Nokea
The nurse understands that during the 'tension building' phase of a violent relationship, when the batterer makes unreasonable demands, the battered victim may experience feelings of:
- A. Anger.
- B. Helplessness.
- C. Calm.
- D. Explosive.
Correct Answer: B
Rationale: Victims often feel powerless and trapped during this phase.
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Which triage assessment prioritizes the client’s need for treatment as the need to be seen now?
- A. Delayed
- B. Immediate
- C. Minimal
- D. Expectant
Correct Answer: B
Rationale: The correct answer is B because immediate triage indicates the client requires urgent treatment.
A healthcare provider suspects anaphylaxis when caring for a client following the initial administration of an oral antibiotic. Which of the following should be the healthcare provider's priority intervention?
- A. Insert an IV line
- B. Count the respiratory rate
- C. Administer oxygen
- D. Prepare equipment for intubation
Correct Answer: B
Rationale: The correct answer is B: Count the respiratory rate. This is the priority intervention because anaphylaxis can lead to severe respiratory distress due to airway swelling or bronchoconstriction. Counting the respiratory rate helps to quickly assess the client's breathing status and detect any signs of respiratory distress. Inserting an IV line (choice A) may be necessary for administering medications, but assessing the respiratory rate takes precedence. Administering oxygen (choice C) is important but should follow assessing the respiratory rate. Preparing equipment for intubation (choice D) is a later intervention if respiratory distress worsens.
What might have been the precipitating cause of Wendy’s asthmatic attack?
- A. Breaking up with her boyfriend
- B. Personal history of allergies
- C. Restless sleeping pattern
- D. Smoking five cigarettes daily
Correct Answer: B
Rationale: Allergies are common triggers for asthma exacerbations.
What is the basic premise of Ayurvedic medicine?
- A. Views disease as resulting from disharmony with Mother Earth,possession by an evil spirit or violation of a taboo.
- B. Health is the outcome of balancing yin and yang,opposite forces that must remain equalized to maintain life’s energy force.
- C. Help individuals become unified with nature to develop a strong body,clear mind and tranquil spirit.
- D. Correcting an imbalance between two attributes such as motion and stillness or hot and cold restores harmony and health.
Correct Answer: C
Rationale: Ayurveda emphasizes unity with nature to promote holistic well-being.
What action assumes greatest priority for Mr. Walker with productive cough, dull percussion notes, and rhonchi?
- A. Determine if Mr. Smith has a history of COPD
- B. Monitor respiratory status for increasing dyspnea
- C. Discuss ways to prevent pneumonia
- D. Obtain a physician’s order for sedatives
Correct Answer: B
Rationale: Monitoring for worsening respiratory distress is critical.