Nokea
Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery?
- A. Decreased blood pressure and heart rate and shallow respirations
- B. Quiet crying
- C. Immobility, diaphoresis, and avoidance of deep breathing or coughing
- D. Changing position every 2 hours
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping, and muscle weakness. These symptoms probably indicate that the patient is experiencing:
- A. Hypokalemia
- B. Hyperkalemia
- C. Anorexia
- D. Dysphagia
Correct Answer: A
Rationale: The symptoms of fatigue, muscle cramping, and muscle weakness in a patient after starting furosemide therapy are indicative of hypokalemia. Furosemide is a loop diuretic that can lead to potassium depletion, causing hypokalemia. Hypokalemia can manifest with muscle weakness, cramps, and fatigue due to alterations in neuromuscular function and decreased ATP production.
Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse?
- A. Administer oxygen by Venturi mask at 24% as needed
- B. Allow a 1-hour rest period between activities
- C. Patients and nurses both respond well to primary nursing care units
- D. Studies have shown that patients and nurses both respond well to primary nursing care units
Correct Answer: C
Rationale: Primary nursing care units have been proven to be highly satisfying for both patients and nurses. This model promotes a consistent and continuous relationship between a patient and a primary nurse, leading to improved communication, personalized care, and overall satisfaction for both parties involved.
What is the correct sequence for assessing the abdomen?
- A. Tympanic percussion, measurement of abdominal girth, and inspection
- B. Assessment for distention, tenderness, and discoloration around the umbilicus
- C. Percussion, palpation, and auscultation
- D. Auscultation, percussion, and palpation
Correct Answer: D
Rationale: The correct sequence for assessing the abdomen is auscultation, percussion, and palpation. Auscultation allows the healthcare provider to listen for bowel sounds, followed by percussion to assess for areas of tenderness or abnormal distention, and finally palpation to feel for masses or organ enlargement. This sequence ensures a systematic and thorough assessment of the abdomen.
Which of the following interventions promotes patient safety?
- A. Assess the patient's ability to ambulate and transfer from a bed to a chair
- B. Demonstrate the signal system to the patient
- C. Check to see that the patient is wearing their identification band
- D. All of the above
Correct Answer: D
Rationale: All the listed interventions are essential for promoting patient safety. Assessing the patient's ability to ambulate and transfer helps prevent falls, demonstrating the signal system ensures effective communication in emergencies, and checking the patient's identification band aids in accurate identification and treatment. By combining these interventions, healthcare providers can enhance patient safety and quality of care.
When is additional Vitamin C not required?
- A. Infancy
- B. Young adulthood
- C. Childhood
- D. Pregnancy
Correct Answer: B
Rationale: Vitamin C requirements are increased during infancy, childhood, and pregnancy due to growth and development. However, during young adulthood, the body generally requires a consistent amount of Vitamin C as it is not undergoing rapid growth or physiological changes that necessitate an increase in Vitamin C intake.