Nokea
Which assessment finding indicates a potential complication of immobility related to the respiratory system?
- A. Increased muscle strength
- B. Increased lung expansion
- C. Diminished breath sounds
- D. Normal respiratory rate
Correct Answer: C
Rationale: Diminished breath sounds signal a respiratory complication from immobility, suggesting poor ventilation or issues like atelectasis or pneumonia due to shallow breathing. Stronger muscles or expanded lungs indicate healthy function, not problems, while a normal breathing rate doesn't reveal underlying lung issues. Nurses auscultate for this to detect early respiratory decline, prompting interventions like repositioning or breathing exercises, ensuring timely action to safeguard oxygenation in immobile patients.
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An infant is born precipitously outside the labor room. What should the nurse do first?
- A. Tie and cut the umbilical cord
- B. Establish an airway for the newborn
- C. Ascertain the condition of the uterine fundus
- D. Arrange transport for the mother and infant to the birthing unit
Correct Answer: B
Rationale: Precipitous birth outside controlled settings demands urgent action. Tying/cutting the cord (choice A) is secondary; delay poses no immediate risk unless bleeding occurs. Establishing an airway (choice B) is first, as newborns must breathe independently clearing mucus or stimulating crying ensures oxygenation, critical within the golden minute. Checking the fundus (choice C) assesses maternal bleeding, a later priority. Transport (choice D) follows stabilization. B is correct, per neonatal resuscitation guidelines. Nurses clear airways, warm the infant, and then address cord and maternal needs, ensuring survival.
He was called the father of sanitation.
- A. Abraham
- B. Hippocrates
- C. Moses
- D. Willam Halstead
Correct Answer: C
Rationale: Moses, in ancient Hebrew texts, set sanitation laws e.g., waste disposal, quarantine earning the 'father of sanitation' title. Abraham (patriarch), Hippocrates (medicine), and Halstead (surgery) differ. His Leviticus codes predate modern hygiene, influencing public health and nursing's infection control foundations.
Which of the following statement best describes blood pressure?
- A. It is the force exerted by the blood against the walls of the blood vessels
- B. The lowest pressure is called systolic pressure
- C. BP is controlled by the sympathetic nervous system alone
- D. BP is measured using sphygmomanometer on the forearm
Correct Answer: A
Rationale: Blood pressure is the force of blood against vessel walls (A), per its definition in physiology. Systolic is the highest pressure (B), not lowest false. BP involves sympathetic and parasympathetic systems (C), not just one. Sphygmomanometers measure at the upper arm, not forearm (D). A accurately captures BP's essence, validated by clinical practice, making it the best and correct description.
The nurse is caring for an elderly woman who has had a fractured hip repaired. In the first few days following the surgical repair, which of the following nursing measures will best facilitate the resumption of activities for this client?
- A. Arranging for the wheelchair
- B. Asking her family to visit
- C. Assisting her to sit out of bed in a chair qid
- D. Encouraging the use of an overhead trapeze
Correct Answer: D
Rationale: The trapeze promotes upper body strength and mobility, aiding recovery.
Which of the following statement is TRUE about palliative care?
- A. Palliative care is given only on Hospice setting
- B. Palliative care is given only to cancer clients
- C. Palliative care improves quality of life
- D. Palliative care is offered only when the client's condition is irreversible
Correct Answer: C
Rationale: Palliative care improves quality of life (C), per its goal managing symptoms, enhancing comfort. It's not hospice-only (A), not cancer-specific (B), and applies beyond irreversible states (D) available at any serious illness stage. C's universal truth aligns with palliative principles, making it correct.