Nokea
A client is prescribed nicotine replacement therapy. Which statement should the nurse include in this client's teaching?
- A. Smoking while taking this medication will increase your risk of a stroke.
- B. Make a list of reasons why smoking is a bad habit.
- C. Stopping this medication suddenly increases your risk for a heart attack.
- D. Rise slowly when getting out of bed in the morning.
Correct Answer: A
Rationale: The correct answer is A because smoking while on nicotine replacement therapy can lead to nicotine overdose, increasing the risk of a stroke due to excessive nicotine intake. This statement emphasizes the importance of avoiding smoking during treatment.
Choice B is incorrect as it does not address the specific risk associated with smoking while on the medication. Choice C is incorrect as stopping the medication suddenly does not directly increase the risk for a heart attack. Choice D is irrelevant to nicotine replacement therapy and does not provide information related to the medication's use.
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A client had a bronchoscopy 2 hours ago and asks for a drink of water. Which action should the nurse take next?
- A. Call the healthcare provider to request a prescription for food and water.
- B. Provide the client with ice chips instead of a drink of water.
- C. Assess the client's gag reflex before giving any food or water.
- D. Let the client have a small sip to assess swallowing ability.
Correct Answer: C
Rationale: The correct answer is C: Assess the client's gag reflex before giving any food or water. After a bronchoscopy, the client may have an impaired gag reflex due to the numbing agent used during the procedure. Assessing the gag reflex is crucial to prevent aspiration and ensure the client can safely swallow without the risk of choking or inhaling fluids. This step is essential before offering any food or water to the client.
Option A is incorrect because calling the healthcare provider for a prescription is unnecessary at this point. Option B is incorrect because ice chips can still pose a risk if the client's gag reflex is impaired. Option D is incorrect as allowing the client to have a sip without assessing the gag reflex first could lead to complications if the client is unable to swallow properly.
A 29-year-old client is scheduled for an arthrotomy of the right knee following a football injury. The client describes his state of health as excellent and states that he does not use any medication. In providing psychological support for the client during the preoperative period, the nurse should:
- A. teach coughing and deep breathing exercises.
- B. provide for spiritual care, if appropriate.
- C. perform a head to toe assessment including height and weight.
- D. administer preoperative medication as ordered.
Correct Answer: B
Rationale: Teaching coughing and deep breathing is a component of preoperative teaching, but it does not necessarily provide psychological support. Spiritual care, a component of psychological support, can reduce the client's fears and anxieties related to the surgical experience. Performing a physical assessment is part of the physical preparation for surgery, not the psychological preparation. Providing the preoperative medication is a part of the preparation immediately before surgery. While the medication will sedate and relax the client, it is not considered to be psychological support.
What is the term that best describes biologic differences in physical features, such as skin color, bone structure, and eye shape?
- A. Culture
- B. Ethnicity
- C. Race
- D. Minority
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has just been admitted with portal hypertension. Which nursing diagnosis would be a priority in planning care?
- A. Altered nutrition: less than body requirements.
- B. Potential complication hemorrhage.
- C. Ineffective individual coping.
- D. Fluid volume excess.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for a post-op colostomy client. The client begins to cry saying, 'I'll never be attractive again with this ugly red thing.' What should be the first action by the nurse?
- A. Arrange a consultation with a sex therapist.
- B. Suggest sexual positions that hide the colostomy.
- C. Invite the partner to participate in colostomy care.
- D. Determine the client's understanding of her colostomy.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.