Nokea
Which of the ff interventions is implemented for a client with empyema?
- A. Teach the client breathing exercises
- B. Offer assurance that empyema takes less time to resolve
- C. Recommend that the client eat a balanced but light diet
- D. Emphasize the completion of the entire course of drug therapy
Correct Answer: D
Rationale: Empyema is a serious infection that requires aggressive treatment with antibiotics. The client must complete the entire course of drug therapy as prescribed by the healthcare provider to ensure that the infection is completely eradicated. Failure to complete the full course of antibiotics can lead to antibiotic resistance and recurrence of the infection. It is crucial to emphasize to the client the importance of adhering to the prescribed treatment regimen to achieve a full recovery and prevent complications.
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After the surgical incision has been clised and the anesthesia has wear-off, the patient is extubated and transferred to the postanesthesia care unit (PACU). Who is responsible for transferring the patient?
- A. Circulating nurse
- B. scrub nurse
- C. surgeon
- D. anesthesiologist
Correct Answer: D
Rationale: The anesthesiologist is responsible for transferring the patient to the postanesthesia care unit (PACU) after the surgical incision has been closed and the anesthesia has worn off. The anesthesiologist ensures that the patient is stable and ready for transfer, including assessing vital signs and overall condition. Due to their specialized training in anesthesia and perioperative care, the anesthesiologist is best equipped to manage the transition of care from the operating room to the PACU, where the patient will continue to be monitored closely during the immediate postoperative period.
What is smokeless tobacco?
- A. Not addicting
- B. Proven to be carcinogenic
- C. Easy to stop using
- D. A safe alternative to cigarette smoking
Correct Answer: B
Rationale: Smokeless tobacco refers to tobacco products that can be used without being smoked. These products usually come in the form of snuff, chewing tobacco, or dissolvable tobacco products. While smokeless tobacco does not involve the inhalation of smoke, it is still proven to be carcinogenic. The most significant health risk associated with smokeless tobacco is the potential to develop various types of cancer, including oral, esophageal, and pancreatic cancer. Therefore, it is crucial to understand that using smokeless tobacco is not a safe alternative to cigarette smoking, as it still poses serious health risks.
A nurse is assessing a newborn infant who was born to a mother who is addicted to drugs. Which of the following assessment findings would the nurse expect to note during the assessment of this newborn?
- A. Sleepiness
- B. Cuddles when being held
- C. Lethargy
- D. Incessant crying
Correct Answer: C
Rationale: Newborn infants born to mothers who are addicted to drugs are at risk for neonatal abstinence syndrome (NAS) due to drug withdrawal. Lethargy is a common finding in newborns with NAS. This is characterized by excessive sleepiness, decreased responsiveness, and lack of energy or enthusiasm for activities. Lethargy is often seen as a result of the withdrawal symptoms experienced by the newborn due to exposure to drugs in utero. It is important for the nurse to monitor the newborn closely for signs of withdrawal and provide appropriate care and interventions to manage NAS symptoms.
The nurse is caring for a child with persistent hypoxia secondary to a cardiac defect. The nurse recognizes that a risk exists of cerebrovascular accidents (strokes). Which is an important objective to decrease this risk?
- A. Minimize seizures
- B. Prevent dehydration
- C. Promote cardiac output
- D. Reduce energy expenditure
Correct Answer: C
Rationale: In a child with persistent hypoxia secondary to a cardiac defect, promoting cardiac output is crucial to decreasing the risk of cerebrovascular accidents (strokes). Hypoxia resulting from the cardiac defect can lead to inadequate oxygen supply to the brain, increasing the risk of strokes. By optimizing cardiac output, the body can deliver sufficient oxygen to vital organs, including the brain, reducing the likelihood of cerebrovascular accidents. It is essential to focus on supporting cardiac function to improve overall perfusion and oxygenation levels, ultimately helping to mitigate the risk of strokes in this vulnerable population.
Which finding requires immediate attention in a child with glomerulonephritis?
- A. Sleeping most of the day with BP 170/90.
- B. Urine output of 190 mL in 8 hours with Coca-Cola-colored urine.
- C. Severe headache and photophobia.
- D. Refusal to eat with poor appetite.
Correct Answer: C
Rationale: A severe headache with photophobia may indicate hypertensive encephalopathy; this requires prompt evaluation.