Nokea
The mother of a newborn is concerned about the number of persons with heart disease in her family. She asks the nurse when she should start her baby on a low fat, low cholesterol diet to lower the risk of heart disease, the nurse should tell her to start diet modifications:
- A. At birth.
- B. At age 2.
- C. At age 5.
- D. At age 10.
Correct Answer: B
Rationale: Diet modifications for heart disease prevention, such as low-fat, low-cholesterol diets, are generally recommended to begin at age 2, when children transition to a more varied diet.
You may also like to solve these questions
The nurse is caring for a client with a suspected anaphylactic reaction. Which assessment finding confirms this diagnosis?
- A. Wheezing and hypotension
- B. Fever and rash
- C. Bradycardia and hypertension
- D. Nausea and diarrhea
Correct Answer: A
Rationale: Wheezing and hypotension are hallmark signs of anaphylaxis, indicating airway constriction and systemic vasodilation requiring immediate intervention.
A client has been diagnosed with viral hepatitis. Which of the following goals is most appropriate for the client?
- A. Achieve control of abdominal pains
- B. Increase activity levels gradually
- C. Reduce jaundice
- D. Prevent liver damage
Correct Answer: B
Rationale: Increasing activity levels gradually is an appropriate goal for viral hepatitis, as rest is needed initially but gradual return to activity supports recovery. Pain is less common, and jaundice or liver damage prevention are secondary.
A client diagnosed with chronic obstructive pulmonary disease (COPD) is on home oxygen at 2 L per minute. The nurse assesses the client's respiratory rate at 22 breaths per minute. When the client reports an increase in the dyspnea, what should the nurse do initially?
- A. Determine the need to increase the oxygen.
- B. Call emergency services to come to the home.
- C. Reassure the client that there is no need to worry.
- D. Collect more information about the client's respiratory status.
Correct Answer: D
Rationale: Completing an assessment and collecting additional information regarding the client's respiratory status is the initial nursing action. The oxygen is not increased without validation of the need for further oxygen and the approval of the primary health care provider, especially because clients with COPD can retain carbon dioxide. Calling emergency services is a premature action. Reassuring the client is appropriate, but it is inappropriate to tell the client not to worry.
The nurse is assessing a client with a suspected diverticulitis. Which of the following findings is most indicative of this condition?
- A. Left lower quadrant pain.
- B. Right upper quadrant pain.
- C. Soft, nontender abdomen.
- D. Frequent loose stools.
Correct Answer: A
Rationale: Left lower quadrant pain is a hallmark sign of diverticulitis due to inflammation of diverticula in the sigmoid colon.
As a nurse preceptor, you are in the operating room with a student nurse. The client has received general anesthesia. The student nurse says, 'Oh no, the general anesthesia is not working. The client is shaking and moving.' How should you respond to this student nurse?
- A. The client is having anesthesia awareness which is not good.'
- B. This often happens during stage 2 of general anesthesia.'
- C. The client needs more general anesthesia.'
- D. The client is having a seizure.'
Correct Answer: B
Rationale: Shaking and moving during stage 2 (excitement phase) of general anesthesia is normal due to loss of inhibitory control before deeper anesthesia is achieved.