Nokea
When transporting an inpatient to the surgical department, which area is a nurse from another area of the hospital able to access?
- A. Clean core
- B. Holding area
- C. Corridors of surgical suite
- D. Unprepared operating room
Correct Answer: B
Rationale: The holding area is accessible for nurses transporting patients, ensuring proper preparation before entering restricted zones.
You may also like to solve these questions
During an admission assessment of a client with COPD and emphysema complaining of a frequent productive cough and shortness of breath, what assessment finding should the nurse anticipate?
- A. Respiratory alkalosis
- B. Increased anteroposterior diameter of the chest
- C. Oxygen saturation level 96%
- D. Petechiae on chest
Correct Answer: B
Rationale: The correct answer is B: Increased anteroposterior diameter of the chest. In COPD and emphysema, the lungs lose their elasticity, causing the chest to become barrel-shaped with an increased anteroposterior diameter. This occurs due to hyperinflation of the lungs. This finding is known as "barrel chest" and is a classic sign of advanced COPD.
A: Respiratory alkalosis is not typically associated with COPD and emphysema.
C: An oxygen saturation level of 96% is within the normal range and does not specifically relate to the assessment findings in COPD and emphysema.
D: Petechiae on the chest are not typically associated with COPD and emphysema; they may be indicative of other conditions such as bleeding disorders.
While caring for a client who was injured in a motor-vehicle crash and reports dyspnea and severe pain, a nurse in the emergency department notes that the client's chest moves inward during inspiration and bulges out during expiration. The nurse should identify this finding as which of the following?
- A. Atelectasis
- B. Flail chest
- C. Hemothorax
- D. Pneumothorax
Correct Answer: B
Rationale: The correct answer is B: Flail chest. Flail chest occurs when a segment of the rib cage is detached from the rest of the chest wall, causing paradoxical chest movement. In this case, the inward movement during inspiration and outward bulging during expiration are classic signs of flail chest, as the detached segment moves in the opposite direction of the rest of the chest wall. Atelectasis (choice A) refers to collapsed lung tissue, not paradoxical chest movement. Hemothorax (choice C) is the accumulation of blood in the pleural space, which does not cause paradoxical chest movement. Pneumothorax (choice D) is the presence of air in the pleural space, which can cause chest pain and dyspnea but does not result in paradoxical chest movement.
What is most important to determine when completing Mr. Anderson’s nursing history?
- A. Known allergy to penicillin
- B. Work habits
- C. History of COPD
- D. Sleep and rest habits
Correct Answer: A
Rationale: Penicillin allergy is critical to know before administering antibiotics.
When selecting audiovisual and written materials as teaching strategies, what is important for the nurse to do?
- A. Provide the patient with these materials before the planned learning experience.
- B. Ensure that the materials include all the information the patient will need to learn.
- C. Review the materials before use for accuracy and appropriateness to learning needs and goals.
- D. Assess the patient’s auditory and visual ability because these functions are necessary for these strategies to be effective.
Correct Answer: C
Rationale: The correct answer is 'Review the materials before use for accuracy and appropriateness to learning needs and goals.' Ensuring the materials are accurate and appropriate is critical to effective teaching. Providing materials beforehand or ensuring they cover all needed information may not always be feasible or necessary.
After a thyroidectomy, a female client is returned to the unit from the recovery room. A major complication after a thyroidectomy is:
- A. respiratory obstruction.
- B. hypercalcemia.
- C. fistula formation.
- D. myxedema.
Correct Answer: A
Rationale: Respiratory obstruction due to edema of the glottis, bilateral laryngeal nerve damage, or tracheal compression from hemorrhage is a major complication after a thyroidectomy. Hypocalcemia and tetany from accidental removal of one or more parathyroid glands are major complications; not hypercalcemia. Fistula formation is not a major complication associated with a thyroidectomy. Fistula formation is a major complication with a laryngectomy. Myxedema is hypothyroidism occurring in adults. It is not a complication of a thyroidectomy. A thyroidectomy client tends to develop thyroid storm from an excess of the thyroid hormones released during surgery.