Nokea
A client says to the nurse ¢â‚¬Å“I am worthless person, I should be dead¢â‚¬ The nurse best replies:
- A. ¢â‚¬Å“Don¢â‚¬â„¢t say you are worthless, you are not a worthless person¢â‚¬
- B. ¢â‚¬Å“We are going to help you with your feelings¢â‚¬
- C. ¢â‚¬Å“What makes you feel you¢â‚¬â„¢re worthless?¢â‚¬
- D. ¢â‚¬Å“What you say is not true¢â‚¬
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which meal should be removed for a client taking warfarin?
- A. Oriental cabbage salad with chicken
- B. Beef enchilada, rice, and beans
- C. Ham and cheese sandwich
- D. Macaroni salad and grapefruit slices
Correct Answer: C
Rationale: The correct meal to remove for a client taking warfarin is the 'Ham and cheese sandwich.' Ham is high in vitamin K, which can interfere with the effectiveness of warfarin, a medication that works by decreasing the clotting ability of the blood. Vitamin K can counteract the effects of warfarin by promoting blood clotting. Choices A, B, and D do not contain high amounts of vitamin K and are therefore safer options for individuals taking warfarin.
Gina, A client in prolong labor said she cannot go on anymore. The health care team decided that both the child and the mother cannot anymore endure the process. The baby is premature and has a little chance of surviving. Caesarian section is not possible because Gina already lost enough blood during labor and additional losses would tend to be fatal. The husband decided that Gina should survive and gave his consent to terminate the fetus. The principle that will be used by the health care team is:
- A. Beneficence
- B. Non malfeasance
- C. Justice
- D. Double effect
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which statement about essential nutrients should the nurse include?
- A. Fat-containing foods can help to decrease triglyceride levels.
- B. Animal sources of protein contain 20 essential amino acids.
- C. Carbohydrates are the primary source of fuel for muscles and the brain.
- D. High-fiber foods are a good source of energy.
Correct Answer: C
Rationale: The correct answer is C because carbohydrates are indeed the primary source of fuel for muscles and the brain. Choice A is incorrect because while certain fats are essential, they do not help decrease triglyceride levels. Choice B is incorrect because animal sources of protein do not contain all 20 essential amino acids. Choice D is incorrect because although high-fiber foods are important for digestion and overall health, they are not a direct source of energy.
Induction of vomiting is indicated for the accidental poisoning patient who has ingested.
- A. Rust remover C. toilet bowl cleaner
- B. Gasoline D. aspirin
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which dietary approach is most beneficial for managing hypertension?
- A. Increasing caffeine intake
- B. Reducing sodium intake
- C. Increasing dietary cholesterol
- D. Reducing fiber intake
Correct Answer: B
Rationale: Reducing sodium intake is the most beneficial dietary approach for managing hypertension. High sodium intake can lead to increased blood pressure, so lowering sodium intake is crucial in managing hypertension. Choices A, C, and D are incorrect because increasing caffeine intake, dietary cholesterol, or reducing fiber intake are not recommended dietary approaches for managing hypertension and may even have adverse effects on blood pressure levels.