Nokea
A patient that has TB can be taken off restrictions after which of the following parameters have been met?
- A. Negative culture results.
- B. After 30 days of isolation.
- C. Normal body temperature for 48 hours.
- D. Non-productive cough for 72 hours.
Correct Answer: A
Rationale: Negative culture results indicate absence of active infection, allowing the patient to be taken off restrictions.
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Which of the following is least important to test when assessing the client's motor skills?
- A. strength
- B. knowledge of ergonomics
- C. balance
- D. coordination
Correct Answer: B
Rationale: When assessing a client's motor skills, testing the client's strength, balance and coordination are most important. The client's knowledge of ergonomics is less relevant.
As part of the teaching plan for a client with type I diabetes mellitus, the nurse should include that carbohydrate needs might increase when:
- A. an infection is present.
- B. there is an emotional upset.
- C. a large meal is eaten.
- D. active exercise is performed.
Correct Answer: D
Rationale: Active exercise increases insulin sensitivity, thus lowering blood glucose levels. Additional carbohydrates might be needed to balance the usual insulin dose. All of the other choices increase blood glucose levels.
Which of these does not need to be included when calculating a client's fluid intake?
- A. ice chips
- B. Jell-O™
- C. pudding
- D. IV fluid from an antibiotic piggyback
Correct Answer: C
Rationale: Pudding is a semi-solid and does not melt at room temperature, so it should not be included in fluid intake calculations.
A 45-year-old client with type I diabetes is in need of support services upon discharge from a skilled rehabilitation unit. Which of the following services is an example of a skilled support service?
- A. shopping for groceries
- B. house cleaning
- C. transportation to physician's visits
- D. medication instruction
Correct Answer: D
Rationale: The only skilled service listed is medication instruction. Grocery shopping, house-cleaning services, and transportation services are all examples of unskilled services offered by volunteer and fee-for-service agencies.
Which type of physician should this client be encouraged to see?
- A. a radiologist
- B. a gynecologist
- C. a physiatrist
- D. an oncologist
Correct Answer: B
Rationale: A gynecologist specializes in the female reproductive system and is best suited to address postmenopausal bleeding, which may indicate conditions like endometrial cancer or hormonal imbalances. A radiologist evaluates imaging, a physiatrist focuses on rehabilitation, and an oncologist treats cancer, but a gynecologist is the primary specialist for this issue.