Nokea
Why would you give Mrs. West atropine sulfate as a preoperative medication primarily?
- A. Increase her heart rate
- B. Dilate her pupils
- C. Relax her smooth muscle
- D. Control her secretions
Correct Answer: D
Rationale: Atropine reduces respiratory and salivary secretions, preventing aspiration during surgery.
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The third stage of labor is when:
- A. Contractions reach their peak
- B. The head is visible
- C. The water breaks
- D. The placenta is delivered
Correct Answer: D
Rationale: The third stage of labor involves the delivery of the placenta after the baby is born.
What type of contamination is the nurse trying to eliminate when he or she requests people to remove all garments before entering a house or shelter?
- A. Internal radiologic contamination
- B. External vesicant contamination
- C. External radioactive contamination
- D. Cross-contamination
Correct Answer: C
Rationale: The correct answer is C because removing contaminated clothing reduces external radioactive exposure.
The nurse is caring for a client with end stage renal disease. What action should the nurse take to assess for patency in a fistula used for hemodialysis?
- A. Observe for edema proximal to the site.
- B. Irrigate with 5 mls of 0.9% Normal Saline.
- C. Palpate for a thrill over the fistula.
- D. Check color and warmth in the extremity.
Correct Answer: C
Rationale: A thrill confirms blood flow through the fistula.
What nursing measure would be most helpful in soliciting Mr. Ross’s cooperation with arm and shoulder exercises?
- A. Inform Mr. Ross that these exercises must be done before each meal and at bedtime
- B. Give Mr. Ross a booklet which diagrams the exercises
- C. Teach Mrs. Ross how to do these exercises
- D. Ask Mr. Ross which times are most convenient for him to exercise
Correct Answer: D
Rationale: Tailoring exercise schedules to patient preferences enhances adherence.
A client who will undergo a bronchoscopy procedure with a rigid scope and general anesthesia will have their neck in which of the following positions?
- A. A flexed position
- B. An extended position
- C. A neutral position
- D. A hyperextended position
Correct Answer: D
Rationale: The correct answer is D: A hyperextended position. During bronchoscopy with a rigid scope, the client's neck needs to be hyperextended to facilitate optimal insertion of the scope into the trachea. Hyperextension straightens and opens up the airway, providing better visualization and access to the bronchial tree.
Choice A (flexed position) would obstruct the airway and make insertion difficult. Choice B (extended position) would not provide the necessary alignment for scope insertion. Choice C (neutral position) may not offer sufficient airway visibility and access.
In summary, a hyperextended position is crucial for successful bronchoscopy with a rigid scope, as it ensures proper alignment, airway visibility, and scope insertion.