Nokea
When performing endotracheal suctioning, the nurse applies suctioning while withdrawing and gently rotating the catheter 360 degrees for which of the following time periods?
- A. 10-15 seconds
- B. 30-35 seconds
- C. 20-25 seconds
- D. 0-5 seconds
Correct Answer: D
Rationale: During endotracheal suctioning, the nurse should apply suctioning while withdrawing and gently rotating the catheter 360 degrees for a short period of 0-5 seconds. This brief duration helps minimize the risk of hypoxia and trauma to the airway. Choices A, B, and C suggest longer time periods for suctioning, which can increase the risk of complications such as hypoxia, mucosal damage, and the removal of excess amounts of airway secretions.
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In preparation for ECT, the nurse knows that it is almost similar to that of:
- A. ECG
- B. General Anesthesia
- C. EEG
- D. MRI
Correct Answer: B
Rationale: The correct answer is B: General Anesthesia. In preparation for ECT (Electroconvulsive Therapy), the nurse should be aware that it is almost similar to the process of administering general anesthesia. This similarity is crucial as it involves sedation and muscle relaxation to ensure safety during the procedure. Choice A (ECG) is incorrect because ECT and ECG (Electrocardiogram) serve different purposes and involve distinct procedures. Choice C (EEG) is incorrect as EEG (Electroencephalogram) measures brain activity and is not directly related to ECT. Choice D (MRI) is also incorrect as MRI (Magnetic Resonance Imaging) is a diagnostic imaging procedure that does not involve sedation or muscle relaxation like ECT and general anesthesia.
All of the following are contraindications when giving Immunization except:
- A. BCG Vaccine can be given to a child with AIDS
- B. BCG Vaccine can be given to a child with Hepatitis B
- C. DPT can be given to a child that had convulsion 3 days after being given the first DPT dose
- D. DPT can be given to a child with active convulsion or other neurological disease
Correct Answer: B
Rationale: The correct answer is B. BCG vaccine can be given to a child with Hepatitis B, as there is no contraindication for this. Choice A, C, and D all present contraindications for administering immunizations. Choice A is incorrect because giving BCG vaccines to a child with AIDS is a contraindication. Choice C is incorrect as convulsions after the first DPT dose indicate a contraindication to subsequent doses. Choice D is incorrect because active convulsions or other neurological diseases are contraindications to receiving the DPT vaccine.
Dina, 17 years old, asks you how a tubal ligation prevents pregnancy. Which would be the best answer?
- A. Prostaglandins released from the cut fallopian tubes can kill sperm
- B. Sperm cannot enter the uterus because the cervical entrance is blocked
- C. Sperm can no longer reach the ova, because the fallopian tubes are blocked
- D. The ovary no longer releases ova as there is nowhere for them to go
Correct Answer: C
Rationale: The correct answer is C: 'Sperm can no longer reach the ova because the fallopian tubes are blocked.' Tubal ligation works by blocking the fallopian tubes, preventing sperm from reaching the egg for fertilization. Choice A is incorrect because prostaglandins are not released from the cut fallopian tubes to kill sperm. Choice B is incorrect as the cervical entrance being blocked does not relate to tubal ligation. Choice D is incorrect because tubal ligation does not affect the release of ova from the ovary.
Toilet training occurs in the anal stage of Freud's psychosexual development. This is equivalent to Erikson's:
- A. Trust vs. Mistrust
- B. Autonomy vs. Shame and Doubt
- C. Initiative vs. Guilt
- D. Industry vs. Inferiority
Correct Answer: A
Rationale: The correct answer is A: Trust vs. Mistrust. In Freud's psychosexual development theory, the anal stage is where toilet training occurs, focusing on issues of control and independence. This stage is parallel to Erikson's Trust vs. Mistrust stage, where infants learn to trust or mistrust their caregivers based on the consistency of care they receive. Choices B, C, and D are incorrect as they correspond to different stages in Erikson's psychosocial development theory, not related to toilet training or the anal stage of Freud's theory.
The nurse is caring for a client taking warfarin. Which meal brought in by the client's family is a priority to remove before the client eats it?
- A. Oriental cabbage salad with chicken
- B. Beef enchilada, rice, and beans
- C. Ham and cheese sandwich
- D. Macaroni salad and grapefruit slices
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.