Cаsgevy, аn FDA-аpprоved CRISPR-based gene therapy fоr sickle cell disease, exemplifies which brоader application of gene editing discussed in relation to clinical translation?
InstructiоnsReаd eаch questiоn cаrefully.Answer each questiоn by bubbling your answer on the Scantron answer sheet.After you have finished answering all questions, select TRUE.Click Finish Attempt at the bottom of the page.On the next page, click Submit All and Finish.If a confirmation message appears, click Submit All and Finish again to complete your submission.Once your assessment has been submitted successfully, notify your proctor that you are finished. Please wait for the proctor's instructions before proceeding to the next step.Final Exam Key/Version A____ 1. What intervention is appropriate for a patient with acute diverticulitis managed at home? a. Increase intake of red meat and dietary fat c. Restrict daily fluid intake below 1 liter b. Increase dietary fiber immediately during acute symptoms d. Follow a clear liquid diet and maintain bed rest ____ 2. A nurse prepares to teach a patient with a chronic illness to manage symptoms and medications at home. Which action is the nurse’s professional responsibility? a. Provide instructions without evaluating learning c. Provide and document patient and caregiver teaching b. Teach only during a scheduled formal session d. Delegate all teaching to assistive personnel ____ 3. Which nursing action best evaluates the effect of pain on a patient’s daily life? a. Record only the patient’s pain intensity c. Use only the caregiver’s description of pain b. Review only the prescribed pain medication d. Ask how pain affects the patient’s daily activities ____ 4. A nurse evaluates nutrition therapy for a patient with a wound healing problem. What dietary pattern best supports tissue repair? a. High protein and vitamins with minimal carbohydrate intake c. High protein and carbohydrates with moderate fat b. High carbohydrate and minimal vitamins with restricted protein d. Low protein and high fat with restricted fluids ____ 5. A nurse assesses a patient who has recently been discharged from the hospital and lives alone. Which assessment finding most directly indicates a need for additional care-transition planning? a. The patient reports understanding the admission diagnosis c. The patient has multiple chronic conditions and limited support b. The patient received routine inpatient vital-sign monitoring d. The patient has a regular primary health care provider ____ 6. Which measure provides the most effective mechanical barrier against infections transmitted by or to a penis? a. Using nonoxynol 9 as the only prevention method c. Limiting condom use to new sexual partners b. Relying on the absence of visible genital lesions d. Correct condom use during sexual activity ____ 7. A nurse obtains a specimen from a cleansed wound for culture. What technique provides the most accurate swab sample? a. Rotate the swab over necrotic tissue without cleansing c. Sweep the swab across exudate at the wound edge b. Collect the specimen from the surrounding intact skin d. Rotate the swab with pressure over a 1-cm² area of clean tissue ____ 8. Which teaching intervention is most appropriate for a patient receiving external beam radiation therapy? a. Limit nutrition and fluids to reduce treatment effects c. Provide specific skin-care instructions for the radiation field b. Tell the patient to ignore skin changes during treatment d. Recommend stopping treatment when mild effects appear ____ 9. Which beta-blocker teaching point is essential for a patient with chronic stable angina? a. Do not stop the medication abruptly without medical supervision c. Double the dose when fatigue occurs b. Stop the medication when angina is absent d. Take an extra dose before strenuous activity ____ 10. What assessment approach is appropriate for a patient reporting female sexual dysfunction? a. Obtain gynecologic, sexual, menstrual, and psychiatric histories c. Begin treatment without assessing medications b. Limit assessment to the patient’s libido d. Order laboratory testing as the routine first step ____ 11. A nurse assesses an older adult for factors associated with falling. Which finding requires focused fall-risk assessment? a. A history of receiving annual health assessments c. A history of falls and fear of falling b. A preference for receiving care in the morning d. A preference for family participation in teaching ____ 12. What assessment is essential before administering