Nokea
When caring for a client exposed to cyanide, which antidote is an inhalant to convert cyanide into a nontoxic substance?
- A. Methemoglobin
- B. Sodium nitrite
- C. Amyl nitrite
- D. Sodium thiosulfate
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse documents a client's surgical incision as having red granulated tissue. This indicates that the wound is:
- A. infected.
- B. not healing.
- C. necrotic.
- D. healing.
Correct Answer: D
Rationale: The wound is not infected. An infected wound would contain pus, debris, and exudate. A necrotic wound would appear black or brown. The wound is healing properly. It is filled with red granulated tissue and fragile capillaries. A necrotic wound would appear black or brown. The wound is healing properly. It is filled with red granulated tissue and fragile capillaries.
A client with chronic obstructive pulmonary disease (COPD) is being taught by a healthcare provider. Which statement by the client indicates a need for further teaching?
- A. I will avoid smoking to prevent further damage to my lungs.
- B. I will eat smaller, more frequent meals to avoid feeling bloated.
- C. I will exercise every day to improve my strength and endurance.
- D. I will drink plenty of fluids to help thin my mucus.
Correct Answer: C
Rationale: The correct answer is C because daily exercise may exacerbate COPD symptoms in some cases. Individuals with COPD may experience increased shortness of breath and fatigue during physical activity. Therefore, it is crucial to tailor an exercise plan to each client's specific needs and capabilities. Choices A, B, and D are correct as they align with COPD management strategies of smoking cessation, dietary modifications, and hydration to help with mucus clearance, respectively.
A client with asthma presents with bilateral wheezing, decreased pulse oxygen saturation, and suprasternal retraction on inhalation. Which actions should the nurse take? (SATA)
- A. Administer prescribed salmeterol (Serevent) inhaler.
- B. Assess the client for a tracheal deviation.
- C. Administer oxygen to maintain saturations above 94%.
- D. Perform peak expiratory flow measurements.
Correct Answer: C
Rationale: The correct answer is C. Administer oxygen to maintain saturations above 94%. In asthma exacerbation, maintaining oxygen saturation is crucial to prevent hypoxia. Oxygen therapy helps improve oxygen delivery to tissues and organs. Administering salmeterol (choice A) may help with long-term management but is not an immediate priority. Tracheal deviation assessment (choice B) is not relevant to asthma exacerbation. Performing peak expiratory flow measurements (choice D) may be helpful for monitoring asthma severity but is not the priority in this acute situation.
Which category of complementary and alternative medicine involves healing methods focusing on the body’s structures and systems?
- A. Energy medicine
- B. Whole medical systems
- C. Manipulative and body-based therapies
- D. Biologically based practices
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client interested in smoking cessation is being taught by a nurse. Which statements should the nurse include in the teaching? (Select one that does not apply)
- A. Find an activity that you enjoy and will keep your hands busy.
- B. Keep snacks like potato chips on hand to nibble on.
- C. Drink at least eight glasses of water each day.
- D. Make a list of reasons for quitting smoking.
Correct Answer: C
Rationale: The correct answer is C: Drink at least eight glasses of water each day. This statement does not directly relate to smoking cessation. Staying hydrated is important for overall health, but it is not a specific strategy for quitting smoking. Choices A, B, and D are all relevant to smoking cessation. A: Finding an activity to keep hands busy can help distract from the urge to smoke. B: Keeping snacks on hand can help manage cravings and replace the oral fixation of smoking. D: Making a list of reasons for quitting can provide motivation and remind the client of their goals.