Nokea
Why should a nurse practice caution when changing the wound dressings of a client who underwent surgery?
- A. To avoid damaging new tissue.
- B. To avoid causing pain to the client.
- C. To fasten the wound healing.
- D. To avoid wound infection.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
Suzette is having a minor surgical procedure performed in same-day surgical setting. Which type of anesthesia is most likely to be used?
- A. General.
- B. Epidural.
- C. Regional.
- D. Conscious sedation.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
5. Which statement accurately describes the use of complementary and alternative medicine (CAM)?
- A. CAM therapy incorporates only the emotional and spiritual realms of the patient.
- B. The increase in the use of CAM therapies is due to an increase in cost of conventional therapy.
- C. Research and education in CAM therapies are financially supported by the American Holistic Nurses Association.
- D. Practices that are considered complementary and alternative in one culture or time might be considered conventional in another culture or time.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with asthma is assessed by a nurse and presents with bilateral wheezing, decreased pulse oxygen saturation, and suprasternal retraction on inhalation. Which actions should the nurse take? (Select all that apply)
- A. Administer prescribed albuterol (Ventolin) inhaler.
- B. Assess the client for tracheal deviation.
- C. Administer oxygen to maintain saturations greater than 94%.
- D. Perform peak expiratory flow measurements.
Correct Answer: C
Rationale: Step-by-step rationale for choice C (Administer oxygen to maintain saturations greater than 94%):
1. Oxygen is crucial in managing asthma exacerbations to improve oxygen saturation levels and prevent hypoxemia.
2. Decreased pulse oxygen saturation indicates hypoxemia, which can lead to serious complications.
3. Maintaining saturations greater than 94% ensures adequate oxygenation of tissues and organs.
4. Administering oxygen promptly can help alleviate respiratory distress and improve the client's condition.
Summary of why other choices are incorrect:
- Choice A (Administer albuterol inhaler): While albuterol is a common medication for asthma, oxygen therapy is the priority in this scenario to address hypoxemia.
- Choice B (Assess for tracheal deviation): Tracheal deviation is not typically associated with asthma exacerbations and is not the most urgent action needed in this situation.
- Choice D (Perform peak expiratory flow measurements): Peak expiratory flow
Why should a nurse use affective touching cautiously?
- A. It may lead to misunderstandings or discomfort.
- B. It involves the contact required for nursing procedures.
- C. It is used therapeutically when a client is lonesome.
- D. It involves the touch used for sensory-deprived clients.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What nursing order should be included in Mr. Puff’s care plan?
- A. Increase fluid intake to a minimum of 3000 ml/day
- B. Provide for postural drainage for 20 minutes after meals
- C. Restrict visitors
- D. Walk in hall t.i.d. for 20 minutes
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.