Nokea
You have been caring for a patient with osteomyelitis. In preparing the patient for discharge, you include teaching about
- A. The importance of multiple-week treatment with antibiotics.
- B. The side effects and interactions of the medications.
- C. Symptoms that necessitate a call to the physician, nurse practitioner, or physician assistant.
- D. All of the above.
Correct Answer: D
Rationale: Comprehensive education ensures adherence to treatment and recognition of complications.
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What does cromolyn sodium act to do?
- A. Combat respiratory infection
- B. Constrict smooth muscle in the bronchial tree
- C. Prevent the release of histamine
- D. Terminate an asthmatic attack
Correct Answer: C
Rationale: Cromolyn sodium inhibits mast cell degranulation, preventing histamine release.
What additional assessment should be made if there is no fluid in Mr. Jones’ chest tubes?
- A. Turn Mr. Jones on his left side and observe for drainage
- B. Clamp the chest tubes and observe Mr. Jones’ breathing pattern
- C. Auscultate for equal breath sounds bilaterally
- D. Monitor vital signs closely for hypotension, tachycardia
Correct Answer: C
Rationale: Equal breath sounds indicate proper lung expansion and functioning.
A healthcare professional is reviewing the arterial blood gas results for a client in the ICU who has kidney failure and determines the client has respiratory acidosis. Which of the following findings should the healthcare professional expect?
- A. Widened QRS complexes
- B. Hyperactive deep tendon reflexes
- C. Bounding peripheral pulses
- D. Warm, flushed skin
Correct Answer: A
Rationale: The correct answer is A: Widened QRS complexes. Respiratory acidosis results from inadequate removal of carbon dioxide, leading to increased carbonic acid in the blood and a decrease in blood pH. This acidosis can cause electrolyte imbalances, including hyperkalemia, which can manifest as widened QRS complexes on an ECG due to the effect of high potassium levels on cardiac conduction. Hyperactive deep tendon reflexes (B) are associated with conditions such as hyperthyroidism or hypocalcemia. Bounding peripheral pulses (C) are seen in conditions like aortic regurgitation or hyperthyroidism. Warm, flushed skin (D) is more indicative of conditions like hyperthermia or sepsis.
Identify the five rights of delegating nursing care (select all that apply).
- A. Right time
- B. Right task
- C. Right patient
- D. Right person
Correct Answer: B
Rationale: Effective delegation involves the right task, patient, person, circumstance, and supervision/evaluation.
Which vitamin does a client lack if there is a problem with the absorption of calcium?
- A. Vitamin A
- B. Vitamin B
- C. Vitamin C
- D. Vitamin D
Correct Answer: D
Rationale: Vitamin D is essential for calcium absorption in the intestines. A deficiency impairs this process.