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What is the term that best describes biologic differences in physical features, such as skin color, bone structure, and eye shape?
- A. Culture
- B. Ethnicity
- C. Race
- D. Minority
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Bernadette’s morning laboratory results have just come in. Her serum potassium level is currently 5.4 mEq/L. The physician recognizes this as:
- A. Hypokalemia.
- B. Hyperkalemia.
- C. Hypocalcemia.
- D. Hypercalcemia.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
5. Which statement accurately describes the use of complementary and alternative medicine (CAM)?
- A. CAM therapy incorporates only the emotional and spiritual realms of the patient.
- B. The increase in the use of CAM therapies is due to an increase in cost of conventional therapy.
- C. Research and education in CAM therapies are financially supported by the American Holistic Nurses Association.
- D. Practices that are considered complementary and alternative in one culture or time might be considered conventional in another culture or time.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
While caring for a client using O2 in the hospital, what assessment finding indicates that goals for a priority diagnosis are being met?
- A. 100% of meals being eaten by the client
- B. Intact skin behind the ears
- C. The client understanding the need for oxygen
- D. Unchanged weight for the past 3 days
Correct Answer: B
Rationale: The correct answer is B because intact skin behind the ears indicates proper oxygen delivery, ensuring the client's respiratory needs are being met. This assessment finding shows that the oxygen therapy is effective in improving oxygenation.
A: This choice is incorrect as the client's meal intake does not directly reflect the effectiveness of oxygen therapy.
C: Although important, the client's understanding of the need for oxygen does not directly indicate the success of the oxygen therapy.
D: Unchanged weight is not a direct indicator of the effectiveness of oxygen therapy in this situation.
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. Which assessment finding requires the nurse to take immediate action?
- A. Oxygen saturation of 90%
- B. Respiratory rate of 22 breaths per minute
- C. Client reports shortness of breath
- D. Client's respiratory rate decreases to 10 breaths per minute
Correct Answer: D
Rationale: The correct answer is D because a sudden decrease in respiratory rate to 10 breaths per minute in a client with COPD receiving oxygen therapy can indicate respiratory depression or impending respiratory arrest, which are life-threatening emergencies. Immediate action is necessary to prevent further complications.
A: An oxygen saturation of 90% is below the normal range but not an immediate concern unless it continues to decrease.
B: A respiratory rate of 22 breaths per minute is within the normal range and does not require immediate action.
C: Shortness of breath is common in clients with COPD and may not require immediate action unless it is severe or worsening rapidly.
What high-priority nursing diagnoses and interventions would you identify for a client diagnosed with anxiety?
- A. High blood pressure
- B. Increased heart rate
- C. Decreased oxygen supply
- D. Muscle relaxation
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.