Nokea
The nurse positioning a client after surgery will take into account that the position, which most often predisposes a client to physiologic processes that suppress respiration, is which of the following positions?
- A. Fowler's position
- B. Prone
- C. Supine
- D. left side lying down
Correct Answer: C
Rationale: Supine position most suppresses respiration post-surgery by limiting diaphragm movement, unlike Fowler's, prone, or side-lying. Nurses adjust this to aid breathing.
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Which of the following is TRUE about temperature?
- A. The highest temperature usually occurs later in a day, around 8 P.M to 12 M.N
- B. The lowest temperature is usually in the Afternoon, Around 12 P.M
- C. Thyroxin decreases body temperature
- D. Elderly people are risk for hyperthermia due to the absence of fats, Decreased thermoregulatory control and sedentary lifestyle.
Correct Answer: A
Rationale: Body temperature peaks late day (8 PM-midnight) due to circadian rhythms e.g., higher metabolism. Lowest is early morning (not noon), thyroxin raises temp (not lowers), and elderly risk hypothermia (not hyperthermia) from poor regulation. Nurses monitor this pattern for fever assessment, per physiological norms.
A client has a prescription for a soft diet. Which of the following foods should the nurse offer?
- A. Fresh apples
- B. Mashed potatoes
- C. Raw carrots
- D. Nuts
Correct Answer: B
Rationale: When a client is on a soft diet, it is important to offer foods that are easy to chew and swallow. Mashed potatoes are a suitable choice for a soft diet as they are soft in texture and easy to digest. Fresh apples, raw carrots, and nuts are harder and may not be appropriate for a soft diet. Fresh apples and raw carrots require more chewing, and nuts are hard and crunchy, which can be difficult for someone on a soft diet to consume. Therefore, mashed potatoes are the correct option for a client on a soft diet.
This is also known as Self-suggestion or Self-hypnosis
- A. Biofeedback
- B. Meditation
- C. Autogenic training
- D. Visualization and Imagery
Correct Answer: C
Rationale: Autogenic training (C) is self-suggestion or self-hypnosis, using phrases to induce relaxation (e.g., 'my arms are heavy'). Biofeedback (A) relies on machines, meditation (B) on focus, and visualization (D) on imagery not self-hypnosis. Autogenic training, per Schultz, shifts autonomic responses via mental cues, aligning with the definition, making C correct.
Which of the following statement best describe the resistance stage of GAS?
- A. Body shuts down due to stress
- B. Body adapts to stress
- C. Immediate reaction to stress
- D. Permanent damage occurs
Correct Answer: B
Rationale: Resistance stage is body adapting to stress (B), per GAS sustaining effort (e.g., cortisol stabilizes). Shutdown (A) and damage (D) are exhaustion, immediate (C) alarm. B best defines resistance's coping phase, making it correct.
On a home visit, you notice some dust on a vent in your client's room and on the windowsill. Which of the following methods would you teach the family to use for removing dust?
- A. Use a damp cloth to remove the dust.
- B. Use a feather duster to remove dust.
- C. Vacuum up the dust.
- D. Use a broom covered with a cloth.
Correct Answer: A
Rationale: Teaching the family to use a damp cloth removes dust effectively, trapping particles rather than dispersing them, unlike feather dusters or brooms. Vacuuming works but isn't always practical for small areas. This method reduces allergens and infection risks in the home, a simple, accessible nursing intervention for environmental hygiene.