: Normal intraocular pressure ranges from 10 to 21 mm Hg. Therefore, 11 mm Hg is within the normal range.