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Marianne is now at the Defervescence stage of the fever, which of the following is expected?
- A. Delirium
- B. Goose flesh
- C. Cyanotic nail beds
- D. Sweating
Correct Answer: D
Rationale: Defervescence, fever's decline, involves vasodilation and sweating e.g., cooling as heat dissipates. Delirium (high fever), goose flesh (chills), or cyanosis (hypoxia) don't fit. Nurses anticipate sweating e.g., damp sheets in Marianne, adjusting care for comfort, per fever resolution stages.
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Nurse Aida has seen her patient, Roger for the first time. She establish a contract about the frequency of meeting and introduce to Roger the expected termination. She started taking baseline assessment and set interventions and outcomes. On what phase of NPR Does Nurse Aida and Roger belong?
- A. Pre Orientation
- B. Orientation
- C. Working
- D. Termination
Correct Answer: B
Rationale: Nurse Aida and Roger are in the Orientation phase (B). This stage involves the first meeting, establishing a contract (meeting frequency, termination expectations), and initial assessments to set goals. Pre-Orientation (A) is before contact, reviewing records. Working (C) focuses on implementing plans, and Termination (D) ends the relationship. Orientation, per Peplau, sets the foundation with trust and planning, matching Aida's actions, making B correct.
A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication:
- A. At bedtime
- B. With breakfast
- C. Before lunch
- D. After dinner
Correct Answer: B
Rationale: Taking Glucotrol XL with breakfast aligns with its peak action to control post-meal glucose in diabetes bedtime, pre-lunch, or post-dinner mistime it. Nurses teach this, ensuring glycemic control, vital for managing type 2 diabetes effectively.
One of the expectations is for nurses to join professional association primarily because of
- A. Promotes advancement and professional growth among its members
- B. Works for raising funds for nurse's benefit
- C. Facilitate and establishes acquaintances
- D. Assist them and securing jobs abroad
Correct Answer: A
Rationale: Professional associations, like the PNA, promote growth e.g., offering training, certifications enhancing skills and standards. Fundraising, networking, or job placement are secondary. This advancement focus, rooted in nursing's professionalization, ensures competence and leadership, critical for career development and patient care quality.
Which of the following statement is TRUE about safety in health care?
- A. Errors are unavoidable
- B. Focuses on preventing harm
- C. Only applies to surgery
- D. All of the above
Correct Answer: B
Rationale: Safety focuses on preventing harm (B), per standards e.g., protocols reduce risks. Errors can be minimized (A), not surgery-only (C), not all (D) broad scope. B truly defines safety's priority, making it correct.
Mr. Gary lost his job and feels overwhelmed. This is an example of?
- A. Crisis
- B. Illness
- C. Disability
- D. Stress
Correct Answer: A
Rationale: Job loss feeling overwhelming is a crisis (A) sudden disruption, per definition. Illness (B) is disease, disability (C) loss, stress (D) response not event-specific. A fits acute imbalance, making it correct.