an antidysrhythmic medication? a. Obtain a baseline electrocardiogram c. Obtain a baseline skin assessment b. Obtain a baseline pain rating d. Obtain a baseline daily weight ____ 13. What is the primary nursing action when a patient receiving immunotherapy reports severe chills during treatment? a. Restrict all oral fluids during treatment c. Encourage continuous physical activity b. Administer prescribed intravenous meperidine d. Discontinue all cancer therapy independently ____ 14. What immediate intervention is appropriate during the first 24 to 28 hours after an uncomplicated musculoskeletal injury? a. Apply a covered ice pack for 20 to 30 minutes c. Place ice directly against the skin b. Apply warm, moist heat continuously d. Maintain complete rest for several weeks ____ 15. What assessment sequence provides the most complete evaluation of neurovascular status distal to a fracture? a. Assess capillary refill without comparing extremities c. Assess the distal pulse as the only measure b. Assess pain intensity without examining the extremity d. Assess vascular and neurologic findings and compare both ____ 16. Which discharge teaching is appropriate after prostate surgery? a. Avoid heavy lifting and intercourse as directed c. Restrict fluids to prevent urinary frequency b. Expect immediate return of sexual function d. Resume heavy lifting when the catheter is removed ____ 17. A nurse screens a patient who reports difficulty obtaining food and transportation to health care visits. Which nursing action addresses the patient’s social determinants of health? a. Focus the assessment only on the patient’s physical symptoms c. Assess resource needs and connect the patient with available services b. Delay resource assessment until the next annual visit d. Assume the patient qualifies for every community program ____ 18. What diet prescription best supports recovery when oral intake is resumed after acute pancreatitis? a. Frequent meals containing mostly dietary fat c. Crash dieting followed by occasional binge meals b. Large meals containing high amounts of dietary fat d. Small, frequent feedings high in carbohydrates and low in fat ____ 19. What nursing action is appropriate when a patient with a perforated peptic ulcer is awaiting treatment? a. Administer oral fluids to dilute gastric contents c. Delay vital-sign assessment until surgery is scheduled b. Stop oral and nasogastric medications and feedings temporarily d. Begin a regular diet to maintain nutritional intake ____ 20. What modification best reduces joint stress when a patient with rheumatoid arthritis prepares meals? a. Stand at the sink for the entire meal preparation c. Prepare meals while sitting on a high stool b. Complete meal preparation without using assistive devices d. Carry supplies repeatedly between storage areas ____ 21. Which nursing communication action best supports a patient reporting pain? a. Acknowledge the patient’s pain as significant c. Suggest that the patient is complaining b. End teaching after one intervention fails d. Explain that the pain is probably expected ____ 22. What intervention should the nurse include when managing fatigue caused by immunotherapy or targeted therapy? a. Discourage the patient from reporting treatment effects c. Promote uninterrupted activity throughout the day b. Withhold assessment of fatigue until treatment ends d. Schedule rest periods and assist with activities of daily living ____ 23. What water temperature range best supports therapeutic exercise for a patient with rheumatoid arthritis? a. 50° F to 58° F c. 78° F to 86° F b. 94° F to 102° F d. 62° F to 70° F ____ 24. What exercise instruction is appropriate for a patient with rheumatoid arthritis during acute joint inflammation? a. Replace therapeutic exercises with recreational walking c. Limit each exercise to one or two repetitions b. Stop all joint movement until inflammation completely resolves d. Perform repeated vigorous exercises until endurance improves ____ 25. A patient is admitted after acute alcohol toxicity. What intervention should the nurse prioritize during initial supportive care? a. Begin substance-use counseling c. Maintain airway, breathing, and circulation b. Encourage independent ambulation d. Restrict monitoring until the patient is awake ____ 26. What postoperative intervention best supports restoration of arm function after breast cancer surgery? a. Perform strenuous arm exercises immediately c. Avoid analgesics before exercising b. Gradually increase arm and shoulder