Nokea
In a 24 hour urine specimen started Friday, 9:00 A.M, which of the following if done by a Nurse indicate a NEED for further procedural debriefing?
- A. The nurse ask the client to urinate at 9:00 A.M, Friday and she included the urine in the 24 hour urine specimen
- B. The nurse discards the Friday 9:00 A M urine of the client
- C. The nurse included the Saturday 9:00 A.M urine of the client to the specimen collection
- D. The nurse added preservatives as per protocol and refrigerates the specimen
Correct Answer: A
Rationale: Including 9:00 AM Friday urine pre-start skews 24-hour totals (9 AM Fri-Sat); it's discarded. Discarding start, including end, preserving are correct. Nurses need debrief e.g., timing for accuracy, per standards.
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A client with a new diagnosis of cirrhosis is receiving dietary management education from a nurse. Which of the following statements should the nurse include in the teaching?
- A. You should increase your intake of sodium-rich foods.
- B. You should decrease your intake of sodium-rich foods.
- C. You should avoid foods that contain lactose.
- D. You should increase your intake of dairy products.
Correct Answer: B
Rationale: Reducing the intake of sodium-rich foods is beneficial for managing fluid retention and symptoms of cirrhosis. Excessive sodium can lead to fluid buildup in the body, worsening edema and ascites commonly associated with cirrhosis. Therefore, advising the client to decrease their intake of sodium-rich foods is crucial in the dietary management of cirrhosis. Option A is incorrect as increasing sodium intake would exacerbate fluid retention. Option C is irrelevant to cirrhosis management unless the client has lactose intolerance. Option D is incorrect as increasing dairy product intake may not be suitable for all patients with cirrhosis, especially if they have complications like hepatic encephalopathy.
Which of the following statement is TRUE about illness behavior?
- A. How people react when they are sick
- B. How people prevent illness
- C. How people treat illness
- D. All of the above
Correct Answer: A
Rationale: Illness behavior is how people react when sick (A), per sociology e.g., seeking care. Prevention (B) and treatment (C) are separate, not all (D). A truly defines illness response, making it correct.
A client has a new diagnosis of osteoarthritis and is being taught about dietary management. Which of the following statements should be included in the teaching?
- A. Increase your intake of calcium-rich foods.
- B. Avoid foods that are high in potassium.
- C. Increase your intake of vitamin D-rich foods.
- D. Avoid foods that are high in sodium.
Correct Answer: C
Rationale: The correct statement to include in the teaching is to increase the intake of vitamin D-rich foods. Vitamin D helps improve calcium absorption, which is beneficial for bone health and may help alleviate symptoms of osteoarthritis. Option A is incorrect because while calcium is important for bone health, the focus should be on vitamin D for calcium absorption. Option B is incorrect as potassium is generally not restricted in osteoarthritis. Option D is also incorrect as sodium restriction is more relevant for conditions like hypertension or heart failure, not specifically for osteoarthritis.
Mr. Gary monitors his blood sugar daily for diabetes. This is an example of?
- A. Chronic disease management
- B. Acute care
- C. Health promotion
- D. Quality improvement
Correct Answer: A
Rationale: Daily blood sugar monitoring for diabetes is chronic disease management (A) ongoing control, per definition. Acute (B) is short, promotion (C) prevents, QI (D) enhances not chronic-specific. A fits long-term care, making it correct.
According to Maslow, which of the following is TRUE about a self actualized person?
- A. Makes decision contrary to public opinion
- B. Do not predict events
- C. Self centered
- D. Maximum degree of self conflict
Correct Answer: A
Rationale: Maslow's self-actualized individual (1940s) decides independently e.g., rejecting popular trends for personal ethics. They predict events (insightful), aren't self-centered (altruistic), and minimize conflict through clarity. Nurses encourage this autonomy e.g., supporting a patient's unconventional treatment choice enhancing self-directed health decisions.