Nokea
Maria¢â‚¬â„¢s statement ¢â‚¬Å“Bow down before me! I am the holy mother of Christ! I am the blessed Virgin Mary!¢â‚¬ is an example of:
- A. Delusion of grandeur
- B. Visual Hallucination
- C. Religious delusion
- D. Auditory Hallcucination
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A community health nurse is conducting a class on what to expect during pregnancy. What instruction should the nurse include on weight gain?
- A. Failure to obtain the required weight gain during pregnancy will increase the risk of preterm birth.
- B. An obese client should not gain as much weight as a client with a normal body mass index.
- C. A client with a normal body mass index should plan on gaining 50 pounds.
- D. Clients do not need to eat for two when they are pregnant.
Correct Answer: A
Rationale: Adequate weight gain during pregnancy is essential as failure to obtain the required weight gain can increase the risk of preterm birth. Choice B is incorrect because it is important for obese clients to gain an appropriate amount of weight during pregnancy, not the same as those with a normal body mass index. Choice C is incorrect as gaining 50 pounds for a client with a normal body mass index is excessive. Choice D is incorrect as the common saying 'eating for two' during pregnancy is a misconception; pregnant individuals do not need to double their caloric intake.
The priority nursing diagnosis for a client with major depression is:
- A. Altered nutrition
- B. Altered thought process
- C. Self care deficit
- D. Risk for injury
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse knows that the most common complication of Measles is: A Pneumonia and larynigotracheitis
- A. Encephalitis
- B. Otitis Media
- C. Bronchiectasis
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Before administration of blood and blood products, the nurse should first:
- A. Check with another R.N the client¢â‚¬â„¢s name, Identification number, ABO and RH type.
- B. Explain the procedure to the client
- C. Assess baseline vital signs of the client
- D. Check for the BT order
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The preferred route of administration of medication in the most acute care situations is which of the following routes?
- A. Intravenous C. Subcutaneous
- B. Epidural D. Intramuscular
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.