Nokea
Mr. Gary's heart rate increased when he heard about his surgery. This is an example of which stage of GAS?
- A. Alarm
- B. Resistance
- C. Exhaustion
- D. Recovery
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A client has tuberculosis, and the nurse is planning care. Which of the following isolation precautions should the nurse implement?
- A. Protective environment
- B. Contact
- C. Airborne
- D. Droplet
Correct Answer: C
Rationale: Tuberculosis is transmitted through the air, making it an airborne disease. Airborne precautions are essential to prevent the spread of tuberculosis to others. These precautions include placing the client in a negative pressure room, wearing an N95 respirator mask, and ensuring proper ventilation to minimize the risk of transmission to healthcare workers and other clients.
A client with dysphagia and at risk for aspiration needs care planning. Which intervention should the nurse include in the plan?
- A. Encourage the client to drink thickened liquids.
- B. Instruct the client to swallow with chin tucked.
- C. Provide the client with a cup with a lid.
- D. Place the client in Fowler's position for meals.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following statement is NOT true about developmental stages?
- A. Based on age only
- B. Includes physical changes
- C. Includes psychosocial changes
- D. Proposed by Erikson
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In Virginia Henderson's 1966 definition of nursing, a person/client has which of the following numbers of fundamental needs?
- A. 7
- B. 14
- C. 18
- D. 22
Correct Answer: B
Rationale: Virginia Henderson's 1966 definition identifies 14 fundamental needs that nursing addresses to help clients achieve independence or a peaceful death. These include breathing, eating, elimination, and rest, among others, forming a comprehensive framework for holistic care. Unlike narrower or broader counts, 14 captures the essentials Henderson deemed universal, guiding nurses to assess and support each area. For example, assisting a client with mobility meets one need, while ensuring nutrition meets another, illustrating practical application. This specificity distinguishes her model, balancing detail with practicality in nursing practice.
Which position should the nurse use for a patient who is immobile to promote lung expansion and prevent respiratory complications?
- A. Supine position with the head of the bed elevated
- B. Prone position with the head turned to the side
- C. Lateral position with the affected side down
- D. Semi-Fowler's position with the knees slightly flexed
Correct Answer: D
Rationale: Semi-Fowler's position with knees flexed promotes lung expansion in immobile patients by easing diaphragm movement, reducing respiratory complication risks like pneumonia. Supine restricts breathing, prone is impractical, and lateral may compress lungs. Nurses adopt this to optimize oxygenation, supporting recovery and comfort in those unable to shift positions independently.