Skin care around the stoma is critical. Which of the following is not indicated as a skin care barriers?
- A. Apply liberal amount of mineral oil to the area
- B. Use karaya paste and rings around the stoma
- C. Clean the area daily with soap and water before applying bag
- D. Apply talcum powder twice a day
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Cocaine is derived from the leaves of coca plant; the nurse knows that cocaine is classified as:
- A. Narcotic
- B. Stimulant
- C. Barbiturate
- D. Hallucinogen
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the most likely complication for a client receiving TPN who suddenly develops tremors, dizziness, and diaphoresis?
- A. Fluid volume overload
- B. Sepsis
- C. Hyperglycemia
- D. Hypoglycemia
Correct Answer: D
Rationale: The correct answer is D, Hypoglycemia. When a client receiving TPN suddenly develops tremors, dizziness, and diaphoresis, it is indicative of hypoglycemia. TPN provides a high concentration of glucose, and if it is abruptly stopped or the infusion rate is reduced, it can lead to hypoglycemia. Choices A, B, and C are incorrect as they do not directly correlate with the symptoms described in the scenario. Fluid volume overload typically presents with edema and hypertension, sepsis with fever and increased heart rate, and hyperglycemia with polyuria, polydipsia, and blurred vision.
Before Dianne performs the formal research study, what do you call the pre-testing, small-scale trial run to determine the effectiveness of data collection and methodological problems that might be encountered?
- A. Sampling
- B. Pre-testing
- C. Pre-Study
- D. Pilot Study
Correct Answer: D
Rationale: The correct answer is 'Pilot Study.' A pilot study is a small-scale trial run conducted before the formal research study to identify and address any issues related to data collection and methodology. This helps in determining the effectiveness of the research process and identifying potential problems that may arise. Choice A, 'Sampling,' refers to the process of selecting a subset of individuals from a larger population for research. Choice B, 'Pre-testing,' simply involves testing something before the main testing phase. Choice C, 'Pre-Study,' is not a commonly used term in research methodology and does not specifically refer to the small-scale trial run described in the question.
What is the priority nursing goal for an adolescent with anorexia nervosa?
- A. Encourage effective coping skills
- B. Restore normal eating habits
- C. Stop weight loss or restore weight
- D. Promote realistic self-image
Correct Answer: C
Rationale: The priority nursing goal for an adolescent with anorexia nervosa is to stop weight loss or restore weight. This is crucial in addressing the immediate health risks associated with anorexia nervosa, such as malnutrition, organ damage, and potential life-threatening complications. While encouraging effective coping skills, restoring normal eating habits, and promoting a realistic self-image are important aspects of treatment, stopping weight loss or restoring weight takes precedence due to the severe physical consequences of anorexia nervosa.
Which statement about essential nutrients should the nurse include?
- A. Fat-containing foods can help to decrease triglyceride levels.
- B. Animal sources of protein contain 20 essential amino acids.
- C. Carbohydrates are the primary source of fuel for muscles and the brain.
- D. High-fiber foods are a good source of energy.
Correct Answer: C
Rationale: The correct answer is C because carbohydrates are indeed the primary source of fuel for muscles and the brain. Choice A is incorrect because while certain fats are essential, they do not help decrease triglyceride levels. Choice B is incorrect because animal sources of protein do not contain all 20 essential amino acids. Choice D is incorrect because although high-fiber foods are important for digestion and overall health, they are not a direct source of energy.
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