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A nurse is reinforcing teaching with a client on how to use meditation and progressive relaxation techniques to manage stress. Which of the following physiologic outcomes should the nurse instruct the client to expect?
- A. Arousal reduction
- B. Decreased blood pressure
- C. Decreased heart rate
- D. Increased oxygen consumption
- E. Increased respiratory rate
Correct Answer: A,B,C
Rationale: Meditation and relaxation techniques reduce physiological stress responses, leading to lower blood pressure, heart rate, and arousal.
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A nurse is reviewing the medical record of a client who has pneumonia. The nurse should plan to have the client lie on his stomach in Trendelenburg position with pillows elevating the right side of his chest to mobilize secretions from which of the following lung segments?
- A. Anterior segment of the right upper lobe
- B. Anterior segment of the right middle lobe
- C. Posterior segment of the right middle lobe
- D. Posterior segment of the right lower lobe
Correct Answer: D
Rationale: This positioning promotes drainage from the posterior right lower lobe by using gravity.
A nurse is caring for an older adult client who is Chinese and is recovering from a bowel obstruction. The client is prescribed a clear-liquid diet and asks the nurse for a cup of hot ginger tea. The nurse should identify that this request is for which of the following purposes?
- A. To regulate blood pressure
- B. To promote digestion
- C. To enhance the immune system
- D. To reduce inflammation
Correct Answer: B
Rationale: The correct answer is B: To promote digestion. Ginger tea has been traditionally used in Chinese medicine to aid digestion by stimulating the production of digestive enzymes and reducing bloating and gas. This can be particularly beneficial for an older adult recovering from a bowel obstruction as it can help ease the digestive process and prevent further complications. Additionally, ginger has anti-inflammatory properties, which can also be helpful in reducing inflammation in the digestive tract.
Other choices are incorrect:
A: To regulate blood pressure - While ginger may have some benefits for heart health, its primary role in this scenario is to aid digestion, not regulate blood pressure.
C: To enhance the immune system - While ginger may have some immune-boosting properties, the primary reason for the client's request in this case is to aid digestion.
D: To reduce inflammation - While ginger does have anti-inflammatory properties, the main purpose of the client's request is to aid digestion rather than specifically targeting inflammation.
A young adult tells the nurse in the provider's office that he is concerned about the amount of sleep he is getting. The nurse should explain that which of the following durations is the average recommendation for sleep for a young adult?
- A. 8 hr
- B. 11 hr
- C. 12 hr
- D. 14 hr
Correct Answer: A
Rationale: The correct answer is A: 8 hr. The average recommendation for sleep for a young adult is typically around 7-9 hours per night. This amount allows for adequate rest and helps maintain overall health and well-being. Choice B (11 hr), C (12 hr), and D (14 hr) are excessive amounts of sleep that are not necessary for young adults and could potentially lead to negative effects such as grogginess or difficulty waking up. Therefore, option A is the most appropriate and balanced choice for a young adult's sleep duration.
A nurse is reinforcing teaching with a client about crutch walking using the swing-through gait. Which of the following statements should the nurse include?
- A. Look down at your feet before moving the crutches.
- B. Place one crutch forward with the opposite foot and then place the second crutch forward with the other foot.
- C. Move both crutches forward, then lift and move your body past the crutches.
- D. Bear your weight against the underarm crutch pads.
Correct Answer: C
Rationale: The correct answer is C: Move both crutches forward, then lift and move your body past the crutches. This statement correctly describes the swing-through gait technique where both crutches are moved forward simultaneously followed by the client lifting and moving their body past the crutches. This technique helps maintain balance and stability during crutch walking. Looking down at your feet before moving the crutches (Choice A) is incorrect as it can cause the client to lose their balance. Placing one crutch forward with the opposite foot and then the second crutch forward with the other foot (Choice B) is the incorrect description of the swing-to gait technique. Bearing weight against the underarm crutch pads (Choice D) is incorrect as it can cause discomfort and potential nerve damage.
A nurse is reinforcing teaching with a client who has a new diagnosis of heart failure. Which of the following tools should the nurse use when speaking with the client? (Select all that apply.)
- A. Materials should be culturally diverse.
- B. Information must be accurate and current.
- C. Materials should be written at the eighth-grade level.
- D. Materials should be written in the client's spoken language.
- E. Materials should be distributed to the client in advance.
Correct Answer: A,B,C,D
Rationale: The correct tools for teaching a client with heart failure should include: A) Culturally diverse materials to ensure relevance and understanding across different backgrounds; B) Accurate and current information to provide the client with up-to-date knowledge for managing their condition effectively; C) Materials written at an eighth-grade level to ensure clarity and ease of comprehension; D) Materials in the client's spoken language to facilitate understanding and communication. These tools are essential for effective patient education in heart failure management. Other choices are incorrect as they may not address the client's specific needs or may hinder their understanding of the information.