Nokea
What outcome criterion would best reflect achievement of avoiding infections for Mr. Puff?
- A. Explains reason for avoiding aerosol sprays and powders
- B. Explains reason for avoiding unnecessary physical activity
- C. Lists causative organisms of bronchial infections
- D. States rationale for avoiding crowds when influenza or colds are prevalent
Correct Answer: D
Rationale: Avoiding crowded places minimizes exposure to respiratory pathogens.
You may also like to solve these questions
Why should the nurse closely monitor a client to ensure that the venous access device remains in the vein during a transfusion?
- A. It minimizes the risk of phlebitis.
- B. It minimizes the risk of pulmonary embolism.
- C. It minimizes the risk of circulatory overload.
- D. It minimizes the risk of localized edema.
Correct Answer: B
Rationale: The correct answer is B because dislodged catheters can lead to emboli formation.
What is the rationale for administering oxygen in treating COPD?
- A. Relieve hypoxemia
- B. Increase carbon dioxide retention
- C. Increase intensity of respiratory drive
- D. Decrease respiratory secretions
Correct Answer: A
Rationale: Oxygen therapy alleviates hypoxemia, improving tissue perfusion.
What is the first symptom to occur in hypovolemia?
- A. Hypotension
- B. Thirst
- C. Central venous pressure below 2 to 3 mmHg
- D. Urine specific gravity high
Correct Answer: B
Rationale: Thirst is the earliest indicator of hypovolemia, as the body signals the need for fluid replacement before more severe signs like hypotension develop.
You are reviewing your client's understanding of the post-operative stapedectomy instructions that you gave several days ago. Which comment concerns you the most?
- A. I'm going to take swimming lessons in a couple of months.'
- B. I have to take a long overseas flight in several weeks.'
- C. I can't wait to get back to my regular weightlifting class.'
- D. I have been coughing a lot with my mouth open.'
Correct Answer: C
Rationale: Weightlifting can increase intracranial pressure and compromise the surgical site, posing a risk to recovery.
What are these sensory phenomena called when a client hears voices or sees images that do not objectively exist?
- A. Mania
- B. Delusions
- C. Seasonal affective disorder
- D. Hallucinations
Correct Answer: D
Rationale: Hallucinations involve perceiving things that are not present, such as hearing voices or seeing images.