Extract:

Question 1 of 5

A nurse is teaching a class at a community center to a group of young adult, adult, and older adult clients regarding regular screening recommendations for cancer prevention. Which of the following information should the nurse include?

A. Women should start yearly mammograms at age 40.B. Women should have a yearly clinical breast examination starting at age 50.C. Clients should have fecal occult blood test every other yearD. Clients should have a colonoscopy at age 40 and every 10 years thereafter.

Correct Answer: A

Rationale: Annual mammograms starting at age 40 are recommended for average-risk women to detect breast cancer early, per ACS guidelines.

Question 2 of 5

A patient taking Digoxin is experiencing severe bradycardia, nausea and vomiting. A lab draw shows that their Digoxin level is 4 ng/mi (0.8-2.0 ng/ml). What management does the nurse anticipate the physician to order? Select all that apply.

A. Hydration with IV fluidsB. Nothing as the digoxin level is within normal rangesC. Hold the DigoxinD. DigibindE. Narcan

Correct Answer: A,C,D

Rationale:
A) IV fluids aid in excreting excess digoxin.
C) Holding digoxin prevents worsening toxicity.
D) Digibind neutralizes digoxin in severe toxicity.

Question 3 of 5

The nurse is notified by the telemetry monitor tech that the client has been persistently in the following rhythm [see image). The client has a exhibiting the following cardiac rhythm? pulse of 130 bpm, B/P of 86/44 mm Hg, respirations of 24 with a saturation of 90%. Which of the following is a priority intervention for a client exhibiting the following cardiac rhythm?

A. Obtain blood specimen for a BMP test.B. Prepare for synchronize cardioversionC. Start CPRD. Prepare for defibrillation

Correct Answer: B

Rationale: The priority intervention for a client exhibiting this cardiac rhythm with accompanying signs of hemodynamic instability (low blood pressure, tachycardia, respiratory distress) is synchronized cardioversion. This is especially the case if the rhythm is atrial fibrillation, atrial flutter, or supraventricular tachycardia (SVT), which can be life-threatening if not treated promptly. Synchronized cardioversion is indicated when the patient is symptomatic and hemodynamically unstable.

Question 4 of 5

A nurse is monitoring a client with COPD that suddenly becomes restless and anxious. Which of the following steps should the nurse take next?

A. Assess the client's potassium level.B. Check the client's temperature.C. Increase the client's oxygen flow rate to 15 L/min.D. Encourage the client to perform pursed-lip breathing.

Correct Answer: D

Rationale: Pursed-lip breathing helps increase oxygenation and decrease the work of breathing in COPD patients, addressing restlessness and anxiety caused by hypoxia or hypercapnia.