Nokea
Which of the following is not a reason for pelvic ultrasonography?
- A. to measure uterine size
- B. to detect multiple pregnancies
- C. to measure renal size
- D. to detect foreign bodies
Correct Answer: C
Rationale: Pelvic ultrasonography assesses pelvic organs, not renal size, which is evaluated via abdominal or renal ultrasonography.
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The emergency triage nurse should perform which action upon receiving the history that a client has a severe cough, fever, night sweats, and body wasting?
- A. Place the client in the waiting room until an available cubicle is open
- B. Seclude the client from other clients and visitors
- C. Perform no intervention because it might not be necessary until tests confirm a disease
- D. Don gown, gloves, and mask immediately
Correct Answer: B
Rationale: Symptoms suggestive of tuberculosis require immediate seclusion to prevent transmission, with caregivers using respirator masks.
A client with a pleural drainage system to suction has gentle bubbling of the water seal. What should the nurse do?
- A. Notify the physician.
- B. Clamp the chest tube.
- C. Replace the system.
- D. Document the finding.
Correct Answer: D
Rationale: Gentle bubbling is a normal finding for the client who has a pleural drainage system to suction, so it simply needs to be documented. If the bubbling becomes vigorous, it could indicate a leak, which the nurse needs to investigate. The remaining choices are not necessary.
Which of the following statements indicates adequate dietary understanding in a client with constipation?
- A. I should decrease my intake of fluids.
- B. I should decrease my level of activity.
- C. I should increase my intake of apples.
- D. I should increase my intake of milk.
Correct Answer: C
Rationale: Apples are a source of high fiber, which decreases constipation. A constipated client needs to increase fluids and activity level. Milk is not a high-fiber food.
Which of the following foods might a client with a hypercholesterolemia need to decrease his or her intake of?
- A. broiled catfish
- B. hamburgers
- C. wheat bread
- D. fresh apples
Correct Answer: B
Rationale: Due to the high cholesterol content of red meats, such as hamburger, intake needs to be decreased. The other options do not have high cholesterol content, so they do not need to be decreased.
When a client needs oxygen therapy, what is the highest flow rate that oxygen can be delivered via nasal cannula?
- A. 2 liters/minute
- B. 4 liters/minute
- C. 6 liters/minute
- D. 8 liters/minute
Correct Answer: C
Rationale: The highest flow rate that oxygen can be delivered via nasal cannula is 6 liters/minute. Higher flow rates must be delivered by mask.