Nokea
During the detoxification stage, it is a priority for the nurse to:
- A. teach skills to recognize and respond to health threatening situations
- B. increase the client¢â‚¬â„¢s awareness of unsatisfactory protective behaviors
- C. implement behavior modification
- D. promote homeostasis and minimize the client¢â‚¬â„¢s withdrawal symptoms
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
To ensure client safety before starting blood transfusions, the following are needed before the procedure can be done EXCEPT:
- A. take baseline vital signs
- B. warm the blood to room temperature for 30 minutes before administering the transfusion
- C. have two nurses verify client identification, blood type, unit number, and expiration date of blood
- D. get consent signed for blood transfusion
Correct Answer: D
Rationale: To ensure client safety before starting blood transfusions, taking baseline vital signs, warming the blood to room temperature, and having two nurses verify client identification, blood type, unit number, and expiration date of blood are crucial steps. Consent for blood transfusion is required but is typically obtained before the procedure. The focus before the procedure should be on confirming the right client, blood product, and ensuring the blood is prepared correctly to minimize risks of transfusion reactions.
In administering blood transfusion, what needle gauge is used?
- A. 18 C. 23
- B. 22 D. 24
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the priority nursing goal for an adolescent with anorexia nervosa?
- A. Encourage effective coping skills
- B. Restore normal eating habits
- C. Stop weight loss or restore weight
- D. Promote realistic self-image
Correct Answer: C
Rationale: The priority nursing goal for an adolescent with anorexia nervosa is to stop weight loss or restore weight. This is crucial in addressing the immediate health risks associated with anorexia nervosa, such as malnutrition, organ damage, and potential life-threatening complications. While encouraging effective coping skills, restoring normal eating habits, and promoting a realistic self-image are important aspects of treatment, stopping weight loss or restoring weight takes precedence due to the severe physical consequences of anorexia nervosa.
Why do older adult female clients need less iron than younger adult female clients?
- A. The need for iron decreases because older female clients produce more red blood cells.
- B. The need for iron decreases with age because older female clients carry oxygen more efficiently.
- C. The need for iron decreases with age because older female clients experience menopause.
- D. The need for iron decreases with age because older female clients exercise more.
Correct Answer: C
Rationale: The correct answer is C. Older adult female clients need less iron than younger adult female clients because as women go through menopause, they no longer lose blood through menstruation, leading to a reduced need for iron. Choice A is incorrect because producing more red blood cells does not directly correlate with needing less iron. Choice B is incorrect as carrying oxygen more efficiently does not necessarily decrease the need for iron. Choice D is incorrect as exercising more does not explain the decreased need for iron in older adult female clients.
Why is there an ethical dilemma?
- A. Because the law does not clearly state what is right from what is wrong
- B. Because morality is subjective and it differs from each individual
- C. Because the patient's right coincide with the nurse's responsibility
- D. Because the nurse lacks ethical knowledge to determine what action is correct and what action is unethical
Correct Answer: C
Rationale: The correct answer is C because an ethical dilemma arises when the patient's rights conflict with the nurse's responsibilities, requiring a careful balance to ensure ethical care delivery. Choices A and B are incorrect because ethical dilemmas are not solely about legal or subjective moral issues. Choice D is incorrect as nurses are generally equipped with ethical knowledge through education and training, and ethical dilemmas are more about conflicting values and responsibilities rather than a lack of knowledge.