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Questions 160

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Question 1 of 5

A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with an acute exacerbation. Which oxygen delivery method is most appropriate for this client?

Correct Answer: C

Rationale: A Venturi mask delivers precise oxygen concentrations, which is critical for COPD clients to avoid suppressing their hypoxic drive.

Question 2 of 5

A client with a history of glaucoma is prescribed timolol eye drops. Which instruction should the nurse include?

Correct Answer: A

Rationale: Applying pressure to the inner canthus (nasolacrimal occlusion) prevents systemic absorption of timolol.

Question 3 of 5

The nurse observes a nursing assistant assigned to a client who just returned from having a bronchoscopy. Which action by the nursing assistant would prompt the nurse to intervene?

Correct Answer: B

Rationale: After a bronchoscopy, the client is at risk for airway compromise due to anesthesia or swelling. Offering water before the gag reflex returns can lead to aspiration, requiring intervention.

Question 4 of 5

At the time of a retinal detachment, the client will most likely experience which effects? Select all that apply.

Correct Answer: A,F

Rationale: Retinal detachment causes flashes of light due to retinal traction and wavy vision (floaters or curtain-like vision) due to retinal separation. Severe pain or inability to see light is not typical.

Question 5 of 5

A non-English-speaking Hispanic client is admitted to the hospital to rule out myocardial infarction. The nurse performs a cultural assessment. Which information should be included? Select all that apply.

Correct Answer: A,C,E,F

Rationale: Food preferences, primary language, religion, and pain status are relevant for culturally sensitive care and effective communication.

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