Nokea
What is a long and healthy life dependent upon?
- A. A diet high in animal fat, cholesterol, and calories
- B. Early retirement from work
- C. Vigorous physical activity once a week
- D. Interest in life
Correct Answer: D
Rationale: Interest in life contributes positively to mental health and overall well-being, which are key components of a long and healthy life.
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Liz is an elderly woman brought in by concerned family members. After physical examination, she was diagnosed with dehydration. What assessment findings would you expect to see?
- A. Bradycardia,slowed respirations low body temperature and weight gain.
- B. Rales peripheral edema palpitations and diaphoresis.
- C. Tachypnea tachycardia hypotension poor skin turgor and decreased urinary output.
- D. Malaise lymphadenopathy fever shortness of breath and nausea.
Correct Answer: C
Rationale: The correct answer is Tachypnea, tachycardia, hypotension, poor skin turgor, and decreased urinary output (C). Dehydration leads to reduced blood volume, causing compensatory mechanisms like tachycardia and tachypnea. Poor skin turgor and decreased urinary output are classic signs of fluid loss.
Which is an essential component of quality care for dying clients?
- A. Assist the client with personal hygiene.
- B. Inform all members of healthcare regarding the client’s prognosis.
- C. Provide sensitivity and compassion for the client and their family members.
- D. Promote the care of dying clients at home or in hospice settings.
Correct Answer: C
Rationale: Sensitivity and compassion address emotional and psychological needs, enhancing end-of-life care.
The nursing care plan for the client with dehydration includes interventions for oral health. Which interventions are within the scope of practice for the LPN/LVN being supervised by the nurse? (Choose all that apply.)
- A. Remind client to avoid commercial mouthwashes.
- B. Encourage mouth rinsing with warm saline.
- C. Assess lips,tongue and mucous membranes.
- D. Provide mouth care every 2 hours while client is awake.
Correct Answer: A
Rationale: All listed interventions are appropriate and within the LPN/LVN’s scope of practice under supervision. They contribute to maintaining oral health and hydration in dehydrated clients.
Which statement about sleep is accurate?
- A. Lack of sleep causes medical and psychiatric disorders.
- B. Adults generally require at least 5 hours of sleep every 24 hours.
- C. During sleep an individual is not consciously aware of his or her environment.
- D. Less than 10% of adults report at least one sleep problem, such as difficulty falling asleep.
Correct Answer: C
Rationale: The correct answer is C because during sleep, an individual's conscious awareness of the environment diminishes. Option A is incorrect because lack of sleep exacerbates but does not directly cause disorders. Option B underestimates the recommended sleep duration, and Option D overestimates the prevalence of sleep problems.
Following a bone marrow transplant, the patient has an increased risk for
- A. Bleeding.
- B. Infection.
- C. Clot formation.
- D. Nausea and vomiting.
Correct Answer: B
Rationale: Immunosuppression increases the risk of infection post-transplant.