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A patient has undergone an uvulopalatopharyngoplasty. Which instructions
should the nurse give this patient at the time of discharge? Select all that apply.
A"The throat may feel sore. It is normal."
B"Snoring may persist until inflammation subsides."
C"If you feel soreness in the throat, it is a sign of complication."
D"If snoring doesn't stop immediately, you may need another surgery."
E"There may be foul breath. You can reduce it by using a diluted mouthwash." ----
-----CORRECT ANSWER-----------------A, B, E
A patient has obstructive sleep apnea (OSA). What should the nurse include in the
teaching related to ways the patient can minimize the negative effects of OSA?
Select all that apply.
ARaise the head end of the bed slightly.
BUse an oral appliance that prevents the airway from collapsing.
CSleep in a side-lying position.
DAvoid consuming alcoholic beverages several hours before going to sleep.
ETake sleeping pills before going to bed. ---------CORRECT ANSWER-----------------A,
B, C, D
,Which statement regarding type I hypersensitivity reactions is/are true? Select all
that apply:
A. Antihistamines are of minimal benefit because the reactions are mediated by
IgE rather than histamine
B. The response is characterized by the five cardinal symptoms of inflammation
C. Type I responses are usually directed against non self but the response is
excessive
D. Susceptibility for developing a type I hypersensitivity response follows an X
linked recessive pattern of inheritance
E. This type of hypersensitivity reaction is most strongly associated with systemic
lupus erythematosus
F. Responses always occur within minutes of exposure to the allergen
G. The second phase of the reaction with accumulation of excess bradykinin is
responsible for development of angioedema ---------CORRECT ANSWER---------------
--B, C, G
Which action will the nurse perform first for a client in anaphylaxis to prevent
harm?
A. Apply oxygen by nonrebreather mask
B. Administering IV diphenydramine
C. Injecting epinephrine
D. Initiating IV access ---------CORRECT ANSWER-----------------C
,A client in progressive stage of hypovolemic shock has all of the following signs,
symptoms or changes. Which signs will the nurse attribute to ongoing
compensatory mechanisms? Select all that apply
A. Increasing pallor
B. Increasing thirst
C. Increasing confusion
D. Increasing heart rate
E. Increasing respiratory rate
F. Decreasing systolic blood pressure
G. Decreasing blood pH
H. Decreasing urine output ---------CORRECT ANSWER-----------------A, B, D, E, H
The nurse is reviewing the lab profile of a client with hypovolemic shock. What lab
value will the nurse anticipate?
A. pH 7.51
B. PaO2 106 mm Hg
C. Paco2 49 mm Hg
D. Lactate 0.4 mmol/L ---------CORRECT ANSWER-----------------C
, The nurse is caring for a client with hypovolemic shock who is bleeding from a
traumatic injury ti the upper chest wall. What is the priority nursing action?
A. Insert a large bore IV catheter
B. Administer supplemental oxygen
C. Elevate the client's feet, keeping the head flat
D. Apply direct pressure to the area of overt bleeding ---------CORRECT ANSWER---
--------------D
The nurse is teaching a client's family regarding the diagnosis of septic shock.
Which teaching will the nurse include? Select all that apply
A. "The blood cultures will tell us for sure if your loved one has septic shock"
B. "The client's change in behavior and lethargy may be associated with septic
shock"
C. "Antibiotics, as prescribed, will be started within the hour to treat the sepsis"
D. "An insulin drip has been started to keep the client's glucose as low as
possible"
E. "Septic shock is easily treated with multiple antibiotics" ---------CORRECT
ANSWER-----------------B, C
The nurse is caring for a client with hypovolemic shock. Which new assessment
finding indicates to the nurse that the interventions are currently effective?