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What aspect should a nurse pay particular attention to when assessing a client with a potential or actual infection?
- A. The client’s age and sex
- B. The client’s lifestyle and drinking habits
- C. The client’s recent travel to a foreign country
- D. The client’s diet and preference for meat
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A client with chronic obstructive pulmonary disease (COPD) is being taught by a nurse. What nutrition information should the nurse include in the teaching?
- A. Avoid drinking fluids just before and during meals.
- B. Rest before meals if experiencing dyspnea.
- C. Consume about six small meals a day.
- D. Consume high-fiber foods to promote gastric emptying.
Correct Answer: D
Rationale: Correct Answer: D
Rationale:
1. High-fiber foods promote gastric emptying, reducing the risk of bloating and discomfort in COPD patients.
2. COPD patients may experience decreased appetite, and high-fiber foods can provide necessary nutrients without overeating.
3. Increased fiber intake can aid in managing constipation, a common issue in patients with COPD due to decreased physical activity.
Summary:
A: Avoiding fluids before meals is not directly related to COPD management.
B: Resting before meals may help with dyspnea but does not address nutritional needs.
C: Consuming six small meals a day may not be necessary for all COPD patients and is not as crucial as promoting gastric emptying with high-fiber foods.
A client with a new tracheostomy is being seen in the oncology clinic. What finding by the nurse best indicates that goals for the nursing diagnosis Impaired Self-Esteem are being met?
- A. The client demonstrates a good understanding of stoma care.
- B. The client has joined a book club that meets at the library.
- C. Family members take turns assisting with stoma care.
- D. Skin around the stoma is intact without signs of infection.
Correct Answer: B
Rationale: The correct answer is B because joining a book club indicates the client is engaging in social activities and pursuing interests, which can boost self-esteem. Choice A focuses on physical care, not self-esteem. Choice C involves family support, not necessarily self-esteem. Choice D only addresses physical health, not emotional well-being. Overall, engaging in social activities promotes self-worth and a sense of belonging, aligning with the goal of improving self-esteem.
What is the first symptom a client with dry macular degeneration may report?
- A. Blurred vision
- B. Loss of eyelashes
- C. Affected peripheral field
- D. Distortion of direct vision
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
How does client and family care differ for a client with an acute terminal illness versus a chronic terminal illness?
- A. Acute terminal illness requires immediate interventions,while chronic terminal illness focuses on long-term symptom management.
- B. Acute terminal illness involves less family involvement,while chronic terminal illness requires extensive support.
- C. No difference exists.
- D. Care depends solely on the client’s preferences.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In which circumstance should a nurse avoid using midline and midclavicular sites for IV therapy?
- A. To administer solutions with a pH greater than 5 and less than 9.
- B. To administer antineoplastic chemotherapy.
- C. To administer slow,low-volume infusions.
- D. To administer solutions with an osmolality less than 500 mOsm/L.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.