exercises d. Keep the affected arm completely immobile ____ 27. What is the appropriate goal of chemotherapy when treatment is directed toward improving a patient’s sense of well-being? a. Cure c. Rehabilitation b. Clinical staging d. Palliation ____ 28. What intervention supports airway clearance after an inhalation injury when secretions are present? a. Maintain one position continuously c. Avoid suctioning despite secretions b. Delay airway assessment until symptoms worsen d. Suction the airway as needed ____ 29. What monitoring combination is appropriate during airway management for a patient with an inhalation injury? a. Skin-temperature monitoring alone c. Oral intake measurement alone b. Pain scoring alone d. Pulse oximetry, capnography, and telemetry ____ 30. What daily activity plan best applies energy-conservation principles for a patient with rheumatoid arthritis? a. Alternate scheduled rest periods with planned activity c. Perform strenuous activities continuously during the morning b. Remain on complete bed rest until fatigue disappears d. Complete all demanding activities before taking any rest ____ 31. A nurse assesses a hospitalized patient who abruptly stopped long-term alcohol use. What assessment method should guide treatment for withdrawal? a. Opioid Risk Tool c. Drug Abuse Screening Test b. Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised d. Braden Scale ____ 32. Which referral is most appropriate for a patient with fecal incontinence after sphincter-sparing colorectal surgery? a. Chemotherapy preparation specialist c. Dietitian or wound, ostomy, and continence nurse b. Genetic counselor only d. Radiation safety specialist only ____ 33. A nurse begins an assessment of an older adult with several chronic conditions. Which action best supports an interprofessional evaluation of the patient? a. Postpone assessment until the interprofessional team meets c. Share nursing assessment findings with the interprofessional team b. Limit assessment findings to the patient’s primary diagnosis d. Document only findings that require immediate treatment ____ 34. Which nursing action best supports safe chemotherapy administration? a. Use personnel specifically trained in chemotherapy handling c. Assign preparation to any available clinical staff member b. Handle chemotherapy powder without exposure precautions d. Treat chemotherapy handling as a routine medication procedure ____ 35. Which medication class is recommended indefinitely for a patient with chronic stable angina and an ejection fraction of 40% or less, unless contraindicated? a. HMG-CoA reductase inhibitor c. Antiplatelet medication b. Calcium channel blocker d. Angiotensin-converting enzyme inhibitor ____ 36. Which teaching action supports safe use of a prescribed sleep medication? a. Take the medication with a high-fat meal c. Drink a caffeinated beverage before bedtime b. Plan for 6 to 8 hours of sleep after taking the medication d. Take the medication with alcohol for stronger sedation ____ 37. What is the primary treatment goal for nursing care during an episode of angina? a. Restrict all oral and intravenous fluids c. Delay treatment until pain resolves b. Increase myocardial workload during pain d. Decrease myocardial oxygen demand and increase oxygen supply ____ 38. What assessment provides definitive information about ventilation, oxygenation, and acid-base balance? a. Continuous capnography c. Arterial blood gas analysis b. Respiratory-rate assessment d. Continuous pulse oximetry ____ 39. Which distal finding requires immediate follow-up after a cast is applied to an injured extremity? a. Active movement of the fingers or toes c. Warm skin with normal distal color b. A newly decreased pulse distal to the cast d. Mild awareness of the cast’s weight ____ 40. What test should be used to determine whether a metastatic melanoma tumor expresses the mutation required for vemurafenib therapy? a. Routine complete blood count evaluation c. Assessment of the patient’s pain intensity b. Measurement of oral fluid intake d. Biopsy with molecular testing for BRAF V600E ____ 41. What sexual-health instruction is appropriate during treatment for a communicable sexually transmitted infection? a. Resume sexual activity when symptoms disappear c. Resume intercourse immediately after taking medication b. Avoid sexual contact until treatment is completed d. Use condoms while continuing all sexual activity ____ 42. What oxygen-delivery method is indicated initially for a critically injured patient