Extract:

Question 1 of 5

A client with the diagnosis of pneumonia experiences dyspnea when engaging activities. Which action should the nurse implement to help address client safety?

Correct Answer: C

Rationale: Monitoring vital signs and oxygen saturation during activity ensures the nurse can detect early signs of respiratory distress or hypoxia, promoting client safety. Encouraging deep, rapid breathing may exacerbate dyspnea and is not safe. Providing environmental stimulation is unrelated to respiratory safety. Scheduling activities before respiratory medications or treatments could worsen dyspnea, as these interventions improve breathing capacity.

Question 2 of 5

The nurse is developing a community health education program about sexually transmitted diseases. Which information about women who acquire gonorrhea should be included?

A. Women are more reluctant than men to seek medical treatment. B. Gonorrhea is not easily transmitted to women who are menopausal. C. Women with gonorrhea are usually asymptomatic. D. Gonorrhea is usually a mild disease for women.

Correct Answer: C

Rationale: Women with gonorrhea are often asymptomatic, which increases the risk of delayed treatment and complications, a key point for education.

Question 3 of 5

The nurse is caring for a client who has just undergone a mastectomy. Which of the following interventions is most important in the immediate postoperative period?

A. Encourage arm exercises on the affected side. B. Keep the affected arm dependent. C. Apply heat to the surgical site. D. Restrict fluid intake.

Correct Answer: A

Rationale: Encouraging arm exercises prevents lymphedema and promotes circulation post-mastectomy.

Question 4 of 5

The nurse teaches a client taking desmopressin (DDAVP) nasal spray about how to manage treatment. The nurse determines that the client needs additional instruction when he makes which of the following comments?

A. I should check for sores in my nose while taking this medication.' B. I should use the same nostril each time I take the medicine.' C. I should report nasal congestion.' D. I should report any signs of respiratory infection.'

Correct Answer: B

Rationale: Using the same nostril each time can cause irritation or reduced efficacy; alternating nostrils is recommended. The other comments reflect correct understanding of desmopressin use.

Question 5 of 5

The primary distinguishing characteristic of risk management when compared and contrasted to performance improvement is that risk management activities focus on:

A. Historical data and performance improvement activities focus on current data. B. Current data and performance improvement activities focus on historical data. C. Decreasing financial liability and performance improvement activities focus on process improvements. D. Decreasing falls and performance improvement activities focus on process improvements.

Correct Answer: C

Rationale: Risk management focuses on decreasing financial liability by mitigating risks, while performance improvement focuses on enhancing processes and outcomes.