Nokea
The best diet for the client with Meniere's syndrome is one that is:
- A. High in fiber
- B. Low in sodium
- C. High in iodine
- D. Low in fiber
Correct Answer: B
Rationale: A low-sodium diet is best for Meniere's syndrome, reducing fluid retention in the inner ear, which mitigates vertigo, tinnitus, and hearing loss flare-ups. High fiber aids digestion, not ear issues; high iodine or low fiber lacks relevance here. Nurses teach this dietary shift to control symptoms, emphasizing sodium's role in fluid balance, supporting long-term management of this chronic condition.
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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.
Which of the following statement best describe secondary care?
- A. Routine health check up
- B. Specialized care by referral
- C. Care after diagnosis
- D. Basic health education
Correct Answer: B
Rationale: Secondary care is specialized care by referral (B), per system e.g., cardiologist post-GP. Check-ups (A) and education (D) are primary, post-diagnosis (C) tertiary. B best defines secondary's role, making it correct.
When recording blood pressure, the sounds which can be heard with a stethoscope placed over the artery is termed as:
- A. Wheeze
- B. Murmurs
- C. Crackle sounds
- D. Korotkoff sounds
Correct Answer: D
Rationale: Blood pressure measurement involves listening to arterial sounds via a stethoscope as the cuff deflates. These sounds, known as Korotkoff sounds, occur in five phases, starting with a tapping (systolic pressure) and fading to silence (diastolic pressure). Wheezes are respiratory sounds, murmurs relate to heart valves, and crackles indicate lung fluid none apply to blood pressure. Named after Nikolai Korotkoff, these sounds are a cornerstone of manual blood pressure assessment, ensuring accurate readings essential for diagnosing hypertension or hypotension, reflecting cardiovascular health.
Growth chart is also known as:
- A. New Ballard Scale
- B. Road to health chart
- C. Apgar Score
- D. GCS Score
Correct Answer: B
Rationale: Growth charts track child development. New Ballard Scale (choice A) assesses gestational age, not growth. Road to health chart (choice B), per WHO, plots weight-for-age, monitoring nutrition and health longitudinally. Apgar Score (choice C) evaluates newborns at birth, not growth. GCS Score (choice D, Glasgow Coma Scale) assesses consciousness. B is correct, synonymous with growth charts. Nurses use it to detect malnutrition, educate caregivers, and guide interventions, ensuring child well-being.
Which of the following is true about the NURSING CARE PLAN?
- A. It is nursing centered
- B. Rationales are supported by interventions
- C. Verbal
- D. Atleast 2 goals are needed for every nursing diagnosis
Correct Answer: A
Rationale: The nursing care plan is nursing-centered (A), focusing on nurse-led actions, per planning standards. Rationales support interventions (B) reverses logic, verbal (C) isn't typical, two goals (D) isn't required. A aligns with purpose, making it correct.