Nokea
What statement indicates Mr. Singer understands his condition after viewing a filmstrip on rehabilitation?
- A. ‘I will be able to continue my swimming as usual.’
- B. ‘I will regain some degree of my sense of smell and taste.’
- C. ‘I will not be able to bowl any more.’
- D. ‘I will have to give up my tub bath.’
Correct Answer: B
Rationale: Partial recovery of senses is possible after laryngectomy.
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What are the recommendations that can help develop culturally sensitive nursing care?
- A. Learn about different cultures,avoid stereotypes and involve clients in decision-making.
- B. Focus solely on universal care standards.
- C. Ignore cultural differences.
- D. All of the above.
Correct Answer: A
Rationale: Understanding cultural nuances and involving clients in care decisions enhances cultural competence and improves outcomes.
When teaching a client with chronic obstructive pulmonary disease who will start using fluticasone via MDI twice daily, which instruction should the nurse include?
- A. Monitor your heart rate before each dose.
- B. Inspect your mouth for lesions daily.
- C. Do not use this medication to relieve an acute attack.
- D. Do not skip the morning dose even if symptom-free.
Correct Answer: B
Rationale: The correct answer is B: Inspect your mouth for lesions daily. This instruction is essential because fluticasone, a corticosteroid, can cause oral thrush as a side effect. By inspecting the mouth daily, the client can detect any lesions early and seek appropriate treatment. Monitoring heart rate (A) is not necessary for fluticasone use, as it does not typically affect heart rate. While it is important not to skip doses (D), the specific instruction about the morning dose is not as crucial. Avoiding the use of fluticasone for acute attacks (C) is correct, but it is not the most important instruction in this scenario.
Which of the following comments should be given first consideration?
- A. There was a lot of blood and we used three bandages
- B. He pulled the stick out, just now, because it was hurting him
- C. The stick was really dirty and covered with mud
- D. He's a diabetic, so he needs attention right away
Correct Answer: B
Rationale: Pulling out the stick could have caused internal injury, making this the most urgent concern.
Describe the relationship between receptors and neurotransmitters.
- A. Increased alertness
- B. Lower immune response
- C. Faster metabolism
- D. Enhanced digestion
Correct Answer: B
Rationale: The correct answer is B because it is the most appropriate response based on physiological and medical principles.
What causes an audible wheeze in Mr. Ross’ right lung?
- A. Inflammation of pleural surfaces
- B. Obstruction of the bronchus
- C. Collection of exudate in the pleural cavity
- D. Dilatation of the alveoli
Correct Answer: B
Rationale: Bronchial obstruction leads to turbulent airflow, producing wheezing.