According to the Corbin and Strauss chronic illness trajectory, which statement describes a patient with an unstable condition?
- A. Life-threatening situation
- B. Increasing disability and symptoms
- C. Gradual return to acceptable way of life
- D. Loss of control over symptoms and disease course
Correct Answer: D
Rationale: An unstable condition reflects loss of control over symptoms and disease progression, indicating difficulty managing health effectively.
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Appropriate treatment for a patient with cellulitis includes
- A. Petrolatum and vitamin A and D ointment.
- B. Antibiotics, such as cephalexin, and over-the-counter analgesics.
- C. Weight-bearing exercises and diuretics, such as furosemide.
- D. Wet to dry dressings and steroids.
Correct Answer: B
Rationale: Antibiotics are the mainstay of treatment for cellulitis.
What information should be included as effective for preventing chronic bronchitis in a community presentation?
- A. Maintenance of ideal weight
- B. Annual influenza immunization
- C. Smoking cessation
- D. Regular moderate exercise
Correct Answer: C
Rationale: The correct answer is C: Smoking cessation. Chronic bronchitis is often caused by smoking. By quitting smoking, individuals can significantly reduce their risk of developing chronic bronchitis. This is the most effective prevention strategy.
A: Maintenance of ideal weight may have some benefits for overall health but is not directly linked to preventing chronic bronchitis.
B: Annual influenza immunization is important for preventing the flu, but it does not directly prevent chronic bronchitis.
D: Regular moderate exercise is beneficial for overall health, but it is not as directly related to preventing chronic bronchitis as smoking cessation.
For a client who has sustained recent blindness, which task(s) would be appropriate to delegate to the nursing assistant? (Choose all that apply.)
- A. Listen to the client express grief or loss.
- B. Assist client to ambulate in hall.
- C. Orient client to surroundings.
- D. Encourage independence.
Correct Answer: B
Rationale: Assisting with mobility is within the scope of practice for nursing assistants and ensures safety for the client.
Sue has a mild dermatitis rash and asks for advice. You respond by saying
- A. Wash the area with an antiseptic soap frequently to keep the area clean.
- B. Use an antifungal ointment.
- C. Use talcum powder to soothe the inflamed skin.
- D. Use a mild steroidal cream.
Correct Answer: D
Rationale: Steroidal creams reduce inflammation in dermatitis.
Describe the purpose and side effects of beta-adrenergic blocking agents.
- A. High blood pressure
- B. Increased heart rate
- C. Decreased oxygen supply
- D. Muscle relaxation
Correct Answer: B
Rationale: The correct answer is B because it is the most appropriate response based on physiological and medical principles.