Nokea
John has a fever of 39.5 degrees 2 days ago, But yesterday, he has a normal temperature of 36.5 degrees. Today, his temperature surges to 40 degrees. What type of fever is John having?
- A. Relapsing
- B. Intermittent
- C. Remittent
- D. Constant
Correct Answer: A
Rationale: Relapsing fever spikes (39.5-40°C) with normal breaks (36.5°C) e.g., borrelia, days apart. Intermittent (daily normal), remittent (fluctuating high), and constant (stable) differ. Nurses note this e.g., two-day gap for infection management, per fever types.
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When teaching a client with a new diagnosis of heart failure about dietary management, which of the following statements should the nurse include?
- A. Increase your intake of sodium-rich foods.
- B. Decrease your intake of sodium-rich foods.
- C. Avoid foods that contain lactose.
- D. Increase your intake of dairy products.
Correct Answer: B
Rationale: The correct answer is to decrease the intake of sodium-rich foods. Sodium restriction is crucial in managing heart failure as it helps to reduce fluid retention and alleviate symptoms. Excessive sodium intake can lead to fluid buildup in the body, worsening heart failure. Therefore, advising the client to decrease sodium-rich foods is essential for their overall health and management of the condition. Choices A, C, and D are incorrect. Increasing intake of sodium-rich foods (Choice A) would worsen fluid retention and heart failure symptoms. Avoiding foods that contain lactose (Choice C) is not directly related to heart failure management through sodium restriction. Increasing intake of dairy products (Choice D) may not be suitable for all heart failure patients, especially if they need to limit saturated fats or cholesterol in their diet.
A client has a new diagnosis of nephrotic syndrome, and the nurse is providing dietary management education. Which of the following statements should the nurse include in the teaching?
- A. You should increase your intake of high-sodium foods.
- B. You should decrease your intake of high-sodium foods.
- C. You should avoid foods that contain lactose.
- D. You should increase your intake of dairy products.
Correct Answer: B
Rationale: For a client with nephrotic syndrome, decreasing the intake of high-sodium foods is essential to manage fluid retention and symptoms of the condition. Excessive sodium can lead to fluid retention, swelling, and worsen the condition. Therefore, advising the client to decrease their high-sodium food intake aligns with the dietary management approach to help control nephrotic syndrome. Choices A, C, and D are incorrect. Increasing high-sodium foods would exacerbate fluid retention, avoiding lactose is not specifically required for nephrotic syndrome, and increasing dairy products may not be necessary unless individualized based on the client's needs and lab values.
A client with a new diagnosis of anemia is being taught about dietary management. Which of the following statements should be included in the teaching?
- A. You should increase your intake of foods high in iron.
- B. You should decrease your intake of foods high in calcium.
- C. You should avoid foods that contain gluten.
- D. You should increase your intake of high-fat foods.
Correct Answer: A
Rationale: The correct answer is A: 'You should increase your intake of foods high in iron.' This statement should be included in the teaching because increasing intake of foods high in iron is essential for managing anemia. Iron is a key component for producing hemoglobin, which carries oxygen in the blood. By increasing iron-rich foods like leafy greens, red meat, and fortified cereals, the client can help improve their hemoglobin levels and overall health. Choices B, C, and D are incorrect. Decreasing intake of foods high in calcium is not necessary for anemia management; avoiding foods that contain gluten is relevant for individuals with gluten sensitivity or celiac disease, not anemia; and increasing intake of high-fat foods is not recommended for managing anemia.
Mr. Gary is worried about his safety after a robbery. This is an example of which Maslow's need?
- A. Physiological
- B. Safety
- C. Belongingness
- D. Self-actualization
Correct Answer: B
Rationale: Worrying about safety post-robbery is Safety (B) Maslow's second level, security needs. Physiological (A) is basic survival, belongingness (C) social, self-actualization (D) fulfillment not safety-focused. B fits protection concern, making it correct.
Kenneth, 25 year old diagnosed with HIV felt that he had not lived up with God's expectation. He fears that in the course of his illness, God will be punitive and not be supportive. What kind of spiritual crisis is Kenneth experiencing? 1. Spiritual Pain 2. Spiritual Anxiety 3. Spiritual Guilt 4. Spiritual Despair
- A. 1,2
- B. 2,3
- C. 3,4
- D. 1,4
Correct Answer: B
Rationale: Kenneth faces spiritual anxiety (2) and guilt (3). Anxiety stems from fear of divine punishment, and guilt from feeling he failed God's expectations, per spiritual distress frameworks. Spiritual pain (1) involves loss or meaning, not fear-based here. Despair (4) is hopelessness, not evident as he fears, not resigns. HIV's stigma amplifies 2 and 3, making B (2,3) correct.