Nokea
What type of infectious agent may the client have been exposed to if they recently ate meat in Europe?
- A. Fungi
- B. Bacteria
- C. Protozoa
- D. Prions
Correct Answer: D
Rationale: The correct answer is D because prions are associated with certain meat-borne diseases, such as Creutzfeldt-Jakob disease.
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Denise is recovering from an open cholecystectomy. You know that because of the location of the surgery, she has an increased risk of postoperative:
- A. Myocardial infarction.
- B. Respiratory complications.
- C. Deep vein thrombosis.
- D. Wound infection.
Correct Answer: B
Rationale: Open cholecystectomy involves abdominal surgery, which can impair respiratory function due to pain and reduced mobility. This increases the risk of respiratory complications such as atelectasis or pneumonia.
Which symptom should the nurse closely monitor for and report immediately in a client who has just undergone cataract surgery?
- A. Hypotension
- B. Nausea and vomiting
- C. Intense pain in the eye or near the brow
- D. Increased urine output
Correct Answer: C
Rationale: Intense pain could indicate complications such as infection or increased intraocular pressure.
If a client’s parathyroid glands were accidentally removed during a procedure, which condition should the nurse prepare for?
- A. Hypomagnesemia
- B. Hyperkalemia
- C. Hypernatremia
- D. Hypocalcemia
Correct Answer: D
Rationale: Parathyroid glands regulate calcium levels. Their removal leads to hypocalcemia due to decreased parathyroid hormone production.
A client just had a flexible bronchoscopy. Which of the following nursing actions is appropriate?
- A. Withhold food and liquids until the client's gag reflex returns.
- B. Irrigate the client's throat every 4 hours.
- C. Have the client refrain from talking for 24 hours.
- D. Suction the client's oropharynx frequently.
Correct Answer: A
Rationale: The correct answer is A: Withhold food and liquids until the client's gag reflex returns. After a flexible bronchoscopy, the client may have a decreased gag reflex due to topical anesthesia used during the procedure, which increases the risk of aspiration. Withholding food and liquids helps prevent aspiration until the gag reflex returns, usually within 1-2 hours.
B: Irrigating the client's throat every 4 hours is unnecessary and may not be indicated post-bronchoscopy.
C: Having the client refrain from talking for 24 hours is not necessary after a flexible bronchoscopy unless specifically instructed by the healthcare provider.
D: Suctioning the client's oropharynx frequently is not indicated unless there is a clinical indication for it, such as excessive secretions or respiratory distress. Frequent suctioning can increase the risk of trauma to the airway.
A patient who is being admitted to the surgical unit for a hysterectomy paces the floor, repeatedly saying, 'I just want this over.' What should the nurse do to promote a positive surgical outcome for the patient?
- A. Ask the patient what her specific concerns are about the surgery.
- B. Reassure the patient that the surgery will be over soon and she will be fine.
- C. Redirect the patient's attention to the necessary preoperative preparations.
- D. Tell the patient she should not be so anxious because she is having a common, safe surgery.
Correct Answer: A
Rationale: Understanding the patient's specific concerns allows the nurse to address fears directly, promoting a positive outcome.