with impaired breathing? a. Low-flow oxygen by nasal cannula c. Ambient air by simple face mask b. Room air by nasal breathing d. 100% oxygen by nonrebreather mask ____ 43. Which intervention is appropriate for a patient with severe nausea and vomiting caused by cholecystitis? a. Encourage frequent oral meals to stimulate digestion c. Maintain nasogastric decompression as prescribed b. Limit assessment of intake and output during suction d. Increase dietary fat to promote bile release ____ 44. What instruction should the nurse provide for accurate home blood pressure monitoring? a. Measure blood pressure only when symptoms occur c. Use the monitor without office verification b. Measure blood pressure only in the dominant arm d. Measure blood pressure in the nondominant or higher-pressure arm ____ 45. What discharge instruction is most important for preventing recurrent acute pancreatitis? a. Use binge dieting to reduce pancreatic workload c. Abstain completely from alcohol and avoid smoking b. Resume smoking after abdominal pain resolves d. Replace alcohol with caffeinated beverages ____ 46. Which assessment finding requires follow-up for possible diabetes in a patient with chronic pancreatic disease? a. Reduced pancreatic pain with normal glucose testing c. Improved appetite with no changes in glucose levels b. Stable glucose levels with improved stool consistency d. New symptoms accompanied by elevated blood glucose levels ____ 47. What medication should the nurse expect to administer as part of initial drug treatment for suspected acute coronary syndrome? a. Chewable aspirin c. Oral atorvastatin only b. Oral metoprolol only d. Oral lisinopril only ____ 48. What ambulation instruction is appropriate for a patient using crutches with a non–weight-bearing prescription? a. Place half of the body weight on the affected foot c. Advance the uninvolved limb before the crutches b. Support body weight on the axillary pads d. Support body weight through the hands and advance without loading the affected leg ____ 49. What postoperative measure best reduces the risk of hip dislocation after a posterior-approach arthroplasty? a. Use a low chair for frequent sitting c. Turn the operative foot inward during transfers b. Place an abduction wedge between the patient’s legs d. Cross the legs while resting in bed ____ 50. Which consideration is essential when discussing prophylactic oophorectomy with a patient who has an abnormal BRCA1 or BRCA2 gene? a. Discontinue follow-up after the procedure c. Guarantee elimination of all future breast cancer risk b. Review risks, benefits, and fertility implications d. Recommend surgery without discussing reproductive goals ____ 51. A nurse evaluates a caregiver’s ability to participate in chronic illness management. Which consideration is most important when the caregiver is an older spouse with chronic health conditions? a. Assume the spouse can provide all required care c. Exclude the caregiver from the treatment plan b. Assess the caregiver’s health and ability to coordinate care d. Assign the caregiver responsibility for nursing assessment ____ 52. Which instruction is appropriate for a patient discharged with a surgical drain after mastectomy? a. Remove the drain when discomfort decreases c. Discard drainage without measuring it b. Clamp the drain continuously at home d. Learn drain management before discharge ____ 53. A nurse evaluates a patient for possible substance-use problems during an acute-care admission. What assessment approach is most appropriate as a baseline? a. Ask about prescribed, over-the-counter, and recreational substances c. Wait for laboratory results before asking screening questions b. Ask only about the substance named by family members d. Ask only about illegal recreational drugs ____ 54. What intervention best supports joint alignment during rest for a patient at risk for rheumatoid arthritis-related contractures? a. Use a firm mattress and encourage positions of extension c. Use several thick pillows beneath the head and shoulders b. Maintain the joints in flexion throughout rest periods d. Place pillows beneath the knees during sleep ____ 55. What nursing assessment is most appropriate when planning care for an older LGBTQ+ adult who may need long-term care? a. Assess preferred support persons and concerns about the care setting c. Restrict support assessment to legal relatives b. Avoid discussing the patient’s social network d. Assume adult children will provide the needed care ____ 56. Which nursing