Nokea
What type of procedural information should be given to a patient in preparation for ambulatory surgery (select all that apply)?
- A. How pain will be controlled
- B. Any fluid and food restrictions
- C. Characteristics of monitoring equipment
- D. What odors and sensations may be experienced, Technique and practice of coughing and deep breathing, if appropriate
Correct Answer: D
Rationale: Providing comprehensive procedural information prepares the patient physically and mentally for surgery.
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Identify the specific component of acquiring cultural competence reflected in creating a safe environment in which collection of relevant cultural data can be obtained during the health history and physical examination.
- A. Cultural skill
- B. Cultural encounter
- C. Cultural awareness
- D. Cultural knowledge
Correct Answer: A
Rationale: Creating a safe environment involves using cultural skills to gather accurate and meaningful cultural data during assessments.
A nurse caring for a patient in the intensive care unit (ICU) implements strategies to create an environment conducive to sleep. Which strategy would be most effective?
- A. Turning off the lights in the room during the night
- B. Having the television on at all times for background noise
- C. Silencing the alarms on the bedside monitor and infusion pumps
- D. Administering ordered analgesics around the clock, even if the patient denies pain
Correct Answer: A
Rationale: The correct answer is A. Turning off the lights minimizes disruption to the patient's circadian rhythm. Background noise (B) and silencing alarms (C) may not always be feasible, and unnecessary analgesics (D) could interfere with sleep.
What changes are seen in the skin during shock?
- A. Increased urine output
- B. Edema
- C. Hypertension
- D. Hypernatremia
Correct Answer: B
Rationale: Edema occurs due to excess fluid accumulation in the interstitial spaces, commonly seen in conditions like heart failure and kidney disease.
Which BMI is typically associated with anorexia nervosa?
- A. Increase protein intake
- B. Reduce carbohydrate consumption
- C. Drink more water
- D. Take vitamin supplements
Correct Answer: C
Rationale: The correct answer is C because it is the most appropriate response based on physiological and medical principles.
Which statement by a patient with diabetes indicates an understanding of the medication insulin glargine injection (Lantus)?
- A. Lantus causes weight loss.
- B. Lantus is used only at night.
- C. The duration of Lantus is six hours.
- D. There is no peak time for Lantus.
Correct Answer: D
Rationale: Lantus is a long-acting insulin with no distinct peak action.