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Which of the following should be immediately reported to the physician?
- A. Change in color vision
- B. Crusty yellow drainage on eyelashes
- C. Increased lacrimation
- D. Curtain-like shadow across visual field
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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How does client and family care differ for a client with an acute terminal illness versus a chronic terminal illness?
- A. Acute terminal illness requires immediate interventions,while chronic terminal illness focuses on long-term symptom management.
- B. Acute terminal illness involves less family involvement,while chronic terminal illness requires extensive support.
- C. No difference exists.
- D. Care depends solely on the client’s preferences.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare provider assesses a client with pneumonia. Which clinical manifestation should the provider expect to find?
- A. Fremitus
- B. Hyperresonance
- C. Dullness on percussion
- D. Decreased tactile fremitus
Correct Answer: C
Rationale: The correct answer is C: Dullness on percussion. Pneumonia is characterized by consolidation of lung tissue, causing dullness on percussion due to increased density. Fremitus (A) and tactile fremitus (D) are decreased in conditions like pleural effusion or pneumothorax, not pneumonia. Hyperresonance (B) is associated with conditions like emphysema, not pneumonia. In pneumonia, the affected area is consolidated, leading to dullness on percussion.
Three days after surgery, Mark notices that the wound site is more painful now than it was the day before. When you inspect the surgical site you are looking for redness or inflammation. Other indicators of infection would include
- A. Elevated RBC and elevated respiratory rate.
- B. Elevated WBC and elevated temperature.
- C. Elevated erythrocyte sedimentation rate and decreased pulse.
- D. Decreased platelets and decreased blood pressure.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is wearing a Venturi mask to receive oxygen, and the dinner tray has arrived. What action by the nurse is best?
- A. Assess the client's oxygen saturation and, if normal, turn off the oxygen.
- B. Determine if the client can switch to a nasal cannula during the meal.
- C. Have the client lift the mask off the face when taking bites of food.
- D. Turn off the oxygen while the client eats the meal and then restart it.
Correct Answer: B
Rationale: The correct answer is B: Determine if the client can switch to a nasal cannula during the meal. This is the best action because the client can maintain oxygen therapy while eating without the obstruction of the Venturi mask. Switching to a nasal cannula allows for continued oxygen delivery during meals.
A: Assessing the client's oxygen saturation and turning off the oxygen if normal is incorrect because the client still needs oxygen support during meals.
C: Having the client lift the mask off the face when taking bites of food is incorrect as it disrupts continuous oxygen therapy.
D: Turning off the oxygen while the client eats the meal and then restarting it is incorrect as it interrupts oxygen therapy, which should be continuous for clients requiring oxygen support.
You are reviewing lab findings on an 88-year-old patient and note that her vitamin B12 level is low. A decrease in B12 among older adults frequently results in:
- A. Aplastic anemia
- B. Pernicious anemia
- C. Folate anemia
- D. Wernicke’s anemia
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.