Nokea
The nurse is caring for a client with trigeminal neuralgia. To assist the client with nutrition needs, the nurse should:
- A. Offer small meals of high calorie soft food.
- B. Assist the client to sit in a chair for meals.
- C. Provide additional servings of fruits and raw vegetables.
- D. Encourage the client to eat fish, liver and chicken.
Correct Answer: A
Rationale: Soft foods minimize facial muscle movement, reducing pain.
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The dying patient and family have many interrelated psychosocial and physical care needs. Which ones can the nurse begin to manage with the patient and family (select all that apply)?
- A. Anxiety
- B. Fear of pain
- C. The dying process
- D. Anger toward the nurse.
Correct Answer: A
Rationale: The nurse can address anxiety, fear of pain, and the dying process through education, medication, and emotional support, while anger toward the nurse might require conflict resolution strategies.
A healthcare professional is assessing a client who has a new onset of confusion. Which laboratory value should the professional check first?
- A. Blood glucose level
- B. Serum sodium level
- C. Serum calcium level
- D. Blood urea nitrogen (BUN)
Correct Answer: A
Rationale: The correct answer is A: Blood glucose level. The healthcare professional should check the blood glucose level first because hypoglycemia or hyperglycemia can cause confusion. Hypoglycemia can lead to altered mental status quickly and should be ruled out immediately. Checking the serum sodium level (B), serum calcium level (C), or blood urea nitrogen (D) can be important in further assessment, but addressing the blood glucose level is the primary concern in this scenario to rule out any immediate life-threatening conditions related to glucose imbalance.
The primary mode of treatment for ankylosing spondylitis is
- A. Relaxed posture for comfort.
- B. Physical therapy.
- C. Strict bedrest.
- D. Respiratory therapy.
Correct Answer: B
Rationale: Physical therapy helps maintain mobility in ankylosing spondylitis.
Why would a client’s recovery from shock be tenuous?
- A. Increased urine output
- B. Edema
- C. Hypertension
- D. Hypernatremia
Correct Answer: B
Rationale: Edema occurs due to excess fluid accumulation in the interstitial spaces, commonly seen in conditions like heart failure and kidney disease.
In conducting a primary survey on a trauma patient, which of the following is considered one of the priority elements of the primary survey?
- A. Complete set of vital signs
- B. Palpation and auscultation of the abdomen
- C. Brief neurologic assessment
- D. Initiation of pulse oximetry
Correct Answer: C
Rationale: A brief neurologic assessment helps quickly identify potential brain injuries or other neurological deficits.