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When a client is having a general tonic clonic seizure, the nurse should:
- A. Hold the client's arms at their side.
- B. Place the client on their side.
- C. Insert a padded tongue blade in client's mouth.
- D. Elevate the head of the bed.
Correct Answer: B
Rationale: Placing the client on their side prevents aspiration.
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What is the main drawback of the botulism antitoxin that the nurse should be aware of?
- A. It causes 9% hypersensitivity.
- B. It requires monthly booster dosages.
- C. It is not available from the CDC.
- D. It is not available as a pre-exposure vaccine.
Correct Answer: D
Rationale: The correct answer is D because botulism antitoxin is not available as a preventive vaccine.
Which factor may promote anxiety for a client undergoing a surgical procedure?
- A. Decreased mobility
- B. Unfamiliar environment
- C. Unclear expectations
- D. Decreased alertness
Correct Answer: C
Rationale: The correct answer is C because unclear expectations can increase anxiety in clients facing surgery.
3. What describes the whole medical system of Ayurveda?
- A. Manipulation of energy channels with fine needles
- B. Uses the principle of 'like cures like' with small doses of prepared extracts
- C. Use of finger and hand pressure at energy meridians to improve energy flow
- D. Considers disease as an imbalance of life force and basic metabolic condition
Correct Answer: D
Rationale: Ayurveda considers disease as an imbalance of life force (prana) and metabolic conditions, making option D the correct choice.
Seven tasks required for daily living with chronic illness have been identified. From Table 5-4, select at least one of these tasks that would specifically apply to the following common chronic conditions in older adults.
- A. Diabetes mellitus
- B. Visual impairment
- C. Heart disease
- D. Hearing impairment
Correct Answer: A
Rationale: Each chronic condition requires specific daily living tasks: Diabetes involves monitoring blood sugar; visual impairment may require adaptive techniques; heart disease necessitates lifestyle modifications; hearing impairment might involve using assistive devices.
In planning Mrs. Filbert's care during an acute attack of Meniere disease, it would be most important to
- A. encourage her to discuss her feelings about her illness
- B. keep her siderails up and provide assistance when she is permitted out of bed
- C. instruct her about prescribed dietary modifications
- D. encourage her to walk around her room so that her joints will not get stiff
Correct Answer: C
Rationale: Dietary changes, such as reducing salt intake, play a key role in managing Meniere disease by helping control fluid balance in the inner ear.