What should a client with seasonal affective disorder be taught upon discharge?
- A. Use heavy drapes rather than translucent curtains or shades
- B. Jog after sundown and before sunup
- C. Avoid the use of eyeglasses or contact lenses that are coated to shield ultraviolet radiation
- D. Take brief walks outside around midnight without sunglasses
Correct Answer: C
Rationale: Maximizing exposure to natural light helps alleviate symptoms of seasonal affective disorder.
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Which verbal and nonverbal communication techniques are effective with most American clients?
- A. Maintaining eye contact and using clear language.
- B. Using technical jargon and formal language.
- C. Avoiding physical proximity altogether.
- D. Speaking loudly and using gestures.
Correct Answer: A
Rationale: Maintaining eye contact and using clear, concise language aligns with cultural norms in America, enhancing communication effectiveness.
Can a client use massage along with chemotherapy treatments for breast cancer?
- A. I would think about this,as it may harm the chemotherapy treatment.
- B. I think it would be worth trying,especially since you said you ache after chemotherapy.
- C. There are other therapies out there that might help you better.
- D. I can’t tell you that,as your doctor would have to approve.
Correct Answer: B
Rationale: Massage therapy can alleviate side effects like pain and fatigue, complementing chemotherapy when approved by healthcare providers.
A healthcare worker is caring for a group of clients in an infectious disease unit. The worker should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious diseases?
- A. Pertussis
- B. Mycoplasma pneumonia
- C. Tuberculosis
- D. Respiratory syncytial virus
Correct Answer: C
Rationale: The correct answer is C: Tuberculosis. Healthcare workers should wear an N95 respirator mask when caring for clients with airborne infectious diseases like tuberculosis. The N95 mask is designed to filter out at least 95% of airborne particles, including those that may carry the tuberculosis bacteria. This level of protection is necessary to prevent the healthcare worker from inhaling the infectious agent.
Pertussis (A), Mycoplasma pneumonia (B), and Respiratory syncytial virus (D) are not typically transmitted through the air and therefore do not require the use of an N95 respirator mask for standard care. These diseases are usually spread through respiratory droplets or direct contact, so standard precautions such as wearing a surgical mask and gloves are sufficient.
A student nurse arrives on the unit and asks you what the rationale for treatment of withdrawal is. What is the best response?
- A. To protect the patient while the body removes the drug from the patient's bloodstream.
- B. To protect the patient from relapsing during withdrawal.
- C. To treat the patient's psychological dependency on the substance.
- D. To treat the symptoms of withdrawal while the body removes the substance from the patient's bloodstream.
Correct Answer: D
Rationale: Treating withdrawal symptoms supports physiological stability as the body clears the substance.
A client is 1-day postoperative following a left lower lobectomy and has a chest tube in place. When assessing the client's three-chamber drainage system, the nurse notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take?
- A. Continue to monitor the client as this is an expected finding.
- B. Add more water to the suction control chamber of the drainage system.
- C. Verify that the suction regulator is on and check the tubing for leaks.
- D. Milk the chest tube and dislodge any clots in the tubing that are occluding it.
Correct Answer: C
Rationale: The correct answer is C: Verify that the suction regulator is on and check the tubing for leaks.
Rationale:
1. Lack of bubbling in the suction control chamber indicates suction may not be working.
2. Checking the suction regulator ensures it is on and at the correct level for proper drainage.
3. Checking tubing for leaks ensures the system is intact and functioning properly.
4. This intervention addresses the potential issue of inadequate suction, which can affect the client's postoperative recovery.
Summary:
- Option A: Continuing to monitor is not appropriate as lack of bubbling suggests an issue with suction.
- Option B: Adding more water to the suction control chamber is unnecessary and does not address the root cause.
- Option D: Milking the chest tube is not recommended as it can cause trauma and dislodging clots may lead to complications.