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A client with chronic kidney disease is experiencing pruritus. Which intervention should the nurse include in the plan of care?
- A. Administer antihistamines as prescribed.
- B. Apply moisturizing lotion to the skin.
- C. Use cool water for bathing.
- D. Encourage a high-protein diet.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The healthcare provider is assessing a client with a suspected stroke. Which finding requires immediate intervention?
- A. Blood pressure of 160/90 mm Hg.
- B. Blood glucose level of 180 mg/dL.
- C. Difficulty speaking.
- D. Temperature of 99.8°F (37.7°C).
Correct Answer: C
Rationale: Difficulty speaking is a classic symptom of stroke, suggesting a potential blockage of blood flow to the brain. Prompt intervention is crucial to minimize brain damage. Elevated blood pressure (Choice A) may need management but is not the most urgent concern in this scenario. A blood glucose level of 180 mg/dL (Choice B) is slightly elevated but does not require immediate intervention for a suspected stroke. A temperature of 99.8°F (37.7°C) (Choice D) is within normal range and not a critical finding in this context.
An adolescent tells the school nurse that she is pregnant. Her last menstrual period was 4 months ago. She has not received any medical care. She smokes but denies any other substance use. What is the priority nursing action?
- A. notify her parents
- B. refer her for prenatal care
- C. teach breast feeding methods
- D. offer nutritional instructions
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is planning a community event to raise awareness about mental health. Which activity should be included to best engage participants?
- A. lectures by mental health professionals
- B. interactive workshops on stress management
- C. distribution of mental health resources
- D. screenings for depression and anxiety
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The wife of an older adult man who has had diabetes mellitus for the past 10 years reports to the home health nurse that her husband fell yesterday while taking his daily walk in the neighborhood. He has a bruised hand and a small abrasion on his left knee. The nurse assesses that his neurologic vital signs are stable. To reduce risk for future falls, which assessment is most important for the nurse to obtain?
- A. current blood sugar level
- B. degree of paresthesia in feet
- C. wound healing of knee abrasion
- D. A1c glycosylated hemoglobin
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A school nurse is planning a program to address bullying among students. Which strategy is most likely to be effective?
- A. Implementing a zero-tolerance policy for bullying
- B. Conducting peer mediation sessions
- C. Providing workshops on conflict resolution
- D. Promoting bystander intervention
Correct Answer: D
Rationale: Promoting bystander intervention is the most effective strategy as it empowers students to take action and prevent bullying incidents. By encouraging bystanders to intervene when they witness bullying, the behavior is less likely to continue. Zero-tolerance policies may have limited effectiveness as they often focus on punishment rather than prevention. Peer mediation and conflict resolution workshops are valuable but may not directly address the immediate need for bystander intervention in bullying situations.