Nokea
A mother indicates correct understanding of postpartum discharge instructions when starting that she will take her iron supplements with:
A mother indicates correct understanding of postpartum discharge instructions when starting that she will take her iron supplements with:
- A. Milk
- B. Water
- C. Each meal
- D. Orange juice
Correct Answer: D
Rationale: Orange juice enhances iron absorption due to its vitamin C content.
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The nurse is taking a health history from a Native American client. It is critical that the nurse must remember that eye contact with such clients is considered
- A. Expected
- B. Rude
- C. Professional
- D. Enjoyable
Correct Answer: B
Rationale: Rude. Native Americans consider direct eye contact to be impolite or aggressive among strangers.
Which condition is associated with inadequate intake of vitamin C?
- A. rickets
- B. marasmus
- C. kwashiorkor
- D. scurvy
Correct Answer: D
Rationale: Scurvy results from vitamin C deficiency, causing symptoms like bleeding gums and poor wound healing. The other conditions are related to different nutritional deficiencies. Physiological Adaptation
The school nurse is teaching a group of preschool mothers about poison prevention in the home. Which of the following statements, if made by a mother to the nurse, indicates that further teaching is necessary?
- A. I should have a bottle of Ipecac for each of my children.'
- B. I should induce vomiting if my child swallows lighter fluid.'
- C. Giving my child water or milk may help dilute the poison.'
- D. Proper storage is the key to poison prevention in the home.'
Correct Answer: B
Rationale: Inducing vomiting after ingesting hydrocarbons like lighter fluid is contraindicated due to the risk of aspiration, which can cause severe lung damage. Choice A is correct (Ipecac dosing is appropriate), choice C is accurate (dilution can help), and choice D is true (locked storage prevents poisoning). Further teaching is needed for choice B.
The nurse understands that an acute attack of pancreatitis can be precipitated by heavy drinking because:
The nurse understands that an acute attack of pancreatitis can be precipitated by heavy drinking because:
- A. Alcohol promoted the formation of calculi in the cystic duct.
- B. The pancreas is stimulated to secrete more insulin than it can immediately produce.
- C. The alcohol alters the composition of enzymes so they are capable of damaging the pancreas.
- D. Alcohol increases enzyme secretion and pancreatic duct pressure and causes backflow of enzymes into the pancreas.
Correct Answer: D
Rationale: Alcohol causes enzyme backflow, leading to pancreatic autodigestion.
An adult is admitted to the psychiatric unit with a severe phobia. She develops severe anxiety when she crosses any type of bridge. She can no longer go to work or go shopping at the mall. The day after admission, she develops a panic attack and refuses to go to occupational therapy because she has to cross a bridge-like structure to go from one area of the hospital to another. How should the nurse respond to this situation?
- A. Accompany the client as she goes to occupational therapy
- B. Request that she be excused from occupational therapy until she is less anxious
- C. Have a staff member walk her to occupational therapy by a different route that does not cross a bridge-like structure
- D. Tell her that facing her fears is the only way to conquer them and that the nurse will help her do that
Correct Answer: C
Rationale: Using an alternate route avoids triggering the phobia, allowing participation in therapy while respecting her current anxiety level.