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A client has a new prescription for a metered-dose inhaler (MDI). Which of the following statements indicates an understanding of the teaching?
- A. I will shake the inhaler before use.
- B. I will breathe out forcefully after inhaling the medication.
- C. I will take the medication with food.
- D. I will use a spacer with the inhaler.
Correct Answer: A
Rationale: Shaking the inhaler before use is crucial to ensure proper mixing of the medication inside the inhaler. This action helps to disperse the medication evenly, allowing for consistent dosing during inhalation. Breathing out forcefully, taking the medication with food, and using a spacer are not related to the correct use of a metered-dose inhaler and may not lead to optimal medication delivery.
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Postulated the INTERPERSONAL ASPECT OF NURSING
- A. Travelbee
- B. Swanson
- C. Zderad
- D. Peplau
Correct Answer: A
Rationale: Joyce Travelbee's Interpersonal Theory, from the 1960s, views nursing as a human-to-human relationship during illness e.g., helping a patient find meaning in cancer. Swanson's caring processes, Zderad's humanism, and Peplau's therapeutic focus differ. Travelbee's emphasis on interpersonal coping and meaning-making, distinct from Parse's human becoming, guides nurses in emotional support, especially in terminal care.
Contraindications to Lumbar puncture include all except:
- A. Raised ICP
- B. Neoplasm
- C. Hematoma
- D. Headache
Correct Answer: D
Rationale: Lumbar puncture (LP) risks complications if contraindicated. Raised intracranial pressure (ICP) (choice A) can cause herniation post-LP, a fatal risk. Neoplasm (choice B) or hematoma (choice C) may increase ICP or bleeding risk, making LP dangerous. Headache (choice D) is a symptom, not a contraindication, and may even prompt LP (e.g., meningitis diagnosis). D is correct, as headache doesn't preclude LP. Nurses assess for ICP signs (e.g., papilledema), ensure safety, and manage post-LP headaches, supporting diagnostic accuracy.
A healthcare provider is planning care for a client who has a latex allergy. Which of the following actions should the healthcare provider include in the plan?
- A. Use latex gloves with powder.
- B. Place a sign on the client's door.
- C. Apply oil-based lotion before donning gloves.
- D. Avoid using plastic equipment.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In Virginia Henderson's 1966 definition of nursing, a person/client has which of the following numbers of fundamental needs?
- A. 7
- B. 14
- C. 18
- D. 22
Correct Answer: B
Rationale: Virginia Henderson's 1966 definition identifies 14 fundamental needs that nursing addresses to help clients achieve independence or a peaceful death. These include breathing, eating, elimination, and rest, among others, forming a comprehensive framework for holistic care. Unlike narrower or broader counts, 14 captures the essentials Henderson deemed universal, guiding nurses to assess and support each area. For example, assisting a client with mobility meets one need, while ensuring nutrition meets another, illustrating practical application. This specificity distinguishes her model, balancing detail with practicality in nursing practice.
The nurse is caring for a client with Addison's disease. Which finding is expected with this diagnosis?
- A. Hypotension
- B. Weight gain
- C. Hyperglycemia
- D. Hypokalemia
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.