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A healthcare professional is educating a client with osteoporosis about dietary management. Which of the following foods should the professional recommend?
- A. Green beans
- B. Fortified cereal
- C. Red meat
- D. White bread
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A client receives discharge teaching on a new prescription for lisinopril. Which of the following instructions should be included?
- A. Avoid foods high in potassium.
- B. Take the medication with food.
- C. Increase your intake of salt.
- D. Take the medication at bedtime.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Studies have shown that about 40% of patients fall out of bed despite the use of side rails; this has led to which of the following conclusions?
- A. Side rails are ineffective
- B. Side rails should not be used
- C. Side rails are a deterrent that prevent a patient from falling out of bed
- D. Side rails are a reminder to a patient not to get out of bed
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for a client after a stroke rendered the client's right side weaker than the left. The nurse coordinates the plan of care with the physical therapist. The nurse's interventions reflect which one of nursing's four broad goals?
- A. To promote health
- B. To prevent illness
- C. To restore health
- D. To facilitate coping with death and/or disability
Correct Answer: C
Rationale: Nursing practice is guided by four broad goals that shape interventions based on client needs. In this scenario, the nurse's coordination with a physical therapist to address the client's weakened right side post-stroke aligns with the goal of restoring health. This involves efforts to regain lost function, improve strength, and enhance the client's physical capacity following an illness or injury. Promoting health focuses on maintaining wellness before illness occurs, such as through lifestyle education, while preventing illness aims to stop disease onset, like via vaccinations. Facilitating coping with death or disability pertains to supporting clients and families through terminal conditions or permanent impairments, not necessarily recovery. Here, the emphasis is on rehabilitation and recovery, targeting the restoration of the client's pre-stroke abilities as much as possible. This collaborative approach underscores nursing's role in helping clients reclaim their health after a significant medical event, aligning with the restorative aim.
What are the primary purposes for conducting research in nursing?
- A. Decrease the number of illnesses in the population
- B. Improve NCLEX pass rates
- C. Provide a basis for best practice guidelines
- D. Develop new ways to improve assessment and diagnostic skills
Correct Answer: C
Rationale: Nursing research aims to enhance the profession's impact on patient care through targeted purposes. Providing a basis for best practice guidelines is central, as research synthesizes evidence like clinical reviews into actionable standards, ensuring care is effective and current. Developing new ways to improve assessment and diagnostic skills sharpens nurses' ability to identify and address client needs, driving innovative tools or techniques. It also supports evaluating care, offering resources to measure intervention success, and informs planning by setting evidence-based goals. Decreasing illnesses aligns more with medical research, while improving NCLEX pass rates pertains to education, not research's core. These purposes collectively advance nursing knowledge, refine practice, and elevate client outcomes, grounding the profession in science rather than tradition or assumption.
The nurse is caring for a client with a history of congestive heart failure. The client's dyspnea has worsened over the past 2 hours. The nurse should:
- A. Increase the oxygen flow rate to 6L per minute
- B. Place the client in high Fowler's position
- C. Administer Lasix (furosemide) immediately
- D. Encourage the client to cough and deep breathe
Correct Answer: B
Rationale: Placing the client in high Fowler's position eases dyspnea in worsening congestive heart failure by reducing preload oxygen adjustment needs orders, Lasix requires confirmation, and coughing won't help acute fluid overload. Nurses prioritize positioning, monitoring respiratory status, aiding comfort in this cardiac emergency.