action best protects a single LGBTQ+ patient’s end-of-life decision-making preferences? a. Exclude the patient’s partner from planning c. Identify the family of origin as the automatic surrogate b. Ask about an advance directive and chosen surrogate d. Rely only on the legal name in the record ____ 57. What laboratory monitoring is required for a patient receiving methotrexate for rheumatoid arthritis? a. Daily urinalysis and pulmonary function testing c. Weekly electrocardiography and serum calcium testing b. Periodic vision screening and stool culture testing d. Complete blood count and blood chemistry testing ____ 58. Which question best supports an inclusive health history for a transgender patient? a. May we use the name listed in the medical record? c. Would you prefer a formal title during this visit? b. Should we use the legal name on your insurance card? d. Is there a name you would like us to use while you are here? ____ 59. What patient action is appropriate for preventing stiffness after a Colles’ fracture is immobilized? a. Keep the fingers and shoulder motionless c. Perform forceful lifting with the affected arm b. Insert a rigid object to assist movement d. Move the fingers, thumb, and shoulder actively as prescribed ____ 60. What nursing intervention can be taught in a brief session to help a patient manage stress? a. Require participation in a competitive activity c. Teach relaxation breathing b. Assign an identical stress plan to every patient d. Postpone all coping instruction until discharge ____ 61. Which medication is preferred for early disease-modifying treatment of rheumatoid arthritis? a. Aspirin c. Low-dose prednisone b. Etanercept d. Methotrexate ____ 62. A patient has suspected polysubstance toxicity with respiratory depression. What finding most strongly suggests that opioids are not the cause? a. No response after a total naloxone dose of 10 mg c. History of taking a prescribed analgesic b. Development of respiratory depression after admission d. Presence of decreased level of consciousness ____ 63. Which procedure provides supportive palliation for a patient with cancer-related bowel obstruction? a. Reconstructive surgery c. Laminectomy b. Colostomy d. Tumor debulking ____ 64. What medication-administration practice best supports therapeutic management of rheumatoid arthritis? a. Administer disease-modifying drugs only during acute flares c. Schedule all medications only when joint pain occurs b. Schedule medications carefully to maintain therapeutic levels d. Combine all prescribed medications into one daily dose ____ 65. What measurement best evaluates the adequacy of renal perfusion in a patient with possible urinary system dysfunction? a. Frequency of routine meals c. Color of the patient’s clothing b. Hourly urine output d. Daily oral fluid preference ____ 66. Which discharge instruction is appropriate for preventing a hip flexion contracture after lower-limb amputation? a. Lie prone with the hip extended as prescribed c. Sit in a chair for several hours each day b. Dangle the residual limb over the bedside d. Place pillows beneath the residual limb continuously ____ 67. What finding requires notification of the health care provider during monitoring after myocardial infarction? a. New ST-segment changes with or without chest pain c. A stable ST segment at baseline b. Clear bilateral lung sounds d. A regular pulse at the baseline rate ____ 68. A nurse assesses a patient with a chronic illness who reports increasing difficulty preparing meals and managing medications. Which assessment should the nurse complete next to clarify the patient’s functional needs? a. Evaluate only the patient’s bathing ability c. Evaluate only the patient’s reported pain score b. Evaluate only the patient’s preferred learning style d. Evaluate instrumental activities of daily living ____ 69. Which intervention best promotes adherence after blood pressure becomes controlled with multiple antihypertensive medications? a. Add separate doses for each medication c. Use an affordable combination medication when appropriate b. Exclude caregivers from the adherence plan d. Stop therapy when blood pressure normalizes ____ 70. A nurse completes the initial assessment of a patient at risk for pressure injury. What tool should the nurse use to help determine the patient’s risk level? a. Drug Abuse Screening Test c. CIWA-Ar scale b. Braden Scale d. Alcohol Use Disorders Identification Test ____ 71. A nurse is completing an annual health assessment for a patient