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When selecting audiovisual and written materials as teaching strategies, what is important for the nurse to do?
- A. Provide the patient with these materials before the planned learning experience.
- B. Ensure that the materials include all the information the patient will need to learn.
- C. Review the materials before use for accuracy and appropriateness to learning needs and goals.
- D. Assess the patient’s auditory and visual ability because these functions are necessary for these strategies to be effective.
Correct Answer: C
Rationale: The correct answer is 'Review the materials before use for accuracy and appropriateness to learning needs and goals.' Ensuring the materials are accurate and appropriate is critical to effective teaching. Providing materials beforehand or ensuring they cover all needed information may not always be feasible or necessary.
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What nursing measure would be most helpful in obtaining Mr. Smith’s compliance with treatment?
- A. Involve Mrs. Smith in the teaching sessions
- B. Teach Mr. Smith about his prescribed medications
- C. Ask the social worker to talk to Mr. Smith
- D. Refer the Smiths to the American Lung Association
Correct Answer: B
Rationale: Education empowers patients to understand and adhere to their treatment plans.
Mr. and Mrs. Smith took part in a community health screening. What does a positive reaction to the standard intermediate strength PPD mean?
- A. Have active tuberculosis
- B. Are “carriers” of tuberculosis
- C. Have already transmitted tuberculosis to their children
- D. Have been exposed to active tuberculosis
Correct Answer: D
Rationale: A positive PPD test indicates past exposure to Mycobacterium tuberculosis but does not confirm active disease.
Which statement about sleep is accurate?
- A. Lack of sleep causes medical and psychiatric disorders.
- B. Adults generally require at least 5 hours of sleep every 24 hours.
- C. During sleep an individual is not consciously aware of his or her environment.
- D. Less than 10% of adults report at least one sleep problem, such as difficulty falling asleep.
Correct Answer: C
Rationale: The correct answer is C because during sleep, an individual's conscious awareness of the environment diminishes. Option A is incorrect because lack of sleep exacerbates but does not directly cause disorders. Option B underestimates the recommended sleep duration, and Option D overestimates the prevalence of sleep problems.
A client with tuberculosis is starting combination drug therapy. Which of the following medications should the nurse NOT plan to administer?
- A. Rifampin
- B. Isoniazid
- C. Acyclovir
- D. Pyrazinamide
Correct Answer: C
Rationale: The correct answer is C: Acyclovir. Acyclovir is an antiviral medication used to treat herpes infections, not tuberculosis. Rifampin, Isoniazid, and Pyrazinamide are all first-line drugs for tuberculosis treatment. Rifampin is a bactericidal agent, Isoniazid disrupts mycobacterial cell wall synthesis, and Pyrazinamide targets actively replicating bacteria. Therefore, the nurse should not plan to administer Acyclovir as it is not indicated for tuberculosis treatment.
The nurse knows that the most likely cause of the HSV-1 infection in a client with HIV infection is:
- A. Immunosuppression.
- B. Emotional stress.
- C. Unprotected sexual activities.
- D. Contact with saliva.
Correct Answer: A
Rationale: HSV-1 thrives in immunocompromised individuals due to weakened immune defenses.