Nokea
A nurse is providing education to a patient about managing hypertension. Which of the following statements by the patient indicates the need for further education?
- A. I will monitor my blood pressure regularly.
- B. I should take my medication at the same time each day.
- C. I will avoid eating high-sodium foods.
- D. I can stop taking my medication once my blood pressure returns to normal.
Correct Answer: D
Rationale: The correct answer is D because stopping medication once blood pressure returns to normal can lead to a relapse of hypertension. Step 1: Educate the patient that hypertension is a chronic condition requiring long-term management. Step 2: Explain the importance of continuing medication even when blood pressure is controlled. Step 3: Emphasize the risks of stopping medication abruptly. Other choices are incorrect because they promote positive behaviors for hypertension management: A: Monitoring blood pressure is essential. B: Taking medication consistently is crucial. C: Avoiding high-sodium foods helps control blood pressure.
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When interviewing a patient, it is important for the nurse to obtain some basic history. Which of the following statements should be explored more fully during an interview? The patient states that he:
- A. Sleeps like a baby.
- B. Has no health problems.
- C. Never did too good in school.
- D. Is currently not taking any medication.
Correct Answer: C
Rationale: The correct answer is C: "Never did too good in school." This statement should be explored further during an interview because it can provide insights into the patient's educational background, potential learning difficulties, or past experiences that may impact their health literacy or understanding of medical information. Understanding the patient's educational history can help the nurse tailor communication and education strategies effectively.
A: "Sleeps like a baby" is not as critical for further exploration as it pertains to the patient's sleep quality.
B: "Has no health problems" is important information but does not require immediate further exploration.
D: "Is currently not taking any medication" is important for medication reconciliation but does not warrant immediate further exploration in this context.
What is the most important nursing intervention for a client with severe dehydration?
- A. Administer IV fluids
- B. Monitor vital signs
- C. Provide oral rehydration
- D. Administer oxygen
Correct Answer: A
Rationale: The correct answer is A: Administer IV fluids. This is the most important nursing intervention for a client with severe dehydration because IV fluids provide rapid rehydration and help restore electrolyte balance efficiently. Monitoring vital signs (choice B) is important but not as crucial as providing immediate fluid replacement. Providing oral rehydration (choice C) may not be effective for severe dehydration as the client may have difficulty absorbing fluids orally. Administering oxygen (choice D) is not directly related to treating dehydration, so it is not the most important intervention in this scenario.
What is the most important intervention for a client with acute pancreatitis?
- A. Administer pain relief
- B. Administer fluids
- C. Administer IV fluids
- D. Administer nitroglycerin
Correct Answer: D
Rationale: The correct answer is D: Administer nitroglycerin. In acute pancreatitis, pancreatic inflammation can lead to pancreatic ischemia due to decreased blood flow. Nitroglycerin helps to dilate blood vessels and improve blood flow to the pancreas, reducing ischemia and potentially preventing further damage. Pain relief (choice A) may be necessary but does not address the underlying issue of ischemia. Administering fluids (choices B and C) is important but not the most critical intervention in this case. Administering nitroglycerin is the most crucial because it targets the root cause of pancreatic ischemia in acute pancreatitis.
What does the Health Insurance Portability and Accountability Act (HIPAA) regulate?
- A. Who will provide client care
- B. Privacy of information
- C. How insurance information is obtained
- D. Where a chart can be stored
Correct Answer: B
Rationale: The correct answer is B because HIPAA regulates the privacy and security of protected health information. This includes how healthcare providers, insurers, and other entities handle and safeguard patient information to ensure confidentiality. Choice A is incorrect as HIPAA does not dictate who provides client care. Choice C is incorrect as HIPAA focuses on the protection of health information, not how insurance information is obtained. Choice D is incorrect as HIPAA does not specify where a chart can be stored, but rather how the information within it is protected.
Which factors increase the risk of sexually transmitted diseases (STDs)?
- A. alcohol use
- B. certain types of sexual practices
- C. oral contraception use
- D. all of the above
Correct Answer: D
Rationale: The correct answer is D: all of the above. Alcohol use can impair judgment leading to risky sexual behaviors. Certain sexual practices like unprotected sex or having multiple partners increase STD risk. Oral contraception does not protect against STDs. Therefore, all factors (A, B, C) collectively increase the risk of STDs.