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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When a client wishes to improve the appearance of their eyes by removing excess skin from the face and neck, the nurse should provide teaching regarding which of the following procedures?
- A. Dermabrasion
- B. Rhinoplasty
- C. Blepharoplasty
- D. Rhytidectomy
Correct Answer: D
Rationale: Rhytidectomy (facelift) removes excess skin from face and neck.
Mr. Gary drinks alcohol to forget his stress. This is an example of?
- A. Adaptive coping
- B. Maladaptive coping
- C. Health promotion
- D. Wellness
Correct Answer: B
Rationale: Drinking to forget stress is maladaptive coping (B) ineffective, harmful, per Lazarus (e.g., addiction risk). Adaptive (A) helps, health promotion (C) enhances, wellness (D) state not coping type. B fits short-term escape, making it correct.
Which of the following statement best describe collaboration in nursing?
- A. Working alone
- B. Working with others for care
- C. A competitive task
- D. A one-time event
Correct Answer: B
Rationale: Collaboration is working with others for care (B), per nursing e.g., team goals. Not alone (A), not competitive (C), not one-time (D) joint effort. B best defines collaboration's teamwork, making it correct.
Becky has been NPO since midnight in preparation for a blood test. The adreno-cortical response is activated. Which of the following is an expected response?
- A. Low blood pressure
- B. Warm, dry skin
- C. Decreased serum sodium levels
- D. Decreased urine output
Correct Answer: D
Rationale: The adrenocortical response, triggered by fasting (NPO status), activates stress hormones like cortisol and aldosterone, conserving resources during deprivation. Decreased urine output results from aldosterone's promotion of sodium and water reabsorption in the kidneys, maintaining fluid volume and blood pressure. This adaptation counters the stress of fasting, ensuring homeostasis. Low blood pressure would oppose this, as the response aims to stabilize circulation, not reduce it. Warm, dry skin isn't typical; stress might cause cool, clammy skin from vasoconstriction, but fasting alone doesn't dictate this. Decreased serum sodium levels contradict aldosterone's sodium-retaining effect, which elevates or stabilizes sodium. Decreased urine output aligns with the body's conservation mechanism, making it the expected physiological response in this scenario, critical for nurses to recognize during patient monitoring.
She dies of yellow fever in her search for truth to prove that yellow fever is carried by a mosquitoes.
- A. Clara louise Maas
- B. Pearl Tucker
- C. Isabel Hampton Robb
- D. Caroline Hampton Robb
Correct Answer: A
Rationale: Clara Louise Maas died in 1901 proving yellow fever's mosquito link volunteering for bites advancing epidemiology. Unlike Tucker, Robb (educator), or Hampton Robb (surgical pioneer), her sacrifice at 25 impacted public health, a heroic legacy in nursing research and disease prevention history.
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