Nokea
A client with a new diagnosis of diverticulitis is being taught dietary management by a healthcare provider. Which of the following statements should the provider include in the teaching?
- A. You should increase your intake of high-fiber foods.
- B. You should avoid foods that contain lactose.
- C. You should decrease your intake of high-fiber foods.
- D. You should increase your intake of dairy products.
Correct Answer: A
Rationale: Increasing intake of high-fiber foods is essential in managing diverticulitis as it promotes regular bowel movements and prevents constipation, reducing the risk of complications and improving overall digestive health. Choice B is incorrect because lactose intolerance is different from diverticulitis and avoiding lactose is not a standard recommendation for diverticulitis. Choice C is incorrect as decreasing high-fiber foods would be counterproductive for managing diverticulitis. Choice D is wrong because increasing dairy products is not a primary dietary recommendation for diverticulitis management.
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Polyhydramnios means amniotic fluid volume more than:
- A. 1000 ml
- B. 1500 ml
- C. 2000 ml
- D. 2500 ml
Correct Answer: C
Rationale: Polyhydramnios is excess amniotic fluid, complicating pregnancy. Normal volume at term is 500-1000 ml. Polyhydramnios is diagnosed above 2000 ml (choice C) via ultrasound (amniotic fluid index >24 cm), often due to fetal anomalies (e.g., esophageal atresia) or maternal diabetes. 1000 ml (choice A) is normal, 1500 ml (choice B) is borderline, and 2500 ml (choice D) exceeds typical thresholds but isn't the standard cutoff. C is correct, per obstetric guidelines. Nurses monitor for preterm labor or distress, supporting maternal-fetal care.
An action that the nurse should take to use a wide base of support when assisting a client to get up in a chair is:
- A. Bend at the waist and place arms under client's arms and lift.
- B. Face of client, band knees and place hands on client's forearms and lift.
- C. Spread his/her feet apart.
- D. Tighten his/her pelvic muscles.
Correct Answer: C
Rationale: Spreading feet apart creates a wide base of support, stabilizing the nurse's center of gravity when lifting a client from bed to chair. This enhances balance, reducing fall risk e.g., shoulder-width stance supports a 70-kg patient. Bending at the waist risks back strain, lacking leg leverage, and no base is specified. Facing the client, bending knees, and holding forearms uses proper mechanics but omits base width less explicit. Tightening pelvic muscles aids core strength, not base stability. A wide stance, per ergonomic principles, ensures safe transfer, protecting nurse and client, making it the essential action in this context.
Which of the following is TRUE about the mechanism of action of the Aortic and Carotid bodies?
- A. If the BP is elevated, the RR increases
- B. If the BP is elevated, the RR decreases
- C. Elevated BP leads to Metabolic alkalosis
- D. Low BP leads to Metabolic acidosis
Correct Answer: B
Rationale: Aortic and carotid bodies, chemoreceptors, slow respiration when BP rises e.g., baroreceptors signal reduced need for O2 delivery. Increased RR (hypoxia), alkalosis (pH), or acidosis (metabolic) misalign. Nurses note this e.g., in hypertension for respiratory adjustments, per cardiovascular interplay.
John has a fever of 39.5 degrees 2 days ago, But yesterday, he has a normal temperature of 36.5 degrees. Today, his temperature surges to 40 degrees. What type of fever is John having?
- A. Relapsing
- B. Intermittent
- C. Remittent
- D. Constant
Correct Answer: A
Rationale: Relapsing fever spikes (39.5-40°C) with normal breaks (36.5°C) e.g., borrelia, days apart. Intermittent (daily normal), remittent (fluctuating high), and constant (stable) differ. Nurses note this e.g., two-day gap for infection management, per fever types.
Which of the following behaviors by Nurse Jane Robles demonstrates that she understands well the elements of effecting charting?
- A. She signs her charting as follows: J.R
- B. She writes in the chart using a no. 2 pencils.
- C. She noted: appetite is good this afternoon.
- D. She signs on the medication sheet after administering the medication.
Correct Answer: D
Rationale: Effective charting requires accuracy, clarity, and accountability, adhering to legal and professional standards. Signing the medication sheet after administering medication, as Nurse Jane does, exemplifies this by confirming the intervention occurred, ensuring patient safety, and providing a verifiable record. This practice aligns with the 'Five Rights' of medication administration and reduces error risks, such as double-dosing. Conversely, signing as 'J.R.' lacks full identification (name and title), compromising accountability. Using a pencil risks erasure or alteration, undermining record integrity, as permanent ink is standard. Noting 'appetite is good' is subjective and lacks detail (e.g., meal percentage consumed), reducing its clinical value. Nurse Jane's action of signing post-medication administration reflects a strong grasp of charting's role in care continuity and safety, making it the best demonstration of effective documentation principles.