Nokea
An adult client is on extreme pain. He is moaning and grimacing. What is the best way to assess the client's pain?
- A. Perform physical assessment
- B. Have the client rate his pain on the smiley pain rating scale
- C. Active listening on what the patient says
- D. Observe the client's behavior
Correct Answer: B
Rationale: Rating pain on a smiley scale (B) is best for an adult in extreme pain; it quantifies subjective experience, per pain assessment tools. Physical assessment (A) is secondary, listening (C) misses rating, observing (D) lacks precision. B captures intensity, making it correct.
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Which of the following do not correctly correlates the increase BP of Ms. Aida, a 70 year old diabetic?
- A. Females, after the age 65 tends to have lower BP than males
- B. Disease process like Diabetes increase BP
- C. BP is highest in the morning, and lowest during the night
- D. Africans, have a greater risk of hypertension than Caucasian and Asians.
Correct Answer: A
Rationale: Females over 65 often have higher BP e.g., post-menopause than males, not lower, contradicting Aida's rise. Diabetes (vessel damage), morning peaks (circadian), and African risk (genetics) align. Nurses note this e.g., in elderly diabetics for accurate hypertension management.
The nurse is caring for a client with a closed reduction of a fractured femur. Following the reduction, the nurse should check the client's affected extremity every 15-30 minutes for:
- A. Warmth and redness
- B. Color and pulses
- C. Pain and swelling
- D. Alignment and position
Correct Answer: B
Rationale: Checking color and pulses every 15-30 minutes post-reduction detects circulatory compromise in a fractured femur warmth, pain, or alignment are secondary. Nurses assess distal perfusion, reporting pallor or pulselessness, preventing complications like ischemia in orthopedic care.
Type of respiration that occurs when there is an increase in depth and rate of respiration usually seen in people who engages in strenuous exercise.
- A. Kussmaul's breathing
- B. Eupnea
- C. Hyperpnea
- D. Bradypnea
Correct Answer: C
Rationale: Hyperpnea (C) is increased depth and rate of respiration, common in strenuous exercise, per respiratory terminology. Kussmaul's (A) is deep, rapid breathing in metabolic acidosis, not exercise. Eupnea (B) is normal breathing, and bradypnea (D) is slow. Hyperpnea matches the physiological response to heightened oxygen demand during activity, making C the correct answer based on its specific context.
Mr. Gary uses acupuncture along with his meds. This is an example of?
- A. Complementary therapy
- B. Alternative therapy
- C. Therapeutic touch
- D. Health promotion
Correct Answer: A
Rationale: Acupuncture with meds is complementary therapy (A) with conventional, per definition. Alternative (B) replaces, touch (C) hands, promotion (D) well-being not combo-specific. A fits integrated use, making it correct.
Which of the following statement best describe beneficence?
- A. Doing good for the client
- B. Fairness and equality
- C. Respecting client's decision
- D. Keeping promises
Correct Answer: A
Rationale: Beneficence is doing good for the client (A), per ethics acting in their best interest (e.g., pain relief). Fairness (B) is justice, decision respect (C) autonomy, promises (D) fidelity. A best captures beneficence's intent, making it correct.