Nokea
What is the most important purpose of performing a bed bath?
- A. To cleanse, refresh, and give comfort to the client who must remain in bed
- B. To expose the necessary parts of the body
- C. To develop skills in bed bath
- D. To check the body temperature of the client in bed
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A client complains of difficulty swallowing when the nurse tries to administer capsule medication. Which of the following measures should the nurse take?
- A. Dissolve the capsule in a glass of water
- B. Break the capsule and give the contents with applesauce
- C. Check the availability of a liquid preparation
- D. Crush the capsule and place it under the tongue
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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.
What should be done in order to prevent contamination of the environment when making a bed?
- A. Avoid flinging soiled linens
- B. Strip all linens at the same time
- C. Finish both sides at the same time
- D. Embrace soiled linen
Correct Answer: A
Rationale: The correct practice to prevent contamination of the environment when making a bed is to avoid flinging soiled linens. Flinging soiled linens can spread contaminants in the environment, leading to potential health risks. By handling soiled linens properly and avoiding flinging them, the risk of contamination is minimized, ensuring a safer and cleaner environment.
A nurse obtained a client's pulse and found the rate to be above normal. The nurse documents this finding as:
- A. Tachypnea
- B. Hyperpyrexia
- C. Arrhythmia
- D. Tachycardia
Correct Answer: D
Rationale: When a nurse finds a client's pulse rate to be above normal, it is documented as tachycardia. Tachycardia specifically refers to an elevated heart rate, while tachypnea is rapid breathing, hyperpyrexia is high fever, and arrhythmia is an irregular heartbeat. Therefore, the correct term to describe an above-normal pulse rate is tachycardia.
What is the most common cause of dementia among elderly persons?
- A. Parkinson's disease
- B. Multiple sclerosis
- C. Amyotrophic lateral sclerosis (Lou Gehrig's disease)
- D. Alzheimer's disease
Correct Answer: D
Rationale: Alzheimer's disease is the most common cause of dementia among elderly persons. It is a progressive neurodegenerative disorder that affects memory, thinking, and behavior. While Parkinson's disease, multiple sclerosis, and amyotrophic lateral sclerosis are serious conditions, they are not typically associated with dementia in the same way Alzheimer's disease is.