Nokea
Which of the following should the nurse include in the teaching plan of a client with acute bronchitis?
- A. Not coughing frequently
- B. Consuming adequate calories
- C. Washing the hands frequently
- D. Encouraging a semi-Fowler’s position
Correct Answer: C
Rationale: The correct answer is C. Frequent handwashing prevents the spread of infection, which is crucial in managing acute bronchitis. A (not coughing frequently) is impractical and counterproductive. B (consuming adequate calories) supports general health but is not specific. D (semi-Fowler’s position) may aid breathing but is not a primary teaching point.
You may also like to solve these questions
In human beings, rib case and sternum move upwardly and outwardly during
- A. Exercise
- B. Sudden back injury
- C. Expiration
- D. Inspiration
Correct Answer: D
Rationale: During inspiration, the diaphragm contracts and moves downward, while the intercostal muscles contract to lift the rib cage and sternum upward and outward to increase lung volume for air intake. This creates a negative pressure in the lungs, allowing air to be drawn in. In contrast, expiration involves relaxation of the diaphragm and intercostal muscles, leading to the rib cage and sternum moving downward and inward to expel air. Therefore, the correct answer is D: Inspiration. Choices A, B, and C are incorrect as they do not specifically involve the physiological process of rib cage and sternum movement related to breathing.
What is the relationship between the pressures at label '8'?
- A. P outside = P inside
- B. P outside > P inside
- C. P outside < P inside
- D. P outside + P inside
Correct Answer: C
Rationale: The correct answer is C: P outside < P inside. This is because pressure decreases as altitude increases. At label '8', the pressure outside the object (presumably at a higher altitude) is lower than the pressure inside the object. This is due to the decrease in air pressure with increasing altitude. Choice A is incorrect because at higher altitudes, the pressure outside is lower than inside. Choice B is incorrect as it suggests the opposite relationship. Choice D is incorrect as it does not accurately describe the relationship between the pressures at label '8'.
A nurse cares for a client who had a partial laryngectomy 10 days ago. The client states that all food tastes bland. How would the nurse respond?
- A. I will consult the speech therapist to ensure you are swallowing properly.
- B. This is normal after surgery. What types of food do you like to eat?
- C. I will ask the dietitian to change the consistency of the food in your diet.
- D. Replacement of protein, calories, and water is very important after surgery.
Correct Answer: B
Rationale: Step 1: Acknowledge client's concern about bland taste.
Step 2: Validate normalcy post-laryngectomy.
Step 3: Assess client's food preferences for individualized care.
Step 4: Encourage open communication for effective care plan.
Step 5: Addressing the issue holistically promotes client-centered care.
Summary:
- A: Focuses on swallowing, not taste.
- C: Addresses food consistency, not taste.
- D: Important but not directly related to client's concern.
The nurse on the intermediate care unit received a change-of-shift report on four patients with hypertension. Which patient should the nurse assess first?
- A. 48-yr-old with a blood pressure of 160/92 mm Hg who reports chest pain
- B. 52-yr-old with a blood pressure of 198/90 mm Hg who has leg cramping
- C. 50-yr-old with a blood pressure of 190/104 mm Hg who has a creatinine of 1.1 mg/dL
- D. 43-yr-old with a blood pressure of 172/98 mm Hg whose urine shows microalbuminuria.
Correct Answer: A
Rationale: The correct answer is A. The nurse should assess the 48-yr-old with a blood pressure of 160/92 mm Hg who reports chest pain first because chest pain can be a sign of a cardiac issue, which could be life-threatening. Assessing this patient first is crucial to rule out any acute cardiac events. Leg cramping (choice B) is a common symptom in hypertensive patients but is not as urgent as chest pain. High creatinine levels (choice C) may indicate kidney issues but do not require immediate assessment compared to chest pain. Microalbuminuria (choice D) is a sign of kidney damage in hypertension but does not pose an immediate threat like chest pain.
Spirometry is used
- A. To detect the amount of Hemoglobin
- B. To detect the air flow through the respiratory system
- C. To check the respiratory quotient
- D. None of these
Correct Answer: B
Rationale: The correct answer is B: To detect the air flow through the respiratory system. Spirometry measures lung function by assessing the volume of air inhaled and exhaled. It helps in diagnosing respiratory conditions like asthma or COPD. Choice A is incorrect because spirometry does not measure hemoglobin levels. Choice C is incorrect as spirometry does not determine the respiratory quotient, which relates to metabolic processes. Choice D is incorrect as spirometry is used for assessing respiratory function.