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A nurse is providing health promotion education to the parents of a toddler. Which information should the nurse include in the teaching?,Which information should be included in toddler health promotion education?
- A. Need for increased caloric intake.
- B. How to establish trust.
- C. Management of tantrums.
- D. How to encourage cooperative play.
- E. Dental care.
Correct Answer: A,C,D,E
Rationale: The correct answer includes information on caloric intake (A) to ensure the toddler's proper growth and development. Management of tantrums (C) is crucial for behavioral management. Encouraging cooperative play (D) fosters social skills. Dental care (E) is essential for oral health. Establishing trust (B) is important but not directly related to health promotion. No information is given for choices F and G.
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A nurse manager is providing staff education about working with patients who have a history of anger and aggression. Which of the following information should the nurse include in the teaching? What should the nurse include in aggression training?
- A. Stand directly in front of the patient when talking.
- B. Know the layout of the facility.
- C. Bring security with you for all patient interactions.
- D. Provide immediate verbal feedback for escalating behavior.
- E. Avoid wearing necklaces during patient care.
Correct Answer: B,D,E
Rationale: Correct Answer: B, D, E
Rationale:
B: Knowing the layout of the facility is important for quick escape routes and safety measures during a patient's aggressive outburst.
D: Providing immediate verbal feedback for escalating behavior can help in de-escalating the situation and preventing further aggression.
E: Avoiding wearing necklaces during patient care can prevent them from being used as a weapon or trigger for aggressive behavior.
Summary:
A: Standing directly in front of the patient can be confrontational and escalate the situation.
C: Bringing security for all patient interactions may not be feasible or necessary in every situation.
F, G: No additional options are provided, but they would likely be incorrect as they were not included in the correct answer choices.
A nurse is caring for a patient who has a new prescription for enalapril. Which of the following adverse effects should the nurse monitor for? Which adverse effect should the nurse monitor for enalapril?
- A. Dry cough
- B. Weight loss
- C. Tinnitus
- D. Hypoglycemia
Correct Answer: A
Rationale: The correct answer is A: Dry cough. Enalapril is an ACE inhibitor commonly associated with a side effect of a persistent dry cough due to increased bradykinin levels. The nurse should monitor the patient for this adverse effect as it can indicate drug intolerance. Choices B, C, and D are incorrect as weight loss, tinnitus, and hypoglycemia are not commonly associated with enalapril use. Weight gain may be more common due to fluid retention, tinnitus is not a known side effect, and hypoglycemia is not typically linked with enalapril.
A nurse is caring for a patient who is postoperative following abdominal surgery. The nurse discovers a loop of bowel protruding through an opening in the surgical incision. What should the nurse do? What should the nurse do for a protruding bowel?
- A. Gently reinsert the bowel back into the patient's wound.
- B. Place the head of the patient's bed in the flat position.
- C. Apply moistened sterile gauze to the site.
- D. Position the patient on his left side.
Correct Answer: C
Rationale: The correct answer is C: Apply moistened sterile gauze to the site. This is the correct action because it helps to keep the exposed bowel moist, which is crucial to prevent drying and potential damage. Reinserting the bowel (choice A) may cause further harm and should only be done by a surgeon. Placing the head of the bed flat (choice B) can increase intra-abdominal pressure and worsen the situation. Positioning the patient on his left side (choice D) does not address the immediate need to protect the exposed bowel. Applying moistened gauze is the best initial action to protect the bowel while awaiting further medical intervention.
A nurse is caring for a patient who has a new prescription for metformin. Which of the following laboratory tests should the nurse monitor? Which lab test should the nurse monitor for metformin?
- A. Liver function tests
- B. Thyroid function tests
- C. Complete blood count
- D. Renal function tests
Correct Answer: D
Rationale: The correct answer is D: Renal function tests. Metformin is primarily excreted by the kidneys, so monitoring renal function tests like serum creatinine and estimated glomerular filtration rate (eGFR) is crucial to assess kidney function and prevent potential metformin-induced lactic acidosis. Monitoring liver function tests (A) is not essential for metformin therapy, as metformin is not metabolized by the liver. Thyroid function tests (B) are not directly affected by metformin. Complete blood count (C) is not typically monitored specifically for metformin therapy. Therefore, the most appropriate choice is D as it directly reflects metformin's clearance and potential for toxicity.
A nurse is caring for a patient whose right leg is in Buck's traction. Which interventions should the nurse implement to promote the patient's mobility? Which intervention promotes mobility in Buck's traction?
- A. Perform passive range of motion exercises on the right leg.
- B. Perform isometric exercises on both legs.
- C. Perform active range-of-motion exercises on the left leg.
- D. Log roll the patient every 2 hours.
Correct Answer: C
Rationale: Rationale: Performing active range-of-motion exercises on the left leg promotes mobility in Buck's traction by maintaining muscle strength and joint flexibility, preventing muscle atrophy, and improving circulation. This helps prevent complications and supports eventual rehabilitation. Passive range of motion exercises on the right leg are not recommended as it may cause discomfort. Isometric exercises on both legs may not address the specific immobilization of the right leg. Log rolling every 2 hours is not directly related to promoting mobility in Buck's traction.