Nokea
For each of the nursing diagnoses listed, identify at least two normal expected physiologic changes related to aging that could be etiologic factors of the diagnosis.
- A. Imbalanced nutrition: less than body requirements
- B. Activity intolerance
- C. Risk for injury
- D. Urge urinary incontinence
Correct Answer: A
Rationale: Aging-related changes include decreased appetite, reduced muscle mass, impaired balance, and increased bladder sensitivity—all contributing to various nursing diagnoses.
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What aspect of Mr. Ross’s health history is most indicative of cancer of the lung?
- A. A positive Tine test
- B. He is a vegetarian
- C. He smokes two packs of cigarettes a day
- D. He last visited a physician 2 years ago
Correct Answer: C
Rationale: Smoking is the strongest risk factor for lung cancer.
Why should the nurse assess current weight status and recent weight fluctuations in a client with anxiety?
- A. Weight fluctuations indicate impaired kidney function in clients with anxiety
- B. All clients with anxiety lose weight rapidly
- C. Antianxiety drugs increase appetite
- D. Some clients may react to stress by overeating
Correct Answer: D
Rationale: Clients may overeat or lose appetite due to stress, affecting their weight and overall health.
Which of the following should the nurse teach the client to avoid when taking chlorpromazine HCL (Thorazine)?
- A. Direct sunlight
- B. Foods containing tyramine
- C. Foods fermented with yeast
- D. Canned citrus fruit drinks
Correct Answer: A
Rationale: Chlorpromazine increases photosensitivity, so direct sunlight should be avoided.
A patient who has completed detox is ready to start recovery. He or she asks for advice. Which of the following is the best advice to give the patient?
- A. Focus on 1 day at a time. Identify your triggers and learn ways to avoid them.
- B. The goal of recovery is to lengthen periods between relapses.
- C. You will be in recovery all your life.
- D. Ask the practitioner to recommend you to a rehab program.
Correct Answer: A
Rationale: Focusing on daily goals and trigger identification empowers patients to manage their recovery actively.
Which process is defined as the movement of fluid and some dissolved substances through a semipermeable membrane according to pressure differences?
- A. Osmosis
- B. Diffusion
- C. Active Transport
- D. Filtration
Correct Answer: D
Rationale: Filtration involves the movement of fluid and solutes across a semipermeable membrane due to hydrostatic or osmotic pressure differences.