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Which team is the most appropriate for this assignment?
- A. An advanced practice nurse and an experienced LPN/LVN
- B. An experienced LPN/LVN and an inexperienced RN
- C. An experienced RN and an inexperienced RN
- D. An experienced RN and a nursing assistant
Correct Answer: A
Rationale: An advanced practice nurse has the expertise to assess and manage complex cases, while an experienced LPN/LVN can assist with triage tasks.
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With what are the postoperative respiratory complications of atelectasis and aspiration of gastric contents associated?
- A. Hypoxemia
- B. Hypercapnia
- C. Hypoventilation
- D. Airway obstruction
Correct Answer: A
Rationale: Hypoxemia results from impaired gas exchange due to atelectasis or aspiration.
Which of the following actions should the nurse carry out first in a client with a chemical splash in the eye?
- A. Flush the eyes with running water
- B. Instill an antibiotic
- C. Apply an eye pad
- D. Rub the eyes vigorously
Correct Answer: A
Rationale: Immediate flushing with water is essential to dilute and remove the chemical, preventing further damage.
While assessing a client with pulmonary tuberculosis, which of the following findings should the nurse expect?
- A. Lethargy
- B. High-grade fever
- C. Weight gain
- D. Dry cough
Correct Answer: A
Rationale: The correct answer is A: Lethargy. In pulmonary tuberculosis, lethargy is common due to systemic symptoms like fatigue and weakness. High-grade fever is also common but not specific to pulmonary tuberculosis. Weight loss, not weight gain, is a classic symptom due to decreased appetite. Dry cough is a common symptom, but not as specific as lethargy in pulmonary tuberculosis.
Which statement about sleep is accurate?
- A. Lack of sleep causes medical and psychiatric disorders.
- B. Adults generally require at least 5 hours of sleep every 24 hours.
- C. During sleep an individual is not consciously aware of his or her environment.
- D. Less than 10% of adults report at least one sleep problem, such as difficulty falling asleep.
Correct Answer: C
Rationale: The correct answer is C because during sleep, an individual's conscious awareness of the environment diminishes. Option A is incorrect because lack of sleep exacerbates but does not directly cause disorders. Option B underestimates the recommended sleep duration, and Option D overestimates the prevalence of sleep problems.
A patient is diagnosed with Bell's palsy and has signs of unilateral facial paralysis and is unable to close his right eye. What eye care is required?
- A. The patient will need to instill artificial teardrops and use an eye patch.
- B. None, since the symptoms will disappear in a few weeks.
- C. Increase fluid intake to prevent dryness of the eye.
- D. Wear sunglasses.
Correct Answer: A
Rationale: Protecting the exposed eye is crucial in Bell's palsy to prevent corneal damage.