Nokea
What type of relaxation technique does Lyza uses if a machine is showing her pulse rate, temperature and muscle tension which she can visualize and assess?
- A. Biofeedback
- B. Massage
- C. Autogenic training
- D. Visualization and Imagery
Correct Answer: A
Rationale: Biofeedback (A) uses machines to display pulse, temperature, and muscle tension, allowing Lyza to visualize and control them. Massage (B) is physical, not machine-based. Autogenic training (C) involves self-suggestion, not devices. Visualization (D) is mental imagery, not monitored. Biofeedback trains self-regulation via real-time data, per psychology, matching the description and making A correct.
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A client has a prescription for a 24-hour urine collection. Which of the following actions should be taken by the healthcare provider?
- A. Discard the first voiding.
- B. Keep the urine at room temperature.
- C. Collect the first voiding.
- D. Keep the urine in a sterile container.
Correct Answer: A
Rationale: Discarding the first voiding is necessary when initiating a 24-hour urine collection to ensure that the collection starts with an empty bladder. This step helps in obtaining an accurate measurement of substances excreted over the 24-hour period without any carryover from the previous voids. Keeping the urine at room temperature or in a sterile container is not specific to the initiation of the collection. Therefore, the correct action is to discard the first voiding.
When assessing the urinary output of a client who has had extracorporeal lithotripsy, the nurse can expect to find:
- A. Cherry-red urine that gradually becomes clearer
- B. Orange-tinged urine containing particles of calculi
- C. Dark red urine that becomes cloudy in appearance
- D. Dark, smoky-colored urine with high specific gravity
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Your assigned client has encephalitis, and there are other cases in the community. In a team meeting regarding your client and prevention of other cases of encephalitis, the nurse supervisor talks about breaking the chain of infection at the second link: the reservoir. You realize the nurse supervisor is talking about which of the following things?
- A. an area for the storage and filtering of water
- B. a place where the microorganism enters the body
- C. the place where the microorganism naturally lives
- D. the microorganism itself
Correct Answer: C
Rationale: Breaking the infection chain at the reservoir means targeting where the microorganism naturally lives like mosquitoes for encephalitis. This differs from the pathogen itself, entry portals, or unrelated water storage. Controlling reservoirs, such as vector elimination, stops transmission early, a vital nursing strategy in outbreak prevention discussed in team settings.
Contraindications to Lumbar puncture include all except:
- A. Raised ICP
- B. Neoplasm
- C. Hematoma
- D. Headache
Correct Answer: D
Rationale: Lumbar puncture (LP) risks complications if contraindicated. Raised intracranial pressure (ICP) (choice A) can cause herniation post-LP, a fatal risk. Neoplasm (choice B) or hematoma (choice C) may increase ICP or bleeding risk, making LP dangerous. Headache (choice D) is a symptom, not a contraindication, and may even prompt LP (e.g., meningitis diagnosis). D is correct, as headache doesn't preclude LP. Nurses assess for ICP signs (e.g., papilledema), ensure safety, and manage post-LP headaches, supporting diagnostic accuracy.
Resonance is best described as:
- A. Sounds created by air-filled lungs
- B. Short, high pitch and thudding
- C. Moderately loud with musical quality
- D. Drum-like
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.