Nokea
Clinicians' tools needed to recognize early symptoms of mental disorders are called 'Mental Health Action Signs'. All the following are true EXCEPT
- A. involvement in many fights
- B. wanting to badly hurt others,not eating throwing up or using laxatives to make yourself lose weight
- C. feeling very sad or withdrawn for more than 2 months
- D. sudden overwhelming fear for no reason
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which manifestations are expected in the early stages of acute hepatitis?
- A. Nausea, vomiting, and generalized malaise.
- B. Nausea, vomiting, and left-upper quadrant pain.
- C. Malaise and jaundice only.
- D. Jaundice only.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Serum albumin Is to be administered intravenously to client with ascites, The expected outcome of this treatment will be a decrease in:
- A. Urinary output
- B. Serum ammonia level
- C. Abdominal girth
- D. Hepatic encephalopathy
Correct Answer: C
Rationale: Serum albumin is a protein that helps maintain oncotic pressure in the blood vessels and prevents fluid from leaking out into the surrounding tissues. In clients with ascites, which is the accumulation of fluid in the abdominal cavity due to liver disease, administration of serum albumin can help shift the fluid from the abdominal cavity back into the blood vessels. As a result, the expected outcome of this treatment would be a decrease in abdominal girth as the fluid is reabsorbed and redistributed. Administering serum albumin would not directly affect urinary output, serum ammonia levels, or hepatic encephalopathy.
When conducting an initial feeding evaluation, the therapist asks the caregiver to bring the utensils, food, and high chair that they typically use. Which statement best reflects the therapist's reasoning for this?
- A. Using the child's actual materials will give the therapist an accurate picture
- B. The therapist wants to be sensitive to the child's culture
- C. The center has limited funds for food and materials
- D. The therapist would like to know if the caregiver can follow directions
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which nursing diagnosis takes highest priority for a client with hyperparathyroidism?
- A. Risk for imbalanced nutrition: More than body requirements related to thyroid hormone excess
- B. Risk for impaired skin integrity related to edema, skin fragility, and poor wound healing
- C. Body image disturbance related to weight gain and edema
- D. Imbalanced nutrition: Less than body requirements related to thyroid hormone excess
Correct Answer: B
Rationale: Among the listed nursing diagnoses, the highest priority for a client with hyperparathyroidism would be addressing the risk for impaired skin integrity. This is because hyperparathyroidism can lead to increased levels of calcium in the blood, which can result in skin issues such as edema (swelling), skin fragility, and poor wound healing. Addressing this risk is crucial to prevent skin breakdown, infections, and other complications associated with compromised skin integrity. Proper wound care, skin protection measures, and monitoring for any skin changes are essential in managing this priority nursing diagnosis for a client with hyperparathyroidism.
A 3-year-old is hospitalized for an ASD repair. The parents plan to leave briefly. The child asks when his parents will return. The nurse's best response is:
- A. They will be back after your nap.
- B. They will be back at 6:00 p.m.
- C. They will be back later this evening.
- D. They will be back when your mommy finishes a short errand, just like when you wait for bedtime.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.