with chronic illness. Which information best evaluates the patient’s ability to manage daily life at home? a. Patient preference for a treatment location c. Number of prescribed medications alone b. Frequency of hospital admissions alone d. Ability to complete ADLs and IADLs ____ 72. What blood pressure management strategy is appropriate during the initial treatment of a hypertensive emergency? a. Maintain the MAP at its presenting level c. Normalize the MAP immediately b. Decrease the MAP by no more than 20% to 25% d. Decrease the MAP by more than 50% immediately ____ 73. What position should be avoided after a posterior-approach hip replacement to reduce the risk of prosthesis dislocation? a. Sitting with the hip flexed beyond 90 degrees c. Turning with a pillow between the knees b. Using an abduction wedge between the legs d. Using an elevated toilet seat ____ 74. Which interviewing technique promotes accurate assessment of sexually transmitted infection risk? a. Interview the patient privately using a nonjudgmental approach c. Ask questions with the partner present by default b. Use identical counseling for every patient d. Assume older adults have minimal infection risk ____ 75. What monitoring action is required after initiating a nondihydropyridine calcium channel blocker in a patient taking digoxin? a. Monitor urine color only c. . Monitor serum digoxin levels closely b. Monitor serum sodium levels only d. Monitor respiratory rate only ____ 76. A nurse plans nutritional teaching for a patient with impaired wound healing. What nutrient should be emphasized for capillary synthesis and collagen production? a. Dietary carbohydrate c. Vitamin B complex b. Dietary fat d. Vitamin C ____ 77. What precaution is appropriate when handling the body fluids and excretions of a patient who recently received chemotherapy? a. Apply precautions only after the first week c. Use precautions only when the patient has neutropenia b. Assume body fluids are immediately nonhazardous d. Follow hazardous-drug precautions during the first 48 hours ____ 78. What assistive device best demonstrates work simplification for a patient with limited hand function from rheumatoid arthritis? a. Standard thin-handled utensils c. Rear-fastening clothing b. Heavy metal dishes d. Built-up utensils ____ 79. What pathophysiologic change initiates burn shock after a major burn injury? a. Increased intravascular volume c. Reduced interstitial fluid accumulation b. Increased capillary permeability with intravascular fluid loss d. Increased colloidal osmotic pressure ____ 80. What nursing action best supports informed treatment decisions after a cancer diagnosis? a. Make the treatment decision for the patient c. Provide identical detailed information to every patient b. Provide information that matches the patient’s preferred level of detail d. Avoid discussing treatment advantages and disadvantages ____ 81. Which pulse-oximetry site is most appropriate when peripheral circulation is poor during shock? a. The ear, nose, or forehead c. The hand only b. The finger only d. The foot only ____ 82. What postoperative assessment finding after hip-fracture surgery requires prompt notification of the health care provider? a. Active movement of the unaffected leg c. A newly absent pedal pulse in the operative extremity b. Pain that improves after prescribed analgesia d. Mild edema that decreases with elevation ____ 83. A nurse is planning care for a patient whose cultural beliefs influence the preferred treatment of illness. Which nursing action applies culturally competent professional practice? a. Select treatment based on the patient’s ethnic group c. Use the nurse’s cultural experience to guide decisions b. Avoid discussing cultural beliefs during the assessment d. Ask the patient to describe personal health beliefs and practices ____ 84. Which finding indicates pancreatic insufficiency requiring follow-up assessment? a. Infrequent stools with normal consistency c. formed brown stools without an unusual odor b. Foul-smelling, fatty stools d. Loose stools occurring after increased fluid intake ____ 85. What action best establishes an inclusive environment for LGBTQ+ patients in a health care facility? a. Post a standard patient bill of rights c. Display inclusive signs and visual cues b. Offer general health magazines d. Provide only gender-specific restrooms ____ 86. What action is appropriate when a lightweight splint is used to protect an inflamed joint? a. Tighten the splint whenever joint pain increases