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A client with dysphagia and at risk for aspiration needs care planning. Which intervention should the nurse include in the plan?
- A. Encourage the client to drink thickened liquids.
- B. Instruct the client to swallow with chin tucked.
- C. Provide the client with a cup with a lid.
- D. Place the client in Fowler's position for meals.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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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.
The nurse is caring for a client with a diagnosis of heart failure. This admission is the client's third admission within 90 days. The nurse educates the client with the goal of preventing readmission. Which nursing activity for this client would represent tertiary level prevention?
- A. Screening for early detection
- B. Teaching about adhering to a low-sodium diet
- C. Promoting health before diagnosis
- D. Detecting disease early
Correct Answer: B
Rationale: Tertiary prevention occurs post-diagnosis, aiming to reduce disability and optimize function, as with this heart failure client. Teaching about a low-sodium diet helps manage symptoms reducing fluid retention, easing heart strain preventing readmissions by enhancing self-care after treatment. Screening or early detection aligns with secondary prevention, identifying issues before symptoms escalate. Promoting health pre-diagnosis is primary prevention, averting illness onset. Here, the nurse targets rehabilitation, addressing an established condition to minimize complications like edema, common in heart failure's chronic cycle. This education empowers the client, aligning with tertiary care's focus on restoring maximal health, critical in nursing to break readmission patterns and support long-term stability.
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.
Which of the following statement is TRUE about professional boundaries?
- A. Allow personal relationships
- B. Maintain appropriate limits
- C. Only apply to patients
- D. All of the above
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A theory is a set of concepts, definitions, relationships and assumptions that:
- A. Explain a phenomenon
- B. Formulate legislation
- C. Measure nursing functions
- D. Reflect the domain of nursing practice
Correct Answer: A
Rationale: A theory in nursing, like Orem's Self-Care Deficit, comprises concepts (e.g., self-care), definitions (clarifying terms), relationships (how concepts interact), and assumptions (underlying beliefs), all to explain phenomena patterns or events like patient recovery. This explanatory role guides practice by providing a lens to understand health-related behaviors or outcomes. Formulating legislation is unrelated; theories inform policy indirectly but aren't legal tools. Measuring nursing functions might be a research outcome, not a theory's purpose, which is broader and conceptual. Reflecting the domain of nursing practice describes what theories encompass but not their active function explanation drives their utility. By explaining phenomena, theories offer nurses frameworks to predict, interpret, and address patient needs, making this the most accurate description of a theory's role in nursing science.