Nokea
The laboratory reports of a client who underwent a hypophysectomy show an intracranial pressure (ICP) of $20 \mathrm{mmHg}$. Which action made by the client is responsible for this condition?
- A. Drinking lots of water
- B. Eating high-fiber foods
- C. Bending over at the waist
- D. Bending knees when lowering body
Correct Answer: C
Rationale: ICP of 20 mmHg (elevated) post-hypophysectomy is likely from bending over (C), increasing venous pressure to the brain. Drinking (A) or eating fiber (B) don't directly raise ICP. Knee bending (D) is safe. C is correct. Rationale: Bending elevates intracranial venous return, spiking ICP in a fragile post-surgical state, per neurocare principles, unlike neutral activities.
You may also like to solve these questions
What can you expect from Marianne, who is currently at the ONSET stage of fever?
- A. Hot, flushed skin
- B. Increase thirst
- C. Convulsion
- D. Pale,cold skin
Correct Answer: D
Rationale: Fever's onset (chill phase) features vasoconstriction e.g., pale, cold skin as the body raises its setpoint. Hot, flushed skin (flush phase), thirst (later), or convulsions (hyperpyrexia) follow. Nurses expect this initial response e.g., shivering in Marianne, guiding warming measures, per fever physiology.
The physician orders a platelet count to be performed on Mrs. Smith after breakfast. The nurse is responsible for:
- A. Instructing the patient about this diagnostic test
- B. Writing the order for this test
- C. Giving the patient breakfast
- D. All of the above
Correct Answer: C
Rationale: The nurse ensures the patient eats, while the physician handles test orders and instructions.
Which of the following statement best describe fidelity in nursing?
- A. Telling the truth
- B. Keeping promises
- C. Doing good
- D. Avoiding harm
Correct Answer: B
Rationale: Fidelity in nursing is keeping promises (B), per ethics e.g., returning as pledged. Telling truth (A) is veracity, doing good (C) beneficence, avoiding harm (D) nonmaleficence not promise-focused. B best defines fidelity's commitment to trust, a cornerstone of nurse-patient relationships, making it the correct description.
Which of the following statement is NOT true about legal documentation?
- A. Supports care quality
- B. Legal evidence
- C. Can be altered anytime
- D. Must be accurate
Correct Answer: C
Rationale: Legal documentation supports quality (A), is evidence (B), must be accurate (D) 'can be altered anytime' (C) isn't true, strict rules apply, per law. C's flexibility contradicts standards, like Mr. Gary's records, making it untrue.
The nurse checked Mr. Gary's dose to prevent an overdose. This is an example of?
- A. Nonmaleficence
- B. Beneficence
- C. Fidelity
- D. Veracity
Correct Answer: A
Rationale: Checking dose to prevent overdose is nonmaleficence (A) avoiding harm, per ethics. Beneficence (B) does good, fidelity (C) keeps promises, veracity (D) tells truth not harm-specific. A fits the nurse's focus on safety, ensuring no adverse effects occur, aligning with nonmaleficence's protective principle, making it correct.