Nokea
Which area of the ED is the most appropriate assignment for this nurse?
- A. Trauma team
- B. Triage
- C. Ambulatory or fast track clinic
- D. Pediatric medicine team
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nursing assistant reports to you that a client seems very anxious and that vital signs included a respiratory rate of 38 per minute. Which acid-base imbalance should you suspect?
- A. Respiratory acidosis
- B. Respiratory alkalosis
- C. Metabolic acidosis
- D. Metabolic alkalosis
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Steps to prevent a pressure ulcer may include
- A. Not disturbing the patient.
- B. Changing the position of a bedbound patient every 4 hours.
- C. Vigorously rubbing the skin with alcohol.
- D. Avoiding pressure on the heels of a bedbound patient.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client had a bronchoscopy 2 hours ago and asks for a drink of water. Which action should the nurse take next?
- A. Call the healthcare provider to request a prescription for food and water.
- B. Provide the client with ice chips instead of a drink of water.
- C. Assess the client's gag reflex before giving any food or water.
- D. Let the client have a small sip to assess swallowing ability.
Correct Answer: C
Rationale: The correct answer is C: Assess the client's gag reflex before giving any food or water. After a bronchoscopy, the client may have an impaired gag reflex due to the numbing agent used during the procedure. Assessing the gag reflex is crucial to prevent aspiration and ensure the client can safely swallow without the risk of choking or inhaling fluids. This step is essential before offering any food or water to the client.
Option A is incorrect because calling the healthcare provider for a prescription is unnecessary at this point. Option B is incorrect because ice chips can still pose a risk if the client's gag reflex is impaired. Option D is incorrect as allowing the client to have a sip without assessing the gag reflex first could lead to complications if the client is unable to swallow properly.
What is the primary advantage of the use of midazolam (Versed) as an adjunct to general anesthesia?
- A. Amnestic effect
- B. Analgesic effect
- C. Prolonged action
- D. Antiemetic effect
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During a preoperative physical examination, the nurse is alerted to the possibility of compromised respiratory function during or after surgery in a patient with which problem?
- A. Obesity
- B. Dehydration
- C. Enlarged liver
- D. Decreased peripheral pulses
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.