Nokea
What is the appropriate route of administration for insulin?
- A. Intramuscular
- B. Intradermal
- C. Subcutaneous
- D. Intravenous
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The healthcare professional is preparing to take vital signs in an alert client admitted to the hospital with dehydration secondary to vomiting and diarrhea. What is the best method used to assess the client's temperature?
- A. Oral
- B. Axillary
- C. Radial
- D. Heat-sensitive tape
Correct Answer: A
Rationale: The most accurate method for assessing temperature in an alert client is the oral method. It provides a more reliable reflection of the body's core temperature compared to axillary or radial methods. In cases of dehydration, it is important to get an accurate temperature reading to monitor the client's condition closely.
What is the best position for examining the rectum?
- A. Prone
- B. Sim's
- C. Knee-chest
- D. Lithotomy
Correct Answer: C
Rationale: The knee-chest position is the most optimal position for examining the rectum. In this position, the patient kneels on the examination table with their chest resting on it, creating a straight line from the head to the lower back. This position allows for easier access and visualization of the rectal area, making it the preferred choice for rectal examinations.
The client was asked to read the Snellen chart. Which of the following is being tested?
- A. Optic
- B. Olfactory
- C. Oculomotor
- D. Trochlear
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which instrument is used for auscultation?
- A. Percussion hammer
- B. Audiometer
- C. Stethoscope
- D. Sphygmomanometer
Correct Answer: C
Rationale: Auscultation involves listening to internal sounds in the body, such as heart and lung sounds. The instrument used for auscultation is a stethoscope, which allows healthcare providers to listen to these sounds. Percussion hammer is used to elicit sounds on the body, audiometer is used to measure hearing ability, and sphygmomanometer is used to measure blood pressure.
After a walk-in client enters the clinic with a chief complaint of abdominal pain and diarrhea, the nurse takes the client's vital signs. What phase of the nursing process is being implemented by the nurse?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
Correct Answer: A
Rationale: In this scenario, the nurse is performing the assessment phase of the nursing process. Assessment involves collecting data, which includes obtaining vital signs, to identify the client's health status and needs. This step is crucial for the nurse to gather information that will guide further decision-making in the nursing process.