Nokea
The nurse is talking with a client's spouse who insists on being present in the room while the client is receiving CPR. Which of the following actions should the nurse take?
- A. Call security to escort the spouse to the waiting room.
- B. Let the spouse stay and assign a staff member to explain the situation.
- C. Allow the spouse to stay in the room but out of sight of the resuscitation efforts.
- D. Inform the spouse that family members are not allowed in a client's room during emergency situations.
Correct Answer: B
Rationale: Allowing the spouse to stay with a staff member to explain reduces distress and supports family presence, which is often permitted during CPR.
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A client with osteoporosis has been advised to increase the amount of calcium in her diet. Which food provides the most calcium?
- A. An 8-ounce glass of milk
- B. An ounce of cheddar cheese
- C. A half cup of raw broccoli
- D. A 4-ounce salmon croquet
Correct Answer: A
Rationale: An 8-ounce glass of milk provides ~300 mg of calcium, more than cheese (B, ~200 mg/oz), broccoli (C, ~20 mg/half cup), or salmon (D, ~180 mg/4 oz).
Which of the following meals provides the lowest amount of potassium?
- A. Orange, cream of wheat, bacon
- B. Toast, jelly, soft boiled egg
- C. Raisin bran, milk, grapefruit
- D. Melon, pancakes, milk
Correct Answer: B
Rationale: Toast, jelly, and soft-boiled egg are low in potassium compared to fruits like oranges, grapefruit, or melon, which are high in potassium.
The nurse is teaching a group of women about health issues. Today's topic is food poisoning. Which statement indicates a need for further instruction?
- A. I always wash my hands after I put raw meat in to cook.'
- B. I should put foods away in the refrigerator immediately after meals.'
- C. I will wash my kitchen counters with a bleach solution after preparing raw meat.'
- D. Rare meat is okay to eat as long as it is eaten immediately after cooking.'
Correct Answer: D
Rationale: Rare meat poses a risk for foodborne pathogens like E. coli, even if eaten immediately. Other statements reflect proper food safety practices.
Which of the following should the nurse teach the client to avoid when taking chlorpromazine HCL (Thorazine)?
- A. Direct sunlight
- B. Foods containing tyramine
- C. Foods fermented with yeast
- D. Canned citrus fruit drinks
Correct Answer: A
Rationale: Direct sunlight. Phenothiazines increase sensitivity to the sun, making clients especially susceptible to sunburn.
The nurse is caring for a woman whose husband beats her regularly. Which is the most important long-term goal for this woman?
- A. Provide a long-term support group
- B. Help her feel like a survivor
- C. Point out the ways she behaved
- D. Be able to blame the abuser
Correct Answer: B
Rationale: Feeling like a survivor empowers the woman, fostering resilience and self-efficacy, the most important long-term goal in domestic violence recovery.