Question 6151) The nurse is reinforcing home care instruction to the mother of 10 year child with hemophilia. Which of the following activities does the nurse suggest that child safety participate friends:
A. Basketball
B. Swimming
C. Cricket
D. Hockey
Answer: B
Explanation: Children with hemophilia need to avoid contact sports and need to take precautions, such as wearing elbow and knee pads and helmets, when participating in other sports. The safest activity that will prevent injury is swimming.
Question 6152)
The husband of a client asks the nurse about the protein restricted diet ordered because of advanced liver disease.
A. "The liver cannot rid the body of ammonia that is made by the breasdown of protein in the digestive system"
B. "The magnesium hydroxide with your medication to lighten the urine color."
C. "Most people have too much protein in their diets.|
D. "Because of portal hyperemesis, the blood flows around the liver and ammonia made form protein collects in the brain collects in the brain causing hallucinations."
Answer: A
Explanation: Paracentesis involves the removal of ascetic fluid form the peritoneal cavity through a puncture made below the umbilicus.
Question 6153)
Immediately after cholecystectomy, the nursing action that should assume the highest priority is:
A. encouraging the client to take adequate deep breaths by mouth
B. Encouraging the client to cough and deep breathe
C. Change the dressing quickly
D. irrigate the T-tube frequently
Answer: B
Explanation: Pain in acute pancreatitis is caused by irritation and edema of the inflamed pancreas as well as spasm due to obstruction of the pancreatic ducts.
Question 6154)
After surgery, GIna returns form the Post-anesthesia Care Unit with a nasogastric tube in place following a gall bladder surgery.
A. Call the physician immediately
B. Administer the prescribed antiemetic
C. Check the patency of the nasogastric tube for any obstruction
D. Change the patient's position
Answer: C
Explanation: The client is showing signs of anxiety reaction to a stressful event. Recognizing the client;s anxiety conveys acceptance of his behavior and will allow for verbalization of feelings and concerns.
Question 6155)
Mr. Ramesh, diagnosed with Bladder Cancer, is scheduled for a cystectomy with the creation of an ileal conduit in the morning. He is wringing his hands and pacing the floor when the nurse enters his room. What is the best approach?
A. Good evening, Mr. Ramesh. Wasn't it a pleasant day,today?
B. Mr. Ramesh, you must be so worried. I'll leave you alone with your thoughts.
C. Mr. Ramesh, you'll wear out the hospital floors and yourself at this rate.
D. Mr. Ramesh, you appear anxious to me. How are you feeling about tomorrow's surgery?
Answer: D
Explanation: The client is showing signs of anxiety reaction to a stressful event. Recognizing the client's anxiety conveys acceptance of his behavior and will allow for verbalization of feelings and concerns.
Question 6156)
The husband of a client asks the nurse about the protein-restricted diet ordered because of advanced liver disease. What statement by the nurse would best explain the purpose of the diet?
A. The liver cannot rid the body of ammonia that is made by the breakdown of protein in the digestive system.
B. The liver heals better with a high carbohydrates diet rather than protein.
C. Most people have too much protein in their diets. The amount of this diet is better for liver healing.
D. Because of portal hyperemesis, the blood flows around the liver and ammonia made from protein collects in the brain causing hallucinations.
Answer: A
Explanation: The largest source of ammonia is the enzymatic and bacterial digestion of dietary and blood proteins in the GI tract. A protein-restricted diet will therefore decrease ammonia production.
Question 6157)
Immediately after cholecystectomy, the nursing action that should assume the the highest priority is:
A. encouraging the client to take adequate deep breaths by mouth
B. Encouraging the client to cough and deep breathe
C. Changing the dressing at least BID
D. Irrigate the T-tube frequently
Answer: B
Explanation: Cholecystectomy requires a subcostal incision. To minimize pain, client have a tendency to take shallow breaths which can lead to respiratory complication like pneumonia and atelectasis. Deep breathing and coughing exercises can help prevent such complications.
Question 6158)
A Sengstaken Blakemore tube is inserted in the effort to stop the bleeding esophageal varices in a patient with complicated liver cirrhosis. Upon insertion of the tube, the client complains of difficulty of breathing. The first action of the nurse is to:
A. Deflate the esophageal balloon.
B. Monitor VS.
C. Encourage him to take deep breaths.
D. Notify the MD.
Answer: A
Explanation: When a client with a Sengstaken-Blakemore tube develops difficulty of breathing, it means the tube is displaced and the inflated balloon is in the or pharynx causing airway obstruction.
Question 6159)
The National Rural Health Mission (NRHM) was launched on ___________ by the Government of India:
A. 5th April 2003
B. 12th April 2005
C. 5th March 2005
D. 5rh March 20006
Answer: B
Explanation: The government of India to address the health needs of underserved rural areas. Launched on 12th April 2005 by Indian Prime Minister Manmohan Singh, the NRHM was initially tasked with addressing the health needs of 18 states that had been identified as having weak public health indicators. The Union Cabinet headed by Dr. Manmohan Singh vide its decision dated 1 May 2013, has approved the launch of National Urban Health Mission as a Submission of an overarching National Health Mission, with National Rural Health Mission being the other submission of National Health Mission.
Question 6160) Electrolyte need to be replaced in diabetic ketoacidosis is:
A. Calcium
B. Magnesium
C. Sodium
D. Potassium
Answer: C
Explanation: On average, patients with DKA may have the following deficit of water and key electrolytes per kg of body weight: free water 100 mL/kg, sodium 7-10 mEq/kg, DKA. The goal is to replace the total volume loss within 24-36 hours with 50% of resuscitation fluid being administered during the first 8-12 hours.
No comments:
Post a Comment