Nokea
Because the client is thought to have Cushing's syndrome, the nurse should assess the client for the presence of which of the following? Select all that apply.
- A. High blood sugar
- B. Evidence of easy bruising
- C. Low blood pressure
- D. Immunosuppression
- E. Fluid retention
- F. Pitting acne
Correct Answer: A,B,D,E
Rationale: Cushing's syndrome causes hyperglycemia, easy bruising, immunosuppression, and fluid retention due to excess cortisol. Hypertension, not low blood pressure, and acne are common, but pitting is not specific.
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Francis is a 48-year-old female with elevated blood sugar level.
An immediate danger to confront Francis secondary to her elevated blood sugar level is
- A. albumin is negative.
- B. dehydration and impending shock.
- C. hyperglycemia.
- D. renal failure.
Correct Answer: B
Rationale: Glucose has an osmotic diuretic effect causing polyuria, which can lead to dehydration and impending shock if not addressed promptly.
The nurse understands that the patient with esophageal varices should not be given food such as:
The nurse understands that the patient with esophageal varices should not be given food such as:
- A. Crackers
- B. Purred food
- C. Liquid
- D. Soft
Correct Answer: A
Rationale: Crackers, being rough, can irritate or rupture fragile esophageal varices.
The nurse is caring for a preschooler who needs stitches resulting from an injury received during play in the yard. What would be the most appropriate way to prepare the child for the treatment he will receive?
- A. Tell the child the nurse and the doctor will 'make things all better.'
- B. Use dolls and explain through play and simulation what will be done.
- C. Explain to the child slowly and precisely the steps that will be taken in his treatment.
- D. Tell the child that he will have minimal scarring and that any marks will diminish over time.
Correct Answer: B
Rationale: Play-based explanation with dolls engages a preschooler's developmental level, effectively preparing them for stitches.
Teaching the client with gonorrhea how to prevent reinfection and further spread is an example of:
- A. primary prevention.
- B. secondary prevention.
- C. tertiary prevention.
- D. primary health care prevention.
Correct Answer: B
Rationale: Secondary prevention targets the reduction of disease prevalence and disease morbidity through early diagnosis and treatment. Physiological Adaptation
The nurse is caring for a client with a history of diverticulitis. Which of the following dietary recommendations should the nurse provide to prevent flare-ups?
- A. Increase intake of nuts and seeds.
- B. Follow a low-fiber diet.
- C. Consume a high-fiber diet.
- D. Avoid all dairy products.
Correct Answer: C
Rationale: A high-fiber diet promotes regular bowel movements and reduces pressure in the colon, preventing diverticulitis flare-ups. Nuts and seeds (A) may irritate diverticula, a low-fiber diet (B) worsens symptoms, and dairy restriction (D) is unnecessary unless lactose intolerant.