Nokea
You are providing teaching to a patient with chronic COPD on how to perform diaphragmatic breathing. This technique helps do the following:
- A. Increase the breathing rate to prevent hypoxemia
- B. Decrease the use of the abdominal muscles
- C. Encourages the use of accessory muscles to help with breathing
- D. Strengthen the diaphragm
Correct Answer: D
Rationale: Diaphragmatic breathing strengthens the diaphragm , improving breathing efficiency in COPD. It doesn't increase breathing rate , decrease abdominal muscle use , or encourage accessory muscle use .
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The nurse is caring for a client diagnosed with a cold. Which is an example of an alternative therapy?
- A. Vitamin C, 2,000 mg daily.
- B. Strict bedrest.
- C. Humidification of the air.
- D. Decongestant therapy.
Correct Answer: A
Rationale: Vitamin C (A) is an alternative therapy for colds, with unproven efficacy. Bedrest (B), humidification (C), and decongestants (D) are standard supportive measures.
The client has had a total laryngectomy. Which referral is specific for this surgery?
- A. CanSurmount.
- B. Dialogue.
- C. Lost Chord Club.
- D. SmokEnders.
Correct Answer: C
Rationale: Lost Chord Club (C) supports laryngectomy patients with communication and adjustment. CanSurmount (A), Dialogue (B), and SmokEnders (D) are for cancer, CLL, and smoking cessation.
Which health measure is most important to emphasize when instructing the client on ways to prevent transmitting tuberculosis?
- A. Eat a nutritious diet.
- B. Get adequate sleep.
- C. Cover your nose and mouth when coughing.
- D. Wash your hands before and after meals.
Correct Answer: C
Rationale: Covering the nose and mouth when coughing prevents the spread of tuberculosis, an airborne disease, to others.
The client is admitted to emergency department complaining of shortness of breath and fever. The vital signs are T 100.4°F, P 94, R 26, and BP 134/86. Which concept should the nurse identify as a concern for the client? Select all that apply.
- A. Clotting.
- B. Oxygenation.
- C. Infection.
- D. Perfusion.
- E. Coping.
Correct Answer: B,C
Rationale: SOB and tachypnea (B) suggest oxygenation issues, and fever (C) indicates infection. Clotting (A), perfusion (D), and coping (E) are not primary based on data.
As the nurse you know that one of the reasons for an increase in multidrug-resistant tuberculosis is:
- A. Incorrect medication ordered
- B. Increase in tuberculosis cases nationwide
- C. Incorrect route of drug ordered
- D. Noncompliance due to duration of medication treatment needed
Correct Answer: D
Rationale: Patients must be on medication treatment for about 6-12 months (depending on the type of TB the patient has). This leads to noncompliant issues. DOT (directly observed therapy) is now being instituted so compliance is increased. This is where a public health nurse or a trained DOT worker will deliver the medication and watch the patient swallow the pill until treatment is complete.