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A client with a new prescription for a dry-powder inhaler (DPI) is receiving teaching from a healthcare provider. Which of the following statements indicates an understanding of the teaching?
- A. I will shake the inhaler before use.
- B. I will take the medication with food.
- C. I will inhale the medication quickly.
- D. I will use a spacer with the inhaler.
Correct Answer: C
Rationale: Choosing option C, 'I will inhale the medication quickly,' demonstrates an understanding of DPI use. Inhaling the medication quickly ensures effective delivery of the dry powder to the lungs, maximizing its therapeutic effects. Options A, B, and D are incorrect as shaking the DPI, taking it with food, and using a spacer are not recommended practices for DPI administration.
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Before entering the room of a patient receiving treatment for Varicella, you must don personal protective equipment. Organize the correct sequence in how you will don personal protective equipment: Drag and Drop
- A. Don Gloves
- B. Don Gown
- C. Perform hand hygiene
- D. Don N95 Mask (respirator)
Correct Answer: C
Rationale: When donning personal protective equipment (PPE) for a patient with Varicella, which requires airborne precautions, the correct sequence ensures maximal protection and compliance with infection control standards. The proper order is: (1) Perform hand hygiene (C), (2) Don gown (B), (3) Don N95 mask (D), and (4) Don gloves (A). Hand hygiene comes first to remove contaminants from the hands, reducing the risk of transferring pathogens during PPE application. The gown is donned next to cover the body, followed by the N95 mask to protect against airborne particles, ensuring a tight seal. Gloves are applied last, extending over the gown cuffs to prevent exposure. Varicella, being highly contagious via airborne droplets, necessitates this meticulous sequence to safeguard the nurse. Incorrect ordering, like donning gloves before the gown, could leave gaps in protection or contaminate the gloves. The CSV format requires one correct answer, so C (perform hand hygiene) is selected as the critical first step, foundational to the entire process, aligning with CDC and WHO PPE protocols.
A healthcare professional is providing discharge teaching to a client who has a new prescription for warfarin. Which of the following instructions should the healthcare professional include?
- A. Avoid drinking grapefruit juice.
- B. Take aspirin for pain relief.
- C. Consume a consistent amount of green leafy vegetables.
- D. Use an electric razor when shaving.
Correct Answer: C
Rationale: Consuming a consistent amount of green leafy vegetables is important for clients taking warfarin as these foods contain vitamin K, which can affect the medication's effectiveness. Maintaining a consistent intake helps stabilize the International Normalized Ratio (INR) levels, which is crucial for monitoring the blood's ability to clot properly while on warfarin therapy.
A client has a stage 1 pressure ulcer on the right heel. Which of the following interventions should the nurse include in the plan?
- A. Apply a heat lamp to the area for 20 minutes each day.
- B. Change the dressing on the heel every 12 hours.
- C. Apply a transparent dressing over the heel.
- D. Use a water pressure mattress.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Outline the process of speciation
- A. Speciation is the splitting of species into two species
- B. Reproductive isolation/lack of interbreeding
- C. Isolation due to geography/reproductive behaviour/reproductive timing
- D. Gene pools separated
Correct Answer: B
Rationale: Speciation involves reproductive isolation (B), preventing gene flow between populations, leading to new species. Splitting (A) is the outcome, not the process. Isolation factors (C) are mechanisms, not the core. Gene pool separation (D) is a result. B is correct. Rationale: Reproductive isolation, via geographic, behavioral, or temporal barriers, is the foundational process of speciation, driving genetic divergence over time, per evolutionary biology. This distinguishes it from outcomes or mechanisms, ensuring species evolve independently, as seen in Darwin's finches or allopatric speciation models.
The physician has ordered amoxicillin (Amoxil) for a client with a sinus infection. Before administering the medication, the nurse should ask the client if he is allergic to:
- A. Codeine
- B. Aspirin
- C. Penicillin
- D. Sulfa drugs
Correct Answer: C
Rationale: Penicillin allergy must be assessed before amoxicillin, a penicillin derivative, to prevent anaphylaxis in a sinus infection client codeine, aspirin, and sulfa aren't related. Nurses confirm allergies, ensuring safe antibiotic administration, critical for infection resolution without adverse reactions.