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Which technique facilitates interactions between the nurse and client?
- A. Ask questions that can be answered with yes or no.
- B. Sit within the client’s comfort zone.
- C. Avoid making eye contact.
- D. Address clients by their first names.
Correct Answer: B
Rationale: Respecting personal space enhances trust and comfort during interactions.
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What are the factors that interfere with a client’s learning capacity? How can receptiveness to learning be increased?
- A. Stress,fatigue and lack of interest; create a supportive environment.
- B. Lack of resources; provide more materials.
- C. Cultural differences; adapt teaching methods.
- D. None of the above.
Correct Answer: A
Rationale: Factors like stress and fatigue hinder learning. Creating a supportive, stress-free environment enhances receptiveness.
Mary presents difficulty breathing, fatigue, orthopnea, and palpitation, and is diagnosed as having aortic insufficiency. After undergoing aortic valve repair, what medication would you expect her physician to prescribe?
- A. Ativan.
- B. Haldol.
- C. Heparin.
- D. Thorazine.
Correct Answer: C
Rationale: Anticoagulation is often required post-valve repair to prevent clot formation.
9. When the family members of a postoperative patient leave after a visit, the patient tells the nurse that his family gave him a headache by fussing over him so much. What is an appropriate intervention by the nurse?
- A. Administer the PRN analgesic prescribed for his postoperative pain.
- B. Ask the patient’s permission to use acupressure to ease his headache.
- C. Reassure the patient that his headache will subside now that his family has gone.
- D. Teach the patient biofeedback methods to relieve his headaches by controlling cerebral blood flow.
Correct Answer: B
Rationale: Asking the patient’s permission to use acupressure (option B) is an appropriate non-pharmacological intervention that respects patient autonomy and may effectively alleviate the headache.
Which type of anesthesia describes a state in which the client is free of pain, fear, and anxiety and can tolerate unpleasant procedures while maintaining independent cardiorespiratory function and the ability to respond to verbal commands and tactile stimulation?
- A. General
- B. Regional
- C. Epidural
- D. Procedural sedation
Correct Answer: D
Rationale: The correct answer is D because procedural sedation allows the client to remain responsive while being sedated.
Your patient is often fatigued as a result of having anemia. She asks you why she is fatigued. You respond by saying
- A. Destruction (hemolysis) of the red blood cells.
- B. Paleness (pallor) of the skin.
- C. Lack of nutritional intake of essential nutrients, such as iron or B12.
- D. Decreased oxygen-carrying capability of the blood.
Correct Answer: D
Rationale: Anemia reduces the blood's ability to carry oxygen, leading to fatigue.