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A patient has come to the health clinic with diarrhea of 3 days’ duration. He says the stools occur five or six times per day and are very watery. Every time he eats or drinks something, he has an urgent diarrhea stool. He denies being out of the country but did attend a large family reunion held at a campground in the mountains about a week ago.
- A. Timing
- B. Quality
- C. Severity
- D. Palliative
Correct Answer: C
Rationale: The correct answers are 'Timing,' 'Quality,' 'Severity,' and 'Precipitating.' These aspects help clarify the nature and cause of the diarrhea.
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Liz is an elderly woman brought in by concerned family members. After physical examination, she was diagnosed with dehydration. What assessment findings would you expect to see?
- A. Bradycardia,slowed respirations low body temperature and weight gain.
- B. Rales peripheral edema palpitations and diaphoresis.
- C. Tachypnea tachycardia hypotension poor skin turgor and decreased urinary output.
- D. Malaise lymphadenopathy fever shortness of breath and nausea.
Correct Answer: C
Rationale: The correct answer is Tachypnea, tachycardia, hypotension, poor skin turgor, and decreased urinary output (C). Dehydration leads to reduced blood volume, causing compensatory mechanisms like tachycardia and tachypnea. Poor skin turgor and decreased urinary output are classic signs of fluid loss.
How would the nurse describe the techniques used in energy medicine?
- A. Energy medicine involves manipulating energy fields through touch or intention.
- B. Energy medicine focuses on herbal supplements and probiotics.
- C. Energy medicine relies on mechanical devices for healing.
- D. Energy medicine is synonymous with allopathic medicine.
Correct Answer: A
Rationale: Energy medicine encompasses techniques like Reiki and acupuncture, targeting energy fields for healing purposes.
On assessment of the abdomen in a patient with peritonitis, you would expect to find
- A. A soft abdomen with bowel sounds every 2 to 3 seconds.
- B. Rebound tenderness and guarding (protecting).
- C. Hyperactive, high-pitched bowel sounds and a firm abdomen.
- D. Ascites and increased vascular pattern on the skin.
Correct Answer: B
Rationale: Peritonitis causes rebound tenderness and guarding due to inflammation of the peritoneum.
Which statement about sleep is accurate?
- A. Lack of sleep causes medical and psychiatric disorders.
- B. Adults generally require at least 5 hours of sleep every 24 hours.
- C. During sleep an individual is not consciously aware of his or her environment.
- D. Less than 10% of adults report at least one sleep problem, such as difficulty falling asleep.
Correct Answer: C
Rationale: The correct answer is C because during sleep, an individual's conscious awareness of the environment diminishes. Option A is incorrect because lack of sleep exacerbates but does not directly cause disorders. Option B underestimates the recommended sleep duration, and Option D overestimates the prevalence of sleep problems.
When transporting an inpatient to the surgical department, which area is a nurse from another area of the hospital able to access?
- A. Clean core
- B. Holding area
- C. Corridors of surgical suite
- D. Unprepared operating room
Correct Answer: B
Rationale: The holding area is accessible for nurses transporting patients, ensuring proper preparation before entering restricted zones.