Nokea
During the rehabilitative phase following his cerebrovascular accident, Mr. K. is taught measures to relieve or prevent constipation. Which of these statements indicates that Mr. K. needs further health teaching?
- A. I eat whole-wheat bread with my meals.'
- B. I eat fruit three times a day.'
- C. I don't drink fluids after 4 P.M.'
- D. I don't like to take enemas.'
Correct Answer: C
Rationale: Restricting fluid intake after 4 P.M. can contribute to dehydration and constipation, making this statement indicative of the need for further education on proper hydration practices.
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When performing a physical examination, what approach is most important for the nurse to use?
- A. A head-to-toe approach to avoid missing an important area
- B. The same systematic, efficient sequence for all examinations
- C. A sequence that is least revealing and embarrassing for the patient
- D. An approach that allows time to collect the nursing history data while performing the examination
Correct Answer: B
Rationale: The correct answer is 'The same systematic, efficient sequence for all examinations.' Consistency ensures thoroughness and reduces the likelihood of missing critical details.
Match the descriptions to the stages of sleep. Some descriptions may have more than one stage and some stages may be used more than once.
- A. Brain waves resemble wakefulness
- B. Deepest sleep, lasting 20 to 40 minutes
- C. Associated with specific EEG waveforms
- D. Most vivid dreaming occurs
Correct Answer: D
Rationale: The correct answer is D (REM). REM sleep is characterized by brain waves resembling wakefulness and vivid dreaming. The deepest sleep (B) corresponds to NREM Stage 3, while specific EEG waveforms (C) are associated with all stages.
Which BMI is typically associated with anorexia nervosa?
- A. Increase protein intake
- B. Reduce carbohydrate consumption
- C. Drink more water
- D. Take vitamin supplements
Correct Answer: C
Rationale: The correct answer is C because it is the most appropriate response based on physiological and medical principles.
Before administering a benzodiazepine, what should the nurse assess?
- A. Sleep problems
- B. Memory impairment
- C. Cognitive disorder
- D. Behavior changes
Correct Answer: D
Rationale: Behavioral changes may indicate underlying issues or contraindications for benzodiazepines.
What is the most common cause of amblyopia?
- A. Strabismus
- B. Cataracts
- C. Astigmatism
- D. Glaucoma
Correct Answer: A
Rationale: Strabismus, or misalignment of the eyes, is the leading cause of amblyopia in children.