Nokea
The nurse is preparing a client with gout for discharge. Which dietary selection reflects an understanding of the client's condition?
- A. Broiled chicken, rice, and iced tea
- B. Sardines, lima beans, and red wine
- C. Hamburger, fries, and a milkshake
- D. Shrimp, spinach, and beer
Correct Answer: A
Rationale: Broiled chicken, rice, and iced tea suit gout, avoiding purine-rich foods (sardines, shrimp) or alcohol (wine, beer) that raise uric acid lima beans and spinach also contribute less but aren't ideal. Nurses teach this, reducing flare-ups, supporting joint health and client compliance.
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Mr. Gary named his wife to make decisions if he can't. This is an example of?
- A. Health care proxy
- B. Living will
- C. Patient education
- D. Care transition
Correct Answer: A
Rationale: Naming his wife for decisions is a health care proxy (A) chosen surrogate, per definition. Living will (B) states wishes, education (C) teaches, transition (D) moves not proxy-specific. A fits Mr. Gary's delegation of authority, making it correct.
Mr. Gary said he doesn't feel well because of his disease. This is an example of?
- A. Health
- B. Illness
- C. Wellness
- D. Disability
Correct Answer: B
Rationale: Not feeling well due to disease is illness (B) altered state, per definition. Health (A) and wellness (C) imply well-being, disability (D) permanent loss. B fits disease impact, making it correct.
Mr. Gary refused chemotherapy even if it will help his condition. The nurse respected his decision. This is an example of?
- A. Autonomy
- B. Beneficence
- C. Justice
- D. Fidelity
Correct Answer: A
Rationale: Respecting Mr. Gary's chemotherapy refusal is autonomy (A), per ethics honoring his choice. Beneficence (B) promotes good, justice (C) fairness, fidelity (D) promises not refusal-based. A aligns with self-rule, making it correct.
The physician has ordered a 2-gram sodium diet for a client with hypertension. Which food should be limited due to its sodium content?
- A. Potato chips
- B. Baked chicken
- C. Steamed broccoli
- D. Fresh apple
Correct Answer: A
Rationale: Potato chips are high in sodium often 120-180 mg per ounce exceeding a 2-gram (2000 mg) daily limit for hypertension, necessitating restriction to control blood pressure. Baked chicken, steamed broccoli, and fresh apples have minimal natural sodium, fitting the diet. Nurses educate clients on hidden sodium in processed snacks, promoting fresh alternatives to reduce cardiovascular strain, aligning with therapeutic goals for long-term health management.
Marianne is now at the Defervescence stage of the fever, which of the following is expected?
- A. Delirium
- B. Goose flesh
- C. Cyanotic nail beds
- D. Sweating
Correct Answer: D
Rationale: Defervescence, fever's decline, involves vasodilation and sweating e.g., cooling as heat dissipates. Delirium (high fever), goose flesh (chills), or cyanosis (hypoxia) don't fit. Nurses anticipate sweating e.g., damp sheets in Marianne, adjusting care for comfort, per fever resolution stages.