Nokea
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.
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A client with cirrhosis is experiencing ascites. Which dietary instruction should the nurse provide?
- A. Increase protein intake.
- B. Limit fluid intake to 1500 mL/day.
- C. Consume a low-sodium diet.
- D. Take a daily multivitamin.
Correct Answer: C
Rationale: The correct answer is C: Consume a low-sodium diet. Ascites in cirrhosis is often due to fluid retention caused by impaired liver function. A low-sodium diet helps to reduce fluid buildup in the body, alleviating ascites. Increasing protein intake (A) may worsen ascites by increasing fluid retention. Limiting fluid intake (B) can lead to dehydration, exacerbating the condition. Taking a daily multivitamin (D) may be beneficial for overall health but does not directly address ascites.
Which is an indicator of escalating withdrawal used by a nurse when assessing a client with alcohol dependence?
- A. Rule of one hundreds
- B. CAGE screening test
- C. Alcoholics anonymous
- D. Rule of nines
Correct Answer: B
Rationale: The CAGE questionnaire screens for alcohol use disorders, identifying signs of dependency or problematic drinking.
Identify what short-term evaluation technique is appropriate to assess whether the patient has met the following learning goals.
- A. Demonstration
- B. Verbalization
- C. Selection
- D. Observation
Correct Answer: B
Rationale: Each learning goal requires a different evaluation technique: Demonstration for subcutaneous insulin injection, Verbalization for identifying side effects of Coumadin, Selection for choosing potassium-rich foods, Observation for verbalizing no shortness of breath, and Verbalization for stating readiness to change a dressing. The correct technique depends on the specific goal.
To attain the goal of ambulation for the patient who is hemiplegic, the initial care plan needs to be structured to first attain
- A. acceptance of his altered body image
- B. balance training
- C. adequate energy level
- D. ability to transfer from bed to chair
Correct Answer: D
Rationale: The ability to transfer from bed to chair is a critical first step in preparing a hemiplegic patient for ambulation. This foundational skill builds confidence and strength before progressing to balance training or walking.
To prepare Mr. Singer for esophageal speech, the nurse can be most helpful by assisting him to
- A. Take air into the esophagus
- B. Develop abdominal breathing
- C. Take deep breaths
- D. Regulate coughing
Correct Answer: A
Rationale: Esophageal speech requires learning to trap and expel air from the esophagus.