Nokea
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 (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 this e.g., damp sheets in Marianne, adjusting care, per fever stages.
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Which of the following meal choices is suitable for a 6-month-old infant?
- A. Egg white, formula, and orange juice
- B. Apple juice, carrots, whole milk
- C. Rice cereal, apple juice, formula
- D. Melba toast, egg yolk, whole milk
Correct Answer: C
Rationale: Rice cereal, apple juice, and formula suit a 6-month-old, aligning with early solid introduction gluten-free, digestible, and safe, per pediatric guidelines. Egg whites risk allergies, whole milk isn't recommended before 1 year, and melba toast is a choking hazard. Nurses advise this menu to support growth, avoiding allergens or hard foods, ensuring nutritional balance for this developmental stage.
Which one of the following four clients is most likely to tolerate pain best?
- A. a client with rheumatoid arthritis
- B. a client who has terminal cancer in stage 1 of grief
- C. an athlete having a knee surgery to prolong his career
- D. a client who has a migraine headache
Correct Answer: C
Rationale: An athlete undergoing knee surgery likely tolerates pain best, motivated by career goals, unlike chronic arthritis, cancer grief, or migraines. Nurses consider this in pain management.
Which of the following statement best describe illness?
- A. Absence of health
- B. A state of discomfort
- C. Altered function due to disease
- D. Temporary loss of well being
Correct Answer: C
Rationale: Illness is altered function due to disease (C), per medical concept pathological impact. Absence (A) oversimplifies, discomfort (B) vague, temporary (D) not always. C best defines illness' dysfunction, making it correct.
Which of the following statement best describe a health care proxy?
- A. A medical diagnosis
- B. A person chosen to decide
- C. A hospital policy
- D. A treatment plan
Correct Answer: B
Rationale: A health care proxy is a person chosen to decide (B), per definition e.g., surrogate for incapacity. Not diagnosis (A), policy (C), plan (D) decision-maker. B best defines proxy's role, like Mr. Gary appointing someone, making it correct.
In what phase of Nurse patient relationship does a nurse review the client's medical records thereby learning as much as possible about the client?
- A. Pre Orientation
- B. Orientation
- C. Working
- D. Termination
Correct Answer: A
Rationale: In the Pre-Orientation phase (A), the nurse reviews records to gather data about the client before meeting, preparing for interaction. Orientation (B) begins with the first encounter, building trust. Working (C) involves goal-focused collaboration, and Termination (D) ends the relationship. Pre-Orientation is distinct as it's preparatory, not interactive, aligning with Peplau's model where understanding the client starts pre-contact, making A correct.