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A postpartum client exhibits signs of depression, including tearfulness, feelings of guilt, and decreased interest in self-care. Which nursing intervention should be prioritized?
- A. Encouraging participation in support groups for new mothers
- B. Referring the client to a mental health professional for counseling
- C. Administering antidepressant medication as prescribed
- D. Assessing for risk of harm to self or infant
Correct Answer: D
Rationale: The prioritized nursing intervention in this situation should be assessing for the risk of harm to self or infant. It is crucial to ensure the safety of the postpartum client and her infant as depression can increase the risk of self-harm or harm to the newborn. By assessing for any potential risks, the nurse can take appropriate actions to prevent any harm and ensure the well-being of both the client and the infant. Once the assessment is completed, further interventions like encouraging participation in support groups, referring to a mental health professional, or administering medications can be considered based on the assessment findings.
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Nurse Cris received information from some community residents who suspect that a neighbor ls abusing his young child. Which should be the PRIORITY nursing action ?
- A. Report the police authorities.
- B. Notify the social worker.
- C. Ignore the information
- D. Validate the information
Correct Answer: A
Rationale: The PRIORITY nursing action when receiving information about suspected child abuse is to report to the police authorities. Child abuse is a serious issue that requires immediate intervention to ensure the safety and well-being of the child. The police are trained to investigate these types of situations and can take the necessary steps to protect the child from harm. It is essential to act swiftly and report any suspicions of child abuse to the proper authorities to prevent further harm and ensure the child's safety.
The young mother wanted to know about the motor development APPROPRIATE in a preschooler. Which of the following statements NOT true?
- A. "He can tie shoe lace"
- B. "He can alternate feet when climbing"
- C. "He has not developed good postures"
- D. "He can hop two or more times"
Correct Answer: B
Rationale: The statement that the preschooler can alternate feet when climbing is not true. Typically, preschoolers at this age group are still developing their coordination and may not have mastered the skill of alternating feet while climbing. It is more common for them to use one foot after the other while climbing. This skill usually requires more advanced motor development and coordination, which may come later in the preschool years.
Which criterion refers-to the ability of the instrument to detect fine differences among the subjects being studied?
- A. Reliability
- B. objectivity
- C. Sensitivity
- D. Validity
Correct Answer: C
Rationale: Sensitivity refers to the ability of an instrument to detect small or fine differences among the subjects being studied. In the context of research or measurement tools, sensitivity is crucial for identifying subtle variations in the data that may hold importance in the analysis. A sensitive instrument can accurately measure and record even the smallest changes, making it a valuable criterion when assessing the quality of a measurement tool in research studies. High sensitivity indicates that the instrument is more likely to pick up on nuances and variations in the data, providing researchers with more detailed and accurate information to work with.
Pulmonary Rehabilitation for COPD has a duration of at least 4 to 12 weeks. Which of the following should be avoided while patient is having this program?
- A. Pursed lip breathing
- B. Smoking cessation
- C. Aerobic, upper and lower body conditioning
- D. Peripheral muscle wasting
Correct Answer: B
Rationale: During pulmonary rehabilitation for COPD, smoking cessation should not be avoided but instead strongly encouraged. Smoking cessation is a crucial component in managing COPD and improving lung function. Continued smoking can exacerbate COPD symptoms and hinder the progress made through rehabilitation efforts. Therefore, it is essential for patients to quit smoking while undergoing pulmonary rehabilitation to maximize the benefits of the program and improve their overall lung health.
A patient with chronic kidney disease is prescribed erythropoietin-stimulating agents (ESAs) to manage anemia. Which laboratory parameter should be monitored closely during ESA therapy?
- A. Serum potassium
- B. Serum creatinine
- C. Hemoglobin
- D. Platelet count
Correct Answer: C
Rationale: Erythropoietin-stimulating agents (ESAs) are prescribed to manage anemia in patients with chronic kidney disease. Monitoring the hemoglobin level closely during ESA therapy is crucial to ensure that the treatment is effective in increasing red blood cell production without causing excessive elevation. Hemoglobin levels should be checked regularly to adjust the ESA dosage accordingly and prevent risks associated with high hematocrit levels, such as increasing blood viscosity and cardiovascular events. Monitoring serum potassium, creatinine, and platelet count are important in the management of chronic kidney disease for different reasons, but for ESA therapy, monitoring hemoglobin is the most essential parameter.