Nokea
17. Which spice may be used to treat the nausea and vomiting related to pregnancy?
- A. Aloe
- B. Ginger
- C. Cranberry
- D. Evening primrose
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A client with chronic obstructive pulmonary disease (COPD) is being assessed by a nurse. Which finding should the nurse expect?
- A. Increased anterior-posterior (AP) chest diameter
- B. Decreased respiratory rate
- C. Weight gain
- D. Productive cough with yellow sputum
Correct Answer: A
Rationale: The correct answer is A: Increased anterior-posterior (AP) chest diameter. In COPD, air trapping causes hyperinflation of the lungs, leading to an increase in the AP chest diameter known as barrel chest. This is a classic physical finding in patients with COPD due to chronic airway obstruction.
Explanation of other choices:
B: Decreased respiratory rate - In COPD, patients typically have an increased respiratory rate due to difficulty breathing.
C: Weight gain - Weight gain is not a typical finding in COPD and is more often associated with other medical conditions or lifestyle factors.
D: Productive cough with yellow sputum - While a productive cough is common in COPD, yellow sputum is more indicative of a bacterial infection rather than COPD alone.
Ken Thom needs instruction on the medications he is taking for his hypothyroidism. You would include which of the following in a teaching plan?
- A. Take medications with meals or with food.
- B. Take medications in the evening or at bedtime.
- C. Report excess weight loss and leg cramps.
- D. Increase the use of iodized salt and spinach.
Correct Answer: C
Rationale: Thyroid medications will be absorbed better if taken on an empty stomach. Thyroid medications would best be taken in the morning, as they may cause difficulty in sleeping when taken at night. Weight loss should occur, but the patient should be taught to report an excessive loss. Leg cramps may indicate a calcium disturbance that needs correction. Iodine is an antithyroid, decreasing thyroid function. Increasing intake of thyroid would effectively act as an antidote to the thyroid medications Mr. Thom is taking.
A nurse is evaluating a 3-day diet history with a client who has an elevated lipid panel. What meal selection indicates the client is managing this condition well with diet?
- A. A 4-ounce steak, French fries, iceberg lettuce
- B. Baked chicken breast, broccoli, tomatoes
- C. Fried catfish, cornbread, peas
- D. Spaghetti with meat sauce, garlic bread
Correct Answer: B
Rationale: The correct answer is B because it includes a lean protein (baked chicken breast) and high-fiber vegetables (broccoli, tomatoes) which are beneficial for managing elevated lipid levels. Lean protein helps reduce saturated fat intake while fiber from vegetables aids in lowering cholesterol levels. Choice A includes a high-saturated fat steak and French fries, not ideal for managing lipid levels. Choice C contains fried catfish and cornbread which are high in unhealthy fats and refined carbohydrates. Choice D has spaghetti with meat sauce and garlic bread, which are high in refined carbohydrates and saturated fats, not recommended for someone with elevated lipid levels.
Describe the physiologic stress response.
- A. Eat a balanced diet
- B. Exercise regularly
- C. Sleep for at least 8 hours
- D. Reduce stress levels
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the most common cause of optic neuritis?
- A. Multiple sclerosis
- B. Infections
- C. Trauma
- D. All of the above
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.