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Skin breaks, abrasion, blister, or shallow crater, edema, and infection are characteristics of
- A. Stage I pressure ulcer
- B. Stage II pressure ulcer
- C. Stage III pressure ulcer
- D. Stage IV pressure ulcer
Correct Answer: B
Rationale: Stage II pressure ulcers involve partial-thickness skin loss, presenting as abrasions, blisters, or shallow craters, often with edema or infection if untreated. Stage I shows non-blanchable redness, Stage III extends to subcutaneous tissue, and Stage IV reaches muscle or bone. Nurses assess these signs to stage ulcers accurately, guiding interventions like pressure relief or wound care, preventing progression and promoting healing in at-risk patients.
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A client has a new diagnosis of hyperlipidemia and is receiving teaching from a nurse about dietary management. Which of the following statements should the nurse include in the teaching?
- A. You should increase your intake of trans fats.
- B. You should decrease your intake of fiber-rich foods.
- C. You should avoid foods that are high in cholesterol.
- D. You should increase your intake of high-fat foods.
Correct Answer: C
Rationale: The correct statement the nurse should include in teaching the client with hyperlipidemia is to avoid foods that are high in cholesterol. Foods high in cholesterol, like those high in saturated and trans fats, can contribute to elevated lipid levels and increase cardiovascular risk. Decreasing intake of these foods can help improve lipid profiles and reduce the risk of complications. Choices A, B, and D are incorrect because increasing intake of trans fats, decreasing fiber-rich foods, and increasing intake of high-fat foods can exacerbate hyperlipidemia and worsen the lipid profile.
Which of the following statement best describe infection control?
- A. Ignoring hygiene
- B. Preventing disease spread
- C. A patient task
- D. A one-time action
Correct Answer: B
Rationale: Infection control is preventing disease spread (B), per nursing e.g., handwashing. Not ignoring (A), not task (C), not one-time (D) ongoing prevention. B best defines its protective role, like for Mr. Gary, making it correct.
A client has a new diagnosis of lactose intolerance and is receiving teaching from a nurse about dietary management. Which of the following statements should the nurse include in the teaching?
- A. You should avoid foods that contain lactose.
- B. You should increase your intake of high-fiber foods.
- C. You should avoid foods that contain gluten.
- D. You should increase your intake of dairy products.
Correct Answer: A
Rationale: The correct statement for the nurse to include in teaching a client with lactose intolerance is to avoid foods that contain lactose. Lactose intolerance results from the body's inability to digest lactose, a sugar found in dairy products. By avoiding foods containing lactose, the client can manage symptoms and prevent complications associated with lactose intolerance. Choices B, C, and D are incorrect. Increasing intake of high-fiber foods (choice B) may be beneficial for general health but is not directly related to lactose intolerance. Avoiding gluten (choice C) is necessary for individuals with celiac disease, not lactose intolerance. Increasing intake of dairy products (choice D) would worsen symptoms in individuals with lactose intolerance due to the lactose content.
Freud postulated that child adopts parental standards and traits through
- A. Imitation
- B. Introjection
- C. Identification
- D. Regression
Correct Answer: C
Rationale: Sigmund Freud's psychoanalytic theory, from the early 1900s, posits children adopt parental standards via identification e.g., mimicking a father's demeanor. Imitation (copying), introjection (internalizing), and regression (reverting) differ. This process shapes superego development, influencing behaviors like empathy in nursing, where early role models affect caregiving styles.
A client has a new diagnosis of nephrotic syndrome, and the nurse is providing dietary management education. Which of the following statements should the nurse include in the teaching?
- A. You should increase your intake of high-sodium foods.
- B. You should decrease your intake of high-sodium foods.
- C. You should avoid foods that contain lactose.
- D. You should increase your intake of dairy products.
Correct Answer: B
Rationale: For a client with nephrotic syndrome, decreasing the intake of high-sodium foods is essential to manage fluid retention and symptoms of the condition. Excessive sodium can lead to fluid retention, swelling, and worsen the condition. Therefore, advising the client to decrease their high-sodium food intake aligns with the dietary management approach to help control nephrotic syndrome. Choices A, C, and D are incorrect. Increasing high-sodium foods would exacerbate fluid retention, avoiding lactose is not specifically required for nephrotic syndrome, and increasing dairy products may not be necessary unless individualized based on the client's needs and lab values.