Nokea
The nurse is caring for a client taking warfarin. Which meal brought in by the client's family is a priority to remove before the client eats it?
- A. Oriental cabbage salad with chicken
- B. Beef enchilada, rice, and beans
- C. Ham and cheese sandwich
- D. Macaroni salad and grapefruit slices
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse cares for a hospitalized adolescent with the diagnosis of anorexia nervosa. Which nursing goal is a priority for this client?
- A. Encourage effective coping skills
- B. Restore normal eating habits
- C. Stop weight loss or restore weight
- D. Promote realistic self-image
Correct Answer: C
Rationale: In the treatment of anorexia nervosa, stopping weight loss or restoring weight is a critical priority. This helps address the immediate health risks associated with severe malnutrition and supports the client's physical well-being. Encouraging effective coping skills, restoring normal eating habits, and promoting a realistic self-image are essential aspects of treatment but may come later in the care plan once the immediate risk of severe weight loss has been addressed.
A client who 1) _____ diet requires 2) ___ amounts of vitamin C.
- A. A) Follows a vegan diet, B) More
- B. B) Smokes cigarettes, B) More
- C. A) Follows a vegan diet, C) The same
- D. B) Smokes cigarettes, C) The same
Correct Answer: B
Rationale: The correct answer is B) Smokes cigarettes, More. Smoking increases the need for vitamin C as it can deplete the body's vitamin C levels. Vegan diets, on the other hand, require more vitamin C for optimal absorption due to the absence of heme iron, which enhances non-heme iron absorption. Choices A and C are incorrect because vegan diets require more vitamin C, while smoking increases the need for vitamin C.
The recommended treatment modality in clients with obsessive-compulsive disorder is:
- A. Psychotherapy
- B. Behavior therapy
- C. Aversion therapy
- D. Psychoanalysis
Correct Answer: B
Rationale: The recommended treatment modality for clients with obsessive-compulsive disorder is Behavior Therapy, not Psychoanalysis. Behavior therapy, specifically exposure and response prevention, is considered the first-line treatment for OCD. This therapy focuses on changing the patterns of behavior that contribute to the disorder. Psychotherapy, although beneficial in some cases, is not as effective as behavior therapy for OCD. Aversion therapy involves associating a stimulus with a negative outcome to reduce the frequency of a specific behavior, which is not the primary approach for OCD.
In the management process, the periodic checking of the results of action to make sure that it coincides with the goal of the institution is termed as:
- A. Planning
- B. Evaluating
- C. Directing
- D. Organizing
Correct Answer: B
Rationale: The correct answer is B: Evaluating. Evaluating involves the periodic checking of results to ensure they align with the institution's goals. Planning (choice A) is about setting goals and determining the actions required to achieve them. Directing (choice C) involves overseeing and guiding the activities of individuals or teams to accomplish goals. Organizing (choice D) is about arranging resources and tasks to achieve objectives. In the context of the management process described, evaluating best fits the action of checking results against goals.
You are to measure the client's initial blood pressure reading by doing all of the following EXCEPT:
- A. Take the blood pressure reading on both arms for comparison
- B. Listen to and identify the phases of Korotkoff sounds
- C. Pump the cuff to around 50 mmHg above the point where the pulse is obliterated
- D. Observe procedures for infection control
Correct Answer: B
Rationale: When measuring blood pressure, it is crucial to follow specific steps to obtain accurate readings. Taking the blood pressure on both arms for comparison helps assess any variations. Pumping the cuff to around 50 mmHg above the point of pulse obliteration ensures accurate measurements. Observing procedures for infection control is vital to prevent the spread of infections. Listening to and identifying the phases of Korotkoff sounds are associated with auscultatory blood pressure measurements, not the initial blood pressure reading process.