c. Reapply the splint without checking the affected joint b. Remove the splint regularly to assess the skin and perform range-of-motion exercises d. Leave the splint in place continuously without skin assessment ____ 87. What action best prevents reinfection after treatment for a sexually transmitted infection? a. Resume unprotected sex after symptoms resolve c. Treat only the patient with current symptoms b. Stop follow-up after the first treatment dose d. Ensure that all sexual partners receive treatment ____ 88. What intervention should be prepared for a life-threatening tension pneumothorax that severely compromises ventilation? a. Needle decompression c. Delayed respiratory reassessment b. Routine oral fluid administration d. Encouraged ambulation ____ 89. What nursing approach best supports a patient expressing concerns about sexuality after breast surgery? a. Invite questions about intimacy and relationships c. Direct all sexual questions exclusively to the partner b. Avoid discussing sexuality unless the patient asks first d. Reassure the patient that sexual concerns are unimportant ____ 90. What position best supports ventilation for a patient with an inhalation injury when spinal injury is not suspected? a. Prone position c. Supine position b. High Fowler's position d. Trendelenburg position ____ 91. Which assessment finding indicates that a patient’s sleep problem requires further evaluation? a. Sleep disturbance lasting longer than 1 month c. Occasional difficulty falling asleep b. Occasional awakening during the night d. One night of shortened sleep ____ 92. What arterial blood gas finding indicates hypoxemia in a patient without chronic lung disease? a. PaO2 greater than 80 mm Hg c. PaO2 less than 60 mm Hg b. PaO2 between 70 and 80 mm Hg d. PaO2 between 60 and 70 mm Hg ____ 93. What finding indicates that an elastic compression bandage may be applied too tightly? a. Increased support during ambulation c. Decreased swelling at the injury site b. Improved fluid return toward the trunk d. Numbness or tingling below the bandage ____ 94. Which instruction is appropriate for a patient prescribed pancrelipase for pancreatic exocrine insufficiency? a. Take the enzyme only when steatorrhea occurs c. Take the enzyme only at bedtime b. Take the enzyme with meals and snacks d. Stop the enzyme when abdominal pain decreases ____ 95. Which nursing action applies a basic stress-management principle when caring for a patient experiencing multiple stressors? a. Assess the number and duration of the patient’s stressors c. Delay intervention until stress-related illness develops b. Focus only on the patient’s physical diagnosis d. Choose the same relaxation strategy for every patient ____ 96. A patient arrives with suspected opioid overdose and inadequate respirations. What nursing action has the highest priority? a. Begin motivational interviewing immediately c. Administer loperamide for withdrawal symptoms b. Obtain a detailed substance-use history first d. Support ventilation and administer naloxone ____ 97. A patient with a wound has a culture ordered and an antibiotic prescribed. What action should the nurse take first? a. Clean the wound after administering the antibiotic c. Obtain the wound culture before administering the antibiotic b. Wait for culture results before beginning treatment d. Administer the antibiotic before collecting the culture ____ 98. Which finding indicates that a patient with intestinal obstruction requires immediate notification of the health care provider? a. Urine output below 0.5 mL/kg/hour c. Passage of flatus with reduced abdominal distention b. Decreased nausea with reduced emesis volume d. Stable vital signs with unchanged abdominal girth ____ 99. A nurse begins a health history with a patient who prefers time to establish trust before discussing personal information. Which communication approach is most appropriate? a. Ask sensitive questions immediately to save time c. Use the same questioning sequence for every patient b. Avoid introducing the nurse’s preferred form of address d. Allow an unhurried conversation before asking sensitive questions ____ 100. Which finding should prompt immediate reporting as a possible early sign of inhalation-related respiratory distress? a. New agitation and restlessness c. A regular unchanged breathing pattern b. Unchanged alertness and breathing d. Improved comfort after repositioning
Which оf the fоllоwing is the optimаl technique for use of а metered-dose inhаler? Select all that apply