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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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Nelson syndrome is seen after:
- A. Adrenalectomy
- B. Hypopituitarism
- C. Hyperpituitarism
- D. Deficiency of Growth hormone
Correct Answer: A
Rationale: Nelson syndrome follows bilateral adrenalectomy (choice A), often for Cushing's, causing ACTH oversecretion from pituitary hyperplasia, darkening skin, and tumor risk. Hypopituitarism (choice B) reduces hormones, opposite effect. Hyperpituitarism (choice C) is unrelated. Growth hormone deficiency (choice D) doesn't cause this. A is correct, per endocrinology. Nurses monitor ACTH, skin changes, and support imaging, managing this rare sequel.
Which of the following is among an ideal way of collecting a urine specimen for culture and sensitivity?
- A. Use a clean container
- B. Discard the first flow of urine to ensure that the urine is not contaminated
- C. Collect around 30-50 ml of urine
- D. Add preservatives, refrigerate the specimen or add ice according to the agency's protocol
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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.
A client has a prescription for a 24-hour urine collection. Which of the following actions should be taken by the healthcare provider?
- A. Discard the first voiding.
- B. Keep the urine at room temperature.
- C. Collect the first voiding.
- D. Keep the urine in a sterile container.
Correct Answer: A
Rationale: Discarding the first voiding is necessary when initiating a 24-hour urine collection to ensure that the collection starts with an empty bladder. This step helps in obtaining an accurate measurement of substances excreted over the 24-hour period without any carryover from the previous voids. Keeping the urine at room temperature or in a sterile container is not specific to the initiation of the collection. Therefore, the correct action is to discard the first voiding.
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.