Nokea
A client has a new diagnosis of osteoarthritis and is being taught about dietary management. Which of the following statements should be included in the teaching?
- A. Increase your intake of calcium-rich foods.
- B. Avoid foods that are high in potassium.
- C. Increase your intake of vitamin D-rich foods.
- D. Avoid foods that are high in sodium.
Correct Answer: C
Rationale: The correct statement to include in the teaching is to increase the intake of vitamin D-rich foods. Vitamin D helps improve calcium absorption, which is beneficial for bone health and may help alleviate symptoms of osteoarthritis. Option A is incorrect because while calcium is important for bone health, the focus should be on vitamin D for calcium absorption. Option B is incorrect as potassium is generally not restricted in osteoarthritis. Option D is also incorrect as sodium restriction is more relevant for conditions like hypertension or heart failure, not specifically for osteoarthritis.
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A client with a new diagnosis of chronic kidney disease is being taught about dietary management. Which of the following statements should be included in the teaching?
- A. Increase your intake of protein-rich foods.
- B. Decrease your intake of phosphorus-rich foods.
- C. Avoid foods that contain lactose.
- D. Increase your intake of potassium-rich foods.
Correct Answer: B
Rationale: In chronic kidney disease, decreasing the intake of phosphorus-rich foods is essential as impaired kidney function can lead to difficulty in excreting phosphorus, causing an imbalance. This can result in bone and heart complications. Therefore, educating the client to reduce phosphorus intake is crucial for managing the disease and preventing further complications. Option A is incorrect because excessive protein intake can burden the kidneys. Option C is not directly related to the management of chronic kidney disease. Option D is also incorrect as potassium intake may need to be limited in certain stages of kidney disease.
A group of nurses is participating in a community health fair and is engaged in primary prevention activities. Which activities would these nurses be leading?
- A. Family planning services
- B. Accident prevention education
- C. Heart-healthy nutrition services
- D. Skin cancer screening
Correct Answer: A
Rationale: Primary prevention aims to promote health and stop disease before it starts, a key nursing role at health fairs. Family planning services educate on contraception, preventing unintended pregnancies a proactive health step. Accident prevention education, like teaching helmet use, averts injuries, targeting safety before incidents. Heart-healthy nutrition services promote diets reducing cardiovascular risk, fostering wellness pre-disease. Skin cancer screening, though vital, is secondary prevention, detecting issues early, not preventing onset. Rehabilitation for back pain is tertiary, managing existing conditions. These primary activities planning, safety, nutrition empower communities with knowledge and habits to sidestep illness, aligning with nursing's preventive focus, leveraging education to build health resilience before crises emerge.
Which of these statements, when made by the nurse, is most effective when communicating with a 4-year-old?
- A. Tell me where you hurt.'
- B. Other children like having their blood pressure taken.'
- C. This will be like having a little stick in your arm.'
- D. Anything you tell me is confidential.'
Correct Answer: A
Rationale: For a 4-year-old, 'Tell me where you hurt' is most effective simple, direct, and age-appropriate, encouraging the child to express pain in their own words, aligning with their concrete thinking stage per Piaget. Option B uses peer pressure, ineffective for this age; C's metaphor may confuse rather than clarify; and D's confidentiality concept is too abstract.
Which of the following statement is NOT true about coping?
- A. A response to stress
- B. Can be adaptive or maladaptive
- C. Always solves the problem
- D. May involve problem solving
Correct Answer: C
Rationale: Coping responds to stress (A), can be adaptive/maladaptive (B), may solve problems (D) 'always solves' (C) isn't true, as some coping (e.g., denial) avoids, per Lazarus. C's certainty fails, making it untrue.
You would refer to the early phase of scar tissue formation as which of the following kinds of tissue?
- A. Keloid
- B. Cicatrix
- C. granulation
- D. Fibrous
Correct Answer: C
Rationale: The early phase of scar tissue formation is granulation tissue, rich in new blood vessels and collagen, aiding wound healing. Keloids are excessive scars, cicatrix is the final scar, and fibrous tissue is later-stage. Recognizing granulation informs nursing wound care, ensuring proper healing progression.