Nokea
Which factor may promote anxiety for a client undergoing a surgical procedure?
- A. Decreased mobility
- B. Unfamiliar environment
- C. Unclear expectations
- D. Decreased alertness
Correct Answer: C
Rationale: The correct answer is C because unclear expectations can increase anxiety in clients facing surgery.
You may also like to solve these questions
A 56-year-old patient comes to the walk-in clinic for scant rectal bleeding and intermittent diarrhea and constipation for the past several months. There is a history of polyps and a family history for colorectal cancer. While you are trying to teach about colonoscopy, the patient becomes angry and threatens to leave. What is the priority diagnosis?
- A. Diarrhea/Constipation related to altered bowel patterns.
- B. Knowledge Deficit related to disease process and diagnostic procedure.
- C. Risk for Fluid Volume Deficit related to rectal bleeding and diarrhea.
- D. Anxiety related to unknown outcomes and perceived threats to body integrity.
Correct Answer: D
Rationale: The patient's anger and threat to leave indicate significant anxiety, which must be addressed before proceeding with education or further assessment.
For which nursing diagnoses or collaborative problems common in postoperative patients has ambulation been found to be an appropriate intervention (select all that apply)?
- A. Impaired skin integrity related to incision
- B. Impaired mobility related to decreased muscle strength
- C. Risk for aspiration related to decreased muscle strength
- D. Ineffective airway clearance related to decreased respiratory excursion
Correct Answer: D
Rationale: Ambulation addresses multiple postoperative issues, including mobility, respiratory function, constipation, and thromboembolism prevention.
Which complications are related to anorexia nervosa?
- A. Premature wrinkles
- B. Vitamin excess
- C. Stress fractures in spine or hip
- D. Fluid overload
Correct Answer: C
Rationale: Severe weight loss weakens bones, increasing the risk of stress fractures in weight-bearing areas like the spine and hips.
What is the primary symptom of hordeolum?
- A. Redness and swelling
- B. Itching
- C. Blurred vision
- D. Dry eyes
Correct Answer: A
Rationale: Hordeolum, or stye, presents with localized redness and swelling of the eyelid.
What is the main drawback of the botulism antitoxin that the nurse should be aware of?
- A. It causes 9% hypersensitivity.
- B. It requires monthly booster dosages.
- C. It is not available from the CDC.
- D. It is not available as a pre-exposure vaccine.
Correct Answer: D
Rationale: The correct answer is D because botulism antitoxin is not available as a preventive vaccine.