Nokea
Which is a symptom of mental disorders?
- A. Anger
- B. Sleep deprivation
- C. Speech abnormalities
- D. Anxiety
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A client with a mediastinal chest tube is being assessed by a nurse. Which symptoms require the nurse's immediate intervention? (SATA)
- A. Production of pink sputum
- B. Tracheal deviation
- C. Pain at insertion site
- D. Sudden onset of shortness of breath
Correct Answer: B
Rationale: The correct answer is B: Tracheal deviation. Tracheal deviation indicates a tension pneumothorax, a life-threatening emergency that requires immediate intervention to prevent further complications. The other choices are incorrect because:
A: Production of pink sputum may indicate blood-tinged sputum, which could be a sign of minor bleeding but does not require immediate intervention.
C: Pain at insertion site is common after chest tube insertion and can be managed with pain medication, not necessarily requiring immediate intervention.
D: Sudden onset of shortness of breath could indicate various issues, including pneumothorax, but tracheal deviation is a more specific and urgent sign that requires immediate attention.
What factors lead to decreased urine output during shock?
- A. Dehydration
- B. Overhydration
- C. Electrolyte imbalance
- D. Hypertension
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The client has received preoperative teaching for a vertical partial laryngectomy. The nurse determines that the teaching has been effective when the client states:
- A. I know I will need special swallowing training after my surgery.'
- B. The quality of my voice will be excellent after surgery.'
- C. I will have very little difficulty swallowing after surgery.'
- D. I may also have to have a radical neck dissection done.'
Correct Answer: C
Rationale: Special swallowing training is required for a client with a supraglottic (horizontal partial) laryngectomy, not a vertical partial laryngectomy. The quality of the client's voice will be altered, but it will be adequate for communication. The client will have minimal difficulty swallowing. A radical neck dissection may be done with a total laryngectomy, not with a partial laryngectomy.
What nursing order should be included in Mr. Puff’s care plan?
- A. Increase fluid intake to a minimum of 3000 ml/day
- B. Provide for postural drainage for 20 minutes after meals
- C. Restrict visitors
- D. Walk in hall t.i.d. for 20 minutes
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The start of the luteal phase of the menstrual cycle is marked by:
- A. Menstruation
- B. Pelvic pain
- C. Ovulation
- D. Cramping
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.