You're caring for Jane, a 57 y.o. patient with liver cirrhosis who develops ascites and requires paracentesis. Before her paracentesis, you instruct her to:
- A. Empty her bladder.
- B. Lie supine in bed.
- C. Remain NPO for 4 hours.
- D. Clean her bowels with an enema.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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You're discharging Nathaniel with hepatitis B. Which statement suggests understanding by the patient?
- A. Now I can never get hepatitis again.
- B. I can safely give blood after 3 months.
- C. I'll never have a problem with my liver again, even if I drink alcohol.
- D. My family knows that if I get tired and start vomiting, I may be getting sick again.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Your goal is to minimize David's risk of complications after a heriorrhaphy. You instruct the patient to:
- A. Avoid the use of pain medication.
- B. Cough and deep breathe Q2H.
- C. Splint the incision if he can't avoid sneezing or coughing.
- D. Apply heat to scrotal swelling.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Brenda, a 36 y.o. patient is on your floor with acute pancreatitis. Treatment for her includes:
- A. Continuous peritoneal lavage.
- B. Regular diet with increased fat.
- C. Nutritional support with TPN.
- D. Insertion of a T tube to drain the pancreas.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
After abdominal surgery, your patient has a severe coughing episode that causes wound evisceration. In addition to calling the doctor, which intervention is most appropriate?
- A. Irrigate the wound & organs with Betadine.
- B. Cover the wound with a saline soaked sterile dressing.
- C. Apply a dry sterile dressing & binder.
- D. Push the organs back & cover with moist sterile dressings.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You're performing an abdominal assessment on Brent who is 52 y.o. In which order do you proceed?
- A. Observation, percussion, palpation, auscultation
- B. Observation, auscultation, percussion, palpation
- C. Percussion, palpation, auscultation, observation
- D. Palpation, percussion, observation, auscultation
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.