Nokea
Which intervention for airway management should you delegate to the nursing assistant?
- A. Assist client to sit up on side of bed.
- B. Instruct client to cough effectively.
- C. Teach client to use incentive spirometry.
- D. Auscultate breath sounds every 4 hours.
Correct Answer: A
Rationale: The correct answer is A. Assisting the client to sit up is a basic intervention suitable for a nursing assistant. Instructing effective coughing (B) and teaching incentive spirometry (C) require more skill. Auscultating breath sounds (D) is outside the scope of practice for a nursing assistant.
You may also like to solve these questions
The fauces connects which of the following structures to the oropharynx?
- A. nasopharynx
- B. laryngopharynx
- C. nasal cavity
- D. oral cavity
Correct Answer: D
Rationale: The correct answer is D: oral cavity. The fauces is the opening between the oral cavity and the oropharynx. It is located at the back of the mouth, connecting the oral cavity to the oropharynx. This opening allows the passage of food and liquids from the mouth to the throat during swallowing. Choices A, B, and C are incorrect because the fauces does not connect to the nasopharynx, laryngopharynx, or nasal cavity. The fauces specifically connects the oral cavity to the oropharynx, making choice D the correct answer in this context.
The emergency department (ED) manager is reviewing client charts to determine how well the staff perform when treating clients with community-acquired pneumonia. What outcome demonstrates that goals for this client type have been met?
- A. Antibiotics started before admission.
- B. Blood cultures obtained within 20 minutes.
- C. Chest x-ray obtained within 30 minutes.
- D. Pulse oximetry obtained on all clients.
Correct Answer: A
Rationale: The correct answer is A: Antibiotics started before admission. This outcome demonstrates that the staff are meeting the goal for treating clients with community-acquired pneumonia because timely administration of antibiotics is crucial in managing this condition effectively. Starting antibiotics promptly helps to reduce the spread of infection and improve patient outcomes.
Blood cultures obtained within 20 minutes (B) is important for diagnosing the specific pathogen causing pneumonia but does not directly reflect the treatment goal achievement. Chest x-ray within 30 minutes (C) is essential for diagnosis but does not indicate treatment success. Pulse oximetry on all clients (D) is important for monitoring oxygen levels but does not directly show if the treatment goal for pneumonia has been met.
BCG vaccine is used to curb
- A. Pneumonia
- B. Tuberculosis
- C. Emphysema
- D. Small pox
Correct Answer: B
Rationale: The correct answer is B: Tuberculosis. BCG vaccine is specifically designed to prevent tuberculosis, which is a bacterial infection caused by Mycobacterium tuberculosis. The vaccine stimulates the immune system to provide protection against TB. Pneumonia (A), Emphysema (C), and Smallpox (D) are not targeted by the BCG vaccine. Pneumonia is usually caused by viruses or bacteria different from TB, Emphysema is a chronic lung condition unrelated to TB, and Smallpox is caused by the Variola virus, which is different from the bacteria causing TB. Therefore, the correct answer is B as BCG vaccine is used to curb tuberculosis.
Breathing rate is more rapid when the ...... area is more active
- A. Apneustic
- B. pneumotaxic
- C. medullary rhythmicity
- D. none
Correct Answer: B
Rationale: The correct answer is B: pneumotaxic. The pneumotaxic area is located in the pons and regulates the rate and depth of breathing by inhibiting the inspiratory area in the medulla. When the pneumotaxic area is more active, it limits the duration of inspiratory bursts, causing a more rapid breathing rate.
A: Apneustic area is located in the lower pons and promotes prolonged inspiration, leading to slower breathing rate.
C: Medullary rhythmicity is responsible for setting the basic rhythm of breathing, not directly affecting breathing rate.
D: None is incorrect as there is a specific brain area, pneumotaxic, that influences breathing rate.
The most abundant gas in the earth's atmosphere is
- A. oxygen.
- B. water vapor
- C. argon.
- D. nitrogen.
Correct Answer: D
Rationale: The correct answer is D: nitrogen. Nitrogen makes up about 78% of the Earth's atmosphere, making it the most abundant gas. This is due to the fact that nitrogen is a chemically stable element that forms diatomic molecules (N2) which are not easily broken down. Oxygen (A) makes up about 21% of the atmosphere, while water vapor (B) and argon (C) are present in much smaller quantities. Therefore, nitrogen is the most abundant gas in the Earth's atmosphere based on its high percentage composition.