Nokea
Which type of stress helps individuals pursue goals and solve problems?
- A. Energy stress
- B. Active stress
- C. Eustress
- D. Distress
Correct Answer: C
Rationale: Eustress is positive stress that motivates individuals to achieve goals, learn new skills, and manage crises effectively.
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A college health nurse interprets the peak expiratory flow rate for a student who has asthma and finds that the student is in the yellow zone of his asthma action plan. The nurse should not base her actions on which of the following information?
- A. The student should use his quick-relief inhaler.
- B. The student's asthma is not well controlled.
- C. The student's peak flow is 50% to 80% of his best peak flow.
- D. The student needs to go to the hospital
Correct Answer: D
Rationale: The correct answer is D because the student being in the yellow zone indicates moderate symptoms, not severe enough to necessitate hospitalization. A: Using a quick-relief inhaler is appropriate for yellow zone symptoms. B: Yellow zone indicates asthma is not well controlled, supporting the need for action. C: Peak flow of 50% to 80% signals a reduction in lung function, requiring intervention but not immediate hospitalization. Thus, D is the incorrect choice because hospitalization is not warranted for yellow zone symptoms.
14. A patient newly diagnosed with type 2 diabetes has been given a prescription to start on an oral hypoglycemic. The patient tells the nurse she would rather control her blood sugar with herbal therapy. Which action should the nurse take?
- A. Advise the patient to discuss using herbal therapy with her physician.
- B. Advise the patient that herbal therapy is not safe and should not be used.
- C. Advise the patient to give the prescriptive medication time to work before using herbal therapy.
- D. Advise the patient that if she takes herbal therapy, she will have to monitor her blood sugar more often.
Correct Answer: A
Rationale: Referring the patient to her physician (option A) ensures that any decision regarding herbal therapy is made collaboratively and safely.
Lucinda is a 27-year-old woman with a history of asthma who is scheduled for an appendectomy later today. Due to her asthma, her preoperative teaching would include the need for postoperative:
- A. coughing and deep breathing exercises.
- B. leg exercises.
- C. wound dressing changes.
- D. all of the above.
Correct Answer: A
Rationale: Patients with asthma are at higher risk for respiratory complications postoperatively. Coughing and deep breathing exercises help prevent atelectasis and pneumonia, making them essential for this patient.
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.
Denise is recovering from an open cholecystectomy. You know that because of the location of the surgery, she has an increased chance of postoperative
- A. Myocardial infarction.
- B. Respiratory complications.
Correct Answer: B
Rationale: Abdominal surgeries can increase the risk of respiratory complications due to reduced lung expansion.