Nokea
High-pitched gurgles heard over the right lower quadrant are:
- A. A sign of increased bowel motility
- B. A sign of decreased bowel motility
- C. Normal bowel sounds
- D. A sign of abdominal cramping
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which of the following is not true about the human needs?
- A. Certain needs are common to all people
- B. Needs should be followed exactly in accordance with their hierarchy
- C. Needs are stimulated by internal factors
- D. Needs are stimulated by external factors
Correct Answer: B
Rationale: Maslow's hierarchy (1940s) outlines needs physiological to self-actualization but they aren't rigidly sequential e.g., skipping food for a concert. Common needs (air, water), internal stimuli (hunger), and external triggers (stress) hold true. Nursing recognizes this flexibility, prioritizing patient-specific needs over strict order, enhancing individualized care planning.
Nelson syndrome is seen after:
- A. Adrenalectomy
- B. Hypopituitarism
- C. Hyperpituitarism
- D. Deficiency of Growth hormone
Correct Answer: A
Rationale: Nelson syndrome follows bilateral adrenalectomy (choice A), often for Cushing's, causing ACTH oversecretion from pituitary hyperplasia, darkening skin, and tumor risk. Hypopituitarism (choice B) reduces hormones, opposite effect. Hyperpituitarism (choice C) is unrelated. Growth hormone deficiency (choice D) doesn't cause this. A is correct, per endocrinology. Nurses monitor ACTH, skin changes, and support imaging, managing this rare sequel.
A healthcare professional is planning care for a client who has a new prescription for a high-protein diet. Which of the following foods should the healthcare professional recommend?
- A. Nuts
- B. Bananas
- C. Potatoes
- D. Apples
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When teaching a client with a new diagnosis of diabetes mellitus about foot care, which of the following instructions should the nurse include?
- A. Soak your feet in hot water every day.
- B. Apply lotion between your toes.
- C. Inspect your feet daily.
- D. Use over-the-counter products to remove corns.
Correct Answer: C
Rationale: Inspecting the feet daily is crucial for clients with diabetes mellitus to detect early signs of injury or infection promptly. This practice helps prevent serious complications such as diabetic foot ulcers. Soaking feet in hot water daily can lead to skin dryness and increase the risk of injury. Applying lotion between toes can cause moisture buildup, leading to fungal infections. Using over-the-counter products to remove corns can result in skin damage and should be done under healthcare provider supervision.
A parish nurse is planning activities for a faith-based community. What should the nurse include in these activities?
- A. Health promotion
- B. Illness prevention
- C. Referral to community smoking cessation programs
- D. Screening for chronic conditions
Correct Answer: A
Rationale: A parish nurse in a faith-based setting tailors care to the congregation's needs, weaving health into spiritual life. Including health promotion teaching nutrition or stress relief empowers members to thrive, aligning with nursing's wellness focus and faith's holistic ethos. Illness prevention, like flu shot drives, protects the group, vital in close-knit settings. Referrals to smoking cessation tap community resources, supporting behavior change, while screenings for chronic issues like hypertension catch problems early, common in adult parishioners. All fit, but health promotion anchors the plan, fostering proactive habits like exercise groups post-service that resonate with spiritual vitality. This approach leverages trust in faith settings, enhancing nursing's impact by blending physical and spiritual care, ensuring activities uplift health while honoring the community's beliefs and collective strength.