Nokea
You are reviewing lab findings on an 88-year-old patient and note that her vitamin B12 level is low. A decrease in B12 among older adults frequently results in:
- A. Aplastic anemia
- B. Pernicious anemia
- C. Folate anemia
- D. Wernicke’s anemia
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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What is your primary responsibility in preparing for disaster management that includes natural disasters or bioterrorism incidents?
- A. Knowledge of the agency's emergency response plan
- B. Awareness of the signs and symptoms for potential agents of bioterrorism
- C. Knowledge of how and what to report to the CDC
- D. Ethical decision-making about exposing self to potentially lethal substances
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a tracheostomy that is 3 days old. Upon assessment, the nurse notes the client's face is puffy, and the eyelids are swollen. What action by the nurse takes priority?
- A. Assess the client's oxygen saturation.
- B. Notify the Rapid Response Team.
- C. Oxygenate the client with a bag-valve-mask.
- D. Palpate the skin of the upper chest.
Correct Answer: A
Rationale: The correct answer is A: Assess the client's oxygen saturation. This is the priority because the client's puffy face and swollen eyelids may indicate airway obstruction or respiratory distress, common complications in tracheostomy patients. Assessing oxygen saturation helps determine if the client is getting enough oxygen. Option B (Notify the Rapid Response Team) is not the immediate action unless the client's condition deteriorates rapidly. Option C (Oxygenate the client with a bag-valve-mask) may be necessary but should come after assessing oxygen saturation. Option D (Palpate the skin of the upper chest) is irrelevant to the client's current symptoms.
After a thoracentesis, a healthcare provider assesses a client. Which assessment finding warrants immediate action?
- A. The client rates pain as 5/10 at the site of the procedure.
- B. A small amount of drainage is noted from the site.
- C. Pulse oximetry reads 93% on 2 liters of oxygen.
- D. The trachea is deviated toward the opposite side of the neck.
Correct Answer: D
Rationale: The correct answer is D because tracheal deviation indicates a potential tension pneumothorax, a life-threatening emergency requiring immediate intervention. Tracheal deviation occurs when there is a significant shift in the mediastinum due to increased pressure in the pleural space. This can compromise respiratory function and lead to respiratory failure. Options A, B, and C are not as urgent as tracheal deviation. Pain at 5/10 is expected post-thoracentesis, a small amount of drainage is common, and a pulse oximetry reading of 93% on low oxygen is concerning but not immediately life-threatening.
Which emotional reaction does the client go through when facing mortality in an attempt to postpone death?
- A. Denial
- B. Bargaining
- C. Acceptance
- D. Depression
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following should qualify as an abnormal result in a Romberg test?
- A. Hypotension
- B. Sneezing and wheezing
- C. Swaying, losing balance or arm drifting
- D. Excessive cerumen in the outer ear
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.