Nokea
A nurse is providing discharge teaching to a client who has a prescription for digoxin. Which of the following instructions should the nurse include?
- A. Take your pulse before taking the medication.
- B. Take the medication with an antacid.
- C. Double the dose if you miss one.
- D. Take the medication with a high-fiber meal.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Anticipatory grieving is beneficial to a client or family because it can:
- A. Help a person progress to a healthier emotional state.
- B. Be done in private.
- C. Draw a family closer to help care for each other more.
- D. Be discussed with others.
Correct Answer: A
Rationale: Anticipatory grieving mourning before a loss (e.g., terminal diagnosis) helps clients or families process emotions gradually, fostering a healthier emotional state. It allows acceptance over time, reducing shock post-loss (e.g., preparing for a loved one's death). Privacy is possible but not the benefit grieving's value lies in emotional work, not seclusion. Drawing family closer may occur, but it's secondary; individual coping is primary. Discussing with others aids support, not the core benefit. By facilitating emotional adjustment e.g., a patient accepting mortality anticipatory grieving eases transition, a key nursing focus in end-of-life care, making this the primary advantage.
Which position is recommended for a patient who has difficulty breathing or respiratory distress?
- A. Supine position
- B. Prone position
- C. Fowler's position
- D. Side-lying position
Correct Answer: C
Rationale: For patients struggling with breathing or respiratory distress, elevating the head in a sitting or semi-sitting position maximizes lung expansion and eases respiratory effort. This approach leverages gravity to assist diaphragm movement, improving oxygenation, which is vital in conditions like pneumonia or heart failure. Lying flat on the back can compress the chest, worsening distress, while lying on the stomach is impractical and may obstruct airflow for such patients. Positioning on the side might help in specific cases, like unilateral lung issues, but it's less universally effective for general respiratory support. Nurses choose this position to optimize airway clearance and comfort, directly addressing the physiological need for better ventilation in acute respiratory challenges.
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.
A client with a new diagnosis of hypertension is receiving teaching from a healthcare provider. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will decrease my intake of potassium.
- B. I will increase my intake of vitamin K.
- C. I will decrease my intake of sodium.
- D. I will increase my intake of magnesium.
Correct Answer: C
Rationale: The correct answer is C: 'I will decrease my intake of sodium.' Lowering sodium intake is essential in managing hypertension as it helps reduce blood pressure levels. Excess sodium can lead to fluid retention and increased blood volume, putting more strain on the heart and blood vessels. Therefore, this response indicates an understanding of the teaching provided.
Which of the following statement is NOT true about evidence-based practice?
- A. Improves patient outcomes
- B. Based on scientific evidence
- C. Relies on nurse's intuition
- D. Requires critical thinking
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.