Nokea
An older female client tells the home health nurse that she has no money, and since she does not deserve to eat, she has not asked anyone to bring her food. What information is most important for a nurse to obtain?
- A. client's thoughts about wanting to hurt herself
- B. medication history for antipsychotic agents
- C. availability of family members to provide meals
- D. community resources to provide financial aid
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A client with a history of diabetes mellitus is admitted with hypoglycemia. Which finding requires immediate intervention?
- A. Blood glucose of 60 mg/dL.
- B. Heart rate of 100 beats per minute.
- C. Tremors.
- D. Diaphoresis.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is planning an immunization campaign targeting the children of migrant farm workers in the community. Which data should the nurse review before exploring solution options when developing this program plan?
- A. uncertain risks
- B. potential outcomes
- C. priority of solutions
- D. target population data -
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During a home health visit the nurse notices that an older male client with type 2 diabetes mellitus is wearing loose cloth slippers. The client reports that he cannot comfortably wear other shoes because his toenails get in the way. The nurse inspects the clients feet and finds long thick nails that curl down under some of the toes. Which action should the nurse take?
- A. demonstrate proper foot care to client and family
- B. have a home health aide assist client with hygiene weekly
- C. schedule an appointment for the client with podiatrist
- D. trim the clients toenails gradually over several visits
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is preparing to administer an oral medication to a client with dysphagia. Which action should the nurse take?
- A. Crush the medication and mix it with applesauce.
- B. Have the client drink a full glass of water with the medication.
- C. Administer the medication with a small amount of pudding.
- D. Place the medication at the back of the client's tongue.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with a history of asthma is admitted with shortness of breath. Which finding requires immediate intervention?
- A. Increased respiratory rate.
- B. Absence of breath sounds.
- C. Expiratory wheezes.
- D. Productive cough with green sputum.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.