Nokea
Which of the following is a therapeutic use of silence?
- A. Encourages a client to use verbal communication.
- B. Facilitates reaching the goals of a client.
- C. Ensures a client’s comprehension before self-care.
- D. Avoids overwhelming a client with new information.
Correct Answer: D
Rationale: Silence prevents information overload, allowing the client time to process and absorb new information effectively.
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You have been caring for a patient with osteomyelitis. In preparing the patient for discharge, you include teaching about
- A. The importance of multiple-week treatment with antibiotics.
- B. The side effects and interactions of the medications.
- C. Symptoms that necessitate a call to the physician, nurse practitioner, or physician assistant.
- D. All of the above.
Correct Answer: D
Rationale: Comprehensive education ensures adherence to treatment and recognition of complications.
Which type of stress helps individuals pursue goals and solve problems?
- A. Energy stress
- B. Active stress
- C. Eustress
- D. Distress
Correct Answer: C
Rationale: Eustress is positive stress that motivates individuals to achieve goals, learn new skills, and manage crises effectively.
After a thyroidectomy, a female client is returned to the unit from the recovery room. A major complication after a thyroidectomy is:
- A. respiratory obstruction.
- B. hypercalcemia.
- C. fistula formation.
- D. myxedema.
Correct Answer: A
Rationale: Respiratory obstruction due to edema of the glottis, bilateral laryngeal nerve damage, or tracheal compression from hemorrhage is a major complication after a thyroidectomy. Hypocalcemia and tetany from accidental removal of one or more parathyroid glands are major complications; not hypercalcemia. Fistula formation is not a major complication associated with a thyroidectomy. Fistula formation is a major complication with a laryngectomy. Myxedema is hypothyroidism occurring in adults. It is not a complication of a thyroidectomy. A thyroidectomy client tends to develop thyroid storm from an excess of the thyroid hormones released during surgery.
A preoperative patient reveals that an uncle died during surgery because of a fever and cardiac arrest. Knowing the patient is at risk for malignant hyperthermia, the perioperative nurse alerts the surgical team. What is likely to happen next?
- A. The surgery will have to be cancelled.
- B. Specific precautions can be taken to safely anesthetize the patient.
- C. Dantrolene (Dantrium) must be given to prevent hyperthermia during surgery.
- D. The patient should be placed on a cooling blanket during the surgical procedure.
Correct Answer: B
Rationale: With awareness of malignant hyperthermia risk, specific precautions ensure safe anesthesia administration.
What outcome criterion would be most appropriate based on Mr. Stout’s nursing diagnosis of sleep pattern disturbance?
- A. Demonstrate abdominal and pursed-lip breathing
- B. Explain rationale for use of sleeping medication
- C. Explain basic pathology of chronic bronchitis
- D. List food and fluid requirements and plans for meeting them
Correct Answer: A
Rationale: Breathing techniques improve oxygenation and reduce nocturnal awakenings.