Nokea
A client asks the nurse to explain the basic ideas of homeopathic medicine. The response that best explains this approach is that such remedies
- A. destroy organisms causing disease
- B. maintain fluid balance
- C. boost the immune system
- D. increase bodily energy
Correct Answer: C
Rationale: boost the immune system. The practitioner treats with minute doses of plant, mineral or animal substances which provide a gentle stimulus to the body's own defenses.
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Which of the following tasks can the practical nurse (PN) safely assign to an experienced unlicensed assistive personnel (UAP)? Select all that apply.
- A. Ambulate an oxygen-dependent client to the bathroom
- B. Check pulse oximetry for a client with respiratory rate 12/min
- C. Instruct a client with pneumonia on usage of the incentive spirometer
- D. Provide oral hygiene to a client with chronic obstructive pulmonary disease (COPD)
- E. Turn and reposition a client with pneumonia
Correct Answer: A,B,D,E
Rationale: UAP can ambulate stable clients , check pulse oximetry , provide oral hygiene , and reposition clients . Instructing on incentive spirometry requires nursing judgment and is not delegable.
The physician has recommended that the client increase the amount of dietary iron. The nurse knows that the client understands the recommendation when the client selects which foods?
- A. Orange juice, scrambled eggs, and toast
- B. Hot dog and roll, French fries, and cola
- C. Roast beef, carrots, and rice
- D. Baked chicken, peas, and noodles
Correct Answer: C
Rationale: Roast beef is high in iron, suitable for increasing dietary iron. Other options lack significant iron sources.
A client with metabolic acidosis associated with diabetes mellitus is admitted to the unit. A blood glucose of $250 \mathrm{mg} / \mathrm{dl}$ is present. Which symptom will most likely accompany ketoacidosis?
- A. Oliguria
- B. Polydipsia
- C. Perspiration
- D. Tremors
Correct Answer: B
Rationale: Diabetic ketoacidosis (DKA) causes dehydration due to hyperglycemia, leading to polydipsia (excessive thirst). Oliguria may occur later, perspiration is not specific, and tremors are more associated with hypoglycemia.
The nurse is assessing a 55 year-old female client who is scheduled for abdominal surgery. Which of the following information would indicate that the client is at risk for thrombus formation in the post-operative period?
- A. Estrogen replacement therapy
- B. 10% less than ideal body weight
- C. Hypersensitivity to heparin
- D. History of hepatitis
Correct Answer: A
Rationale: Estrogen increases the hypercoagulability of the blood and increases the risk for development of thrombophlebitis.
The nurse is talking with a client who has a new prescription for metronidazole. Which of the following statements by the client would require follow up?
- A. I can continue to drink a glass of wine with dinner while I am taking this medication'
- B. I might experience a metallic taste in my mouth while I am taking this medication'
- C. I should not be concerned if my urine turns a dark color while taking this medication'
- D. I will immediately contact my health care provider if I experience a rash or skin peeling.'
Correct Answer: A
Rationale: Drinking alcohol while taking metronidazole can cause a disulfiram-like reaction, requiring follow-up. Metallic taste and dark urine are common side effects, and reporting rash or peeling is appropriate.