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The client is complaining of painful swallowing secondary to mouth ulcers. Which statement by the client indicates appropriate management?
- A. "I will brush my teeth with a soft-bristle toothbrush."
- B. "I will rinse my mouth with Listerine mouthwash."
- C. "I will swish my antifungal solution and then swallow."
- D. "I will avoid spicy foods, tobacco, and alcohol."
Correct Answer: D
Rationale: The correct answer is D. Avoiding irritants like spicy foods, tobacco, and alcohol is crucial in managing mouth ulcers as they can further irritate and worsen the condition. Choice A is incorrect as using a soft-bristle toothbrush may still cause discomfort. Choice B is incorrect as alcohol-containing mouthwashes can be irritating. Choice C is incorrect as swallowing antifungal solution meant for topical use is not appropriate and can be harmful.
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The client is complaining of painful swallowing secondary to mouth ulcers. Which statement by the client indicates appropriate management?
- A. "I will brush my teeth with a soft-bristle toothbrush."
- B. "I will rinse my mouth with Listerine mouthwash."
- C. "I will swish my antifungal solution and then swallow."
- D. "I will avoid spicy foods, tobacco, and alcohol."
Correct Answer: D
Rationale: The correct answer is D. Avoiding irritants like spicy foods, tobacco, and alcohol is crucial in managing mouth ulcers as they can further irritate the ulcers and delay healing. Choices A, B, and C could potentially worsen the condition. Brushing with a soft-bristle toothbrush may cause discomfort, rinsing with Listerine mouthwash can be too harsh on the ulcers, and swallowing antifungal solution is not recommended unless specified by a healthcare provider.
The use of the antibiotic neomycin may decrease the absorption of:
- A. Iron, copper, and zinc
- B. Protein and amino acids
- C. Fat-soluble vitamins
- D. Water-soluble vitamins
Correct Answer: C
Rationale: The correct answer is C. Neomycin can interfere with the absorption of fat-soluble vitamins such as vitamins A, D, E, and K. Choice A is incorrect because neomycin does not affect the absorption of iron, copper, and zinc. Choice B is incorrect as neomycin does not impact the absorption of protein and amino acids. Choice D is also incorrect as neomycin does not decrease the absorption of water-soluble vitamins like vitamin C and the B vitamins.
During a synchronized cardioversion on a client in atrial fibrillation, when the machine is activated and there is a pause, what action should the nurse take?
- A. Wait until the machine discharges
- B. Shout "all clear" and don't touch the bed
- C. Make sure the client is all right
- D. Increase the joules and re-discharge
Correct Answer: B
Rationale: The correct action for the nurse to take when there is a pause after activating the machine for synchronized cardioversion on a client in atrial fibrillation is to shout "all clear" and not touch the bed. This step is crucial to ensure the safety of everyone present by warning them that the machine will discharge, preventing anyone from being inadvertently shocked. Waiting for the machine to discharge (choice A) is not recommended as it can lead to accidental injury. While ensuring the client is all right (choice C) is important, the immediate focus should be on safety during the procedure. Increasing the joules and re-discharging (choice D) without assessing the situation can pose risks to the client and the healthcare team.
Listed below are five categories that identify the responsibilities of the practical nurse manager in personnel management. Which of these categories is most appropriate for the task of 'Recommend awards and promotions'?
- A. Accountability
- B. Personal/professional development
- C. Individual training
- D. Military appearance/physical condition
Correct Answer: A
Rationale: The correct answer is A: 'Accountability.' Accountability involves recommending awards and promotions as part of managing personnel. This responsibility revolves around assessing employee performance and recognizing achievements through awards and promotions. Choice B, 'Personal/professional development,' focuses on enhancing employees' skills and knowledge, not specifically related to recommending awards or promotions. Choice C, 'Individual training,' pertains to providing instruction and guidance to improve specific skills, not directly linked to awarding or promoting individuals. Choice D, 'Military appearance/physical condition,' deals with maintaining physical standards and presentation, unrelated to recommending awards and promotions.
The system used at the division level and forward comprises six basic modules. Which module is composed of practical nurses, medical specialists, and equipment to provide medical support for minimal care patients?
- A. Treatment squad
- B. Patient holding squad
- C. Area support squad
- D. Surgical squad
Correct Answer: B
Rationale: The Patient Holding Squad is the module composed of practical nurses, medical specialists, and equipment to provide medical support for minimal care patients. The other choices are incorrect because a 'Treatment squad' would typically involve a broader range of medical care, an 'Area support squad' is more general and focuses on providing overall support in a specific area, and a 'Surgical squad' would be specifically focused on surgical procedures rather than general medical care for minimal care patients.