Nokea
How would you respond to a family member experiencing anticipatory grieving who emotionally withdraws from the client?
- A. Encourage continued engagement and communication.
- B. Allow space while offering support and reassurance.
- C. Advise them to focus solely on practical matters.
- D. Recommend avoiding the client until after their passing.
Correct Answer: B
Rationale: Offering support while respecting emotional withdrawal helps family members process grief at their own pace.
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A client is admitted to the unit for chemotherapy. To prevent an acid-base problem, which of the following would you instruct the nursing assistant to report?
- A. Repeated episodes of nausea and vomiting
- B. Complaints of pain associated with exertion
- C. Failure to eat all food on breakfast tray
- D. Client hair loss during morning bath
Correct Answer: A
Rationale: Nausea and vomiting can lead to metabolic alkalosis due to loss of gastric acid, making it important to report promptly to prevent acid-base imbalances.
Your patient's physician told him that he has hemophilia. You are asked to teach the signs and symptoms of this disease. You respond by saying
- A. Clot formation, especially in the veins of the lower extremities.
- B. Low blood counts and fatigue due to lack of adequate red blood cell production.
- C. High blood counts and clot formation under the nails.
- D. Excessive bleeding after minor trauma.
Correct Answer: D
Rationale: Hemophilia is characterized by excessive bleeding due to a deficiency in clotting factors.
A client's nursing diagnosis is Deficient Fluid Volume related to excessive fluid loss. Which action related to fluid management should be delegated to a nursing assistant?
- A. Administer IV fluids as prescribed by the physician.
- B. Provide straws and offer fluids between meals.
- C. Develop plan for added fluid intake over 24 hours.
- D. Teach family members to assist client with fluid intake.
Correct Answer: B
Rationale: The nursing assistant can effectively encourage oral fluid intake by offering fluids between meals, which is within their scope of practice. Administering IV fluids, developing plans, and teaching family members are more advanced tasks that require higher-level nursing skills.
The nurse is reviewing the laboratory results for a preoperative patient. Which test result should be brought to the attention of the surgeon immediately?
- A. Serum K+ of 3.8 mEq/L
- B. Hemoglobin of 15 g/dL
- C. Blood glucose of 100 mg/dL
- D. White blood cell (WBC) count of 18,500/µL
Correct Answer: D
Rationale: An elevated WBC count indicates potential infection, requiring immediate attention.
Which category of complementary and alternative medicine involves healing theory and practice that evolved from other cultures?
- A. Energy medicine
- B. Whole medical systems
- C. Manipulative and body-based therapies
- D. Biologically based practices
Correct Answer: B
Rationale: Whole medical systems, such as Ayurveda and Traditional Chinese Medicine, incorporate theories and practices developed